Tele-SPACE: group parent-based treatment for pediatric anxiety via telemedicine in a public health clinic Article Swipe
Naama de la Fontaine
,
Tal Cohen
,
Nimrod Hertz‐Palmor
,
Shirel Dorman-Ilan
,
Noa Rubin
,
Gal Itav
,
Shlomit Tsafrir
,
Yael Carmel
,
Hana Weisman
,
Doron Gothelf
,
Eli R. Lebowitz
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fpsyt.2025.1570497
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3389/fpsyt.2025.1570497
Introduction Supportive Parenting for Anxious Childhood Emotions (SPACE) is an evidence-based treatment for parents of children with anxiety disorders and/or obsessive-compulsive disorder (OCD). Given the many barriers to accessing such evidence-based treatments, we evaluated for the first time the application of group-based SPACE, delivered to parents via telemedicine within a public health outpatient setting. Methods In this single arm retrospective analysis of routine-care data participants, recruited from a hospital-based anxiety clinic, were mothers (N=50) of fifty children, ages 6.7-18.0 years (mean 11.2 ± 3.1), diagnosed with an anxiety disorder and/or OCD. Parent and child self-report measures assessed the impact of treatment on child anxiety symptoms, parental accommodation, parental anxiety and depression. Treatment feasibility, acceptability and satisfaction were assessed. Results Post treatment, significant reductions were evident in child self-reported separation anxiety symptoms (p =0.008), mother-reported child anxiety symptoms (p=0.002), maternal accommodation (p=0.006), anxiety (p=0.004) and depressive symptoms (p=0.011). Treatment proved feasible, with completion rates of 77.3%, and participants reported high levels of satisfaction with the telemedicine format. Discussion This is the first study of group-based SPACE over telemedicine. Results support the utility of this modality for overcoming treatment barriers in public health settings with highly heterogenous populations.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fpsyt.2025.1570497
- https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1570497/pdf
- OA Status
- gold
- References
- 82
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4413303154
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4413303154Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fpsyt.2025.1570497Digital Object Identifier
- Title
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Tele-SPACE: group parent-based treatment for pediatric anxiety via telemedicine in a public health clinicWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-08-19Full publication date if available
- Authors
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Naama de la Fontaine, Tal Cohen, Nimrod Hertz‐Palmor, Shirel Dorman-Ilan, Noa Rubin, Gal Itav, Shlomit Tsafrir, Yael Carmel, Hana Weisman, Doron Gothelf, Eli R. LebowitzList of authors in order
- Landing page
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https://doi.org/10.3389/fpsyt.2025.1570497Publisher landing page
- PDF URL
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https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1570497/pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1570497/pdfDirect OA link when available
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Telemedicine, Anxiety, Telepsychiatry, Medicine, Space (punctuation), Public health, Psychiatry, Psychology, Family medicine, Health care, Nursing, Computer science, Political science, Law, Operating systemTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.high | 158 |
| abstract_inverted_index.many | 25 |
| abstract_inverted_index.over | 175 |
| abstract_inverted_index.such | 29 |
| abstract_inverted_index.this | 56, 182 |
| abstract_inverted_index.time | 37 |
| abstract_inverted_index.were | 71, 116, 123 |
| abstract_inverted_index.with | 16, 85, 150, 162, 192 |
| abstract_inverted_index.(mean | 80 |
| abstract_inverted_index.3.1), | 83 |
| abstract_inverted_index.Given | 23 |
| abstract_inverted_index.SPACE | 174 |
| abstract_inverted_index.child | 93, 102, 126, 134 |
| abstract_inverted_index.fifty | 75 |
| abstract_inverted_index.first | 36, 170 |
| abstract_inverted_index.rates | 152 |
| abstract_inverted_index.study | 171 |
| abstract_inverted_index.years | 79 |
| abstract_inverted_index.(N=50) | 73 |
| abstract_inverted_index.(OCD). | 22 |
| abstract_inverted_index.77.3%, | 154 |
| abstract_inverted_index.Parent | 91 |
| abstract_inverted_index.SPACE, | 42 |
| abstract_inverted_index.and/or | 19, 89 |
| abstract_inverted_index.health | 51, 190 |
| abstract_inverted_index.highly | 193 |
| abstract_inverted_index.impact | 98 |
| abstract_inverted_index.levels | 159 |
| abstract_inverted_index.proved | 148 |
| abstract_inverted_index.public | 50, 189 |
| abstract_inverted_index.single | 57 |
| abstract_inverted_index.within | 48 |
| abstract_inverted_index.(SPACE) | 7 |
| abstract_inverted_index.Anxious | 4 |
| abstract_inverted_index.Methods | 54 |
| abstract_inverted_index.Results | 118, 177 |
| abstract_inverted_index.anxiety | 17, 69, 87, 103, 108, 129, 135, 141 |
| abstract_inverted_index.clinic, | 70 |
| abstract_inverted_index.evident | 124 |
| abstract_inverted_index.format. | 165 |
| abstract_inverted_index.mothers | 72 |
| abstract_inverted_index.parents | 13, 45 |
| abstract_inverted_index.support | 178 |
| abstract_inverted_index.utility | 180 |
| abstract_inverted_index.6.7-18.0 | 78 |
| abstract_inverted_index.=0.008), | 132 |
| abstract_inverted_index.Emotions | 6 |
| abstract_inverted_index.analysis | 60 |
| abstract_inverted_index.assessed | 96 |
| abstract_inverted_index.barriers | 26, 187 |
| abstract_inverted_index.children | 15 |
| abstract_inverted_index.disorder | 21, 88 |
| abstract_inverted_index.maternal | 138 |
| abstract_inverted_index.measures | 95 |
| abstract_inverted_index.modality | 183 |
| abstract_inverted_index.parental | 105, 107 |
| abstract_inverted_index.reported | 157 |
| abstract_inverted_index.setting. | 53 |
| abstract_inverted_index.settings | 191 |
| abstract_inverted_index.symptoms | 130, 136, 145 |
| abstract_inverted_index.(p=0.004) | 142 |
| abstract_inverted_index.Childhood | 5 |
| abstract_inverted_index.Parenting | 2 |
| abstract_inverted_index.Treatment | 111, 147 |
| abstract_inverted_index.accessing | 28 |
| abstract_inverted_index.assessed. | 117 |
| abstract_inverted_index.children, | 76 |
| abstract_inverted_index.delivered | 43 |
| abstract_inverted_index.diagnosed | 84 |
| abstract_inverted_index.disorders | 18 |
| abstract_inverted_index.evaluated | 33 |
| abstract_inverted_index.feasible, | 149 |
| abstract_inverted_index.recruited | 65 |
| abstract_inverted_index.symptoms, | 104 |
| abstract_inverted_index.treatment | 11, 100, 186 |
| abstract_inverted_index.(p=0.002), | 137 |
| abstract_inverted_index.(p=0.006), | 140 |
| abstract_inverted_index.(p=0.011). | 146 |
| abstract_inverted_index.Discussion | 166 |
| abstract_inverted_index.Supportive | 1 |
| abstract_inverted_index.completion | 151 |
| abstract_inverted_index.depressive | 144 |
| abstract_inverted_index.outpatient | 52 |
| abstract_inverted_index.overcoming | 185 |
| abstract_inverted_index.reductions | 122 |
| abstract_inverted_index.separation | 128 |
| abstract_inverted_index.treatment, | 120 |
| abstract_inverted_index.application | 39 |
| abstract_inverted_index.depression. | 110 |
| abstract_inverted_index.group-based | 41, 173 |
| abstract_inverted_index.self-report | 94 |
| abstract_inverted_index.significant | 121 |
| abstract_inverted_index.treatments, | 31 |
| abstract_inverted_index.Introduction | 0 |
| abstract_inverted_index.feasibility, | 112 |
| abstract_inverted_index.heterogenous | 194 |
| abstract_inverted_index.participants | 156 |
| abstract_inverted_index.populations. | 195 |
| abstract_inverted_index.routine-care | 62 |
| abstract_inverted_index.satisfaction | 115, 161 |
| abstract_inverted_index.telemedicine | 47, 164 |
| abstract_inverted_index.acceptability | 113 |
| abstract_inverted_index.accommodation | 139 |
| abstract_inverted_index.participants, | 64 |
| abstract_inverted_index.retrospective | 59 |
| abstract_inverted_index.self-reported | 127 |
| abstract_inverted_index.telemedicine. | 176 |
| abstract_inverted_index.accommodation, | 106 |
| abstract_inverted_index.evidence-based | 10, 30 |
| abstract_inverted_index.hospital-based | 68 |
| abstract_inverted_index.mother-reported | 133 |
| abstract_inverted_index.obsessive-compulsive | 20 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5085528265 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I2799810450, https://openalex.org/I32971472, https://openalex.org/I4210144215 |
| citation_normalized_percentile.value | 0.47148131 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |