NCT06902649 · RECRUITING
Step-by-Step: Evaluation of a Stepped Care Model
This trial is testing a stepped care model for children aged 8 to 16 who have defiant or aggressive behavior problems. Families start with an internet-based parenting program, and those who need more support move on to CBT combined with virtual reality tools, either for the parent, the child, or both. This is a Phase NA study, meaning it is evaluating real-world effectiveness of a care pathway rather than a new drug.
You may qualify if
- Families with children aged 8-16 years who have difficulty controlling anger or exhibit defiant or aggressive behavior. The child/adolescent meets 3 of the diagnostic criteria for Oppositional Defiant Disorder or 2 criteria for Conduct Disorder indicating aggressive behavior.
- Medication for the child can remain stable.
- Parents need to be able to read and engage with materials in Swedish
You're excluded if
- Families with children younger than 8 years old or who have already turned 17, or who do not exhibit defiant or aggressive behaviors according to the first inclusion criterion.
- Children with severe depression, suicidal behavior, bipolar disorder, psychosis, eating disorders, severe autism (level 2 and 3), diagnosed intellectual disability, or ongoing criminal behavior assessed to require interventions other than the study's interventions are excluded.
- Children/adolescents with other ongoing psychological treatments for the same condition or assessed by the clinician in need of other interventions
- Parents and children with epilepsy or migraines
The sponsor's own eligibility wording, lightly reformatted. The study team makes the final eligibility decision — worth discussing with your doctor.
Eligibility criteria as of 2026-03-06