Caregivers may facilitate access and practice, receive information, change accommodation, or receive treatment for their own difficulties. These roles imply different mechanisms and should be compared against the same adequate child treatment when testing augmentation. Parent-only treatment and adding parent sessions to child treatment answer different questions.[ref]
A randomized controlled trial of internet-delivered cognitive behaviour therapy for adolescent anxiety disorders in a routine clinical care setting with and without parent sessions by Polly Waite and others. Child and Adolescent Mental Health 24, 242–250; randomised parent-session allocation, primary remission and follow-up
A therapist supports a caregiver in delivering structured CBT activities with their child. Guidance includes reviewing practice and overcoming barriers, rather than merely distributing information. Evidence for a specified guided programme does not establish that an unsupported manual has the same effect.[ref]
Treatment of child anxiety disorders via guided parent-delivered cognitive-behavioural therapy by Kerstin Thirlwall and others. British Journal of Psychiatry 203, 436–444; 194 children, full/brief parent guidance and waiting list; primary-carer eligibility
A parent-based treatment that targets accommodation and supportive responses to a child's anxiety. A randomised trial compared it with child CBT using prespecified noninferiority criteria; the tested age range and margins constrain the conclusion.[ref]
Parent-Based Treatment as Efficacious as Cognitive-Behavioral Therapy for Childhood Anxiety: A Randomized Noninferiority Study of Supportive Parenting for Anxious Childhood Emotions by Eli R. Lebowitz and others. Journal of the American Academy of Child and Adolescent Psychiatry 59, 362–372; SPACE noninferiority trial, ages 7–14 and accommodation outcomes
Anxiety experienced by a parent, distinguished from the child's symptoms and from parental accommodation. It may affect burden and participation, but association with child difficulty does not establish that treating it necessarily augments child treatment.[ref]
Treatment of childhood anxiety disorder in the context of maternal anxiety disorder: a randomised controlled trial and economic analysis by Cathy Creswell and others. Health Technology Assessment 19(38); 211-family trial, maternal CBT and mother–child interaction arms
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