Maar hoe werkt het in het echt? De implementatie van Denken + Doen = Durven, een cognitieve gedragstherapie voor kinderen en jongeren met angststoornissen

Doing=Daring' (DDD) for the treatment of childhood anxiety disorders In 2008, the CBT protocol ‘Discussing+Doing=Daring' (DDD) for the treatment of childhood (8-18 years) anxiety disorders, was published. This therapy was highly efficacious in a RCT. Results from this RCT (efficacy) do not necessarily get repeated in real clinical practice (effectiveness). Therefore the effectiveness of this protocol is studied by asking therapists who use DDD in clinical practice to participate in this study. Their patients (children and parents) filled in the SCARED-71 before, after DDD treatment and at three months follow-up. Effect sizes (Cohen's d) were medium tot large and the percentage of children without clinical anxiety symptoms increased after treatment. This study shows that DDD is effective in clinical practice. However, in the RCT effect sizes and percentages of children without clinical anxiety symptoms were higher. This efficacy-effectiveness gap is discussed in the final section.