Abstract
Anxiety disorders are highly prevalent in youth and are associated with significant adverse outcomes. Although the efficacy of cognitive-behavioral therapy (CBT) has been well established, many youth, particularly those in rural and remote areas, are unable to access such specialized CBT interventions. Online CBT shows particular promise for young people who are typically technologically proficient. BRAVE-ONLINE is an internet-based CBT program for the treatment of anxiety disorders in youth aged between 7 and 18 years. This paper describes the development and evaluation of BRAVE-ONLINE to date and will present evidence from three randomized controlled trials to support its efficacy. The results of these studies show that the BRAVE-ONLINE program is superior to a wait-list control in reducing anxiety symptoms and demonstrates similar rates of efficacy to clinic-based therapy. In addition, this paper will also present data relating to user feedback and factors predicting therapy outcome (in particular, compliance, working alliance, family factors and diagnostic complexity). Implications for clinical practice will also be discussed.
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