Randomized Controlled Trial of Spanish Brief Group Neuroscience-Informed Cognitive-Behavior Therapy for Anxiety
1 other identifier
interventional
86
1 country
2
Brief Summary
The goal of this clinical trial is to learn if a brief neuroscience-informed cognitive-behavior therapy (nCBT) group intervention works to reduce anxiety for Spanish-speaking Latino/a adults. The main questions it aims to answer are:
- To what extent does group neuroeducation on the nCBT Waves Model reduce anxiety compared to a waitlist condition?
- To what extent does group neurooeducation on the nCBT Waves Model enhance body awareness and self-compassion compared to a waitlist condition?
- To what extent is anxiety reduction predicted by enhancements in body awareness and self-compassion, alongside the working alliance and credibility/expectancy? Researchers will compare outcomes for the brief nCBT group intervention to a waitlist control condition to see if the intervention results in superior anxiety reduction compared to the effect of time. Participants will:
- Attend three weekly psychoeducational group sessions.
- Complete homework assignments following group meetings such as tracking anxiety symptoms at home.
- Complete questionnaires about anxiety as well as body awareness, self-compassion, the therapeutic relationship, and participant perceptions of the intervention's credibility and belief in a positive outcome.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable anxiety
Started Jun 2025
Shorter than P25 for not_applicable anxiety
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 2, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 21, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 15, 2025
CompletedFirst Submitted
Initial submission to the registry
September 10, 2026
CompletedFirst Posted
Study publicly available on registry
September 16, 2026
CompletedSeptember 16, 2026
September 1, 2026
6 months
September 10, 2026
September 10, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
PROMIS Anxiety Short Form 6a - Spanish (PROMIS-A-SF-S)
The PROMIS-A-SF-S (Patient-Reported Outcomes Measurement Information System, 2012; Teresi et al., 2016) measures anxiety symptoms over the past 7 days with higher scores indicating greater anxiety severity. Participants rate each item on a five-point Likert scale from 1 (never) and 5 (always). The PROMIS-A-SF has strong internal consistency (Cronbach's α = .97).
From enrollment to the end of treatment at 4 weeks.
Secondary Outcomes (2)
Body Awareness Questionnaire - Spanish Version (BAQ-S)
From enrollment to the end of treatment at 4 weeks.
Self-Compassion Scale - Short Form, Spanish Version (SCS-SF-S)
From enrollment to the end of treatment at 4 weeks.
Other Outcomes (2)
Credibility and Expectancy Questionnaire
One measurement, at the end of treatment at 4 weeks.
Spanish-Language Working Alliance Inventory-Short for Patients, Revised (WAI-S-P)
One measurement, at the end of treatment at 4 weeks.
Study Arms (2)
Brief group neuroeducation on nCBT Waves Model
EXPERIMENTALBrief, culturally-adapted, Spanish-language neuroscience-informed cognitive behavioral therapy neuroeducational group intervention on the nCBT Waves Model lasting for three weekly sessions, each 90 minutes.
Waitlist
NO INTERVENTIONWaitlisted participants, who do not receive any intervention until the study period concludes.
Interventions
Brief, culturally-adapted, Spanish-language neuroscience-informed cognitive behavioral therapy (nCBT) neuroeducational group intervention lasting for three consecutive weekly sessions, each lasting 90 minutes. Participants complete homework assignments of tracking anxiety and physiological activation/interoceptive awareness between sessions.
Eligibility Criteria
You may qualify if:
- age 18 years or older.
- identification as Latino/a.
- Spanish fluency.
- Ability to attend three group sessions.
You may not qualify if:
- Less than 18 years of age.
- identification with non-Latino/a ethnic group.
- not fluent in Spanish.
- Inability to attend three group sessions.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Centro San Juan Diego
Denver, Colorado, 80205, United States
CommĂşn Denver
Denver, Colorado, 80236, United States
Related Publications (38)
Zvolensky MJ, Bakhshaie J, Garza M, Valdivieso J, Ortiz M, Bogiaizian D, Robles Z, Vujanovic A. Anxiety sensitivity and subjective social status in relation to anxiety and depressive symptoms and disorders among Latinos in primary care. J Anxiety Disord. 2015 May;32:38-45. doi: 10.1016/j.janxdis.2015.03.006. Epub 2015 Mar 21.
PMID: 25847548BACKGROUNDZhou X, Ma J, Zhou J, Kong Y, Liu Z, Wang S, Xia S, Qu C. Effectiveness of brief group cognitive behavioural therapy on improving mental health outcomes - A systematic review and meta-analysis. Psychiatry Res. 2025 Sep;351:116590. doi: 10.1016/j.psychres.2025.116590. Epub 2025 Jun 9.
PMID: 40532304BACKGROUNDTeresi JA, Ocepek-Welikson K, Kleinman M, Ramirez M, Kim G. Measurement Equivalence of the Patient Reported Outcomes Measurement Information System(R) (PROMIS(R)) Anxiety Short Forms in Ethnically Diverse Groups. Psychol Test Assess Model. 2016;58(1):183-219.
PMID: 28649483BACKGROUNDSidani S, O'Rourke H. Quantitative and Qualitative Strategies to Strengthen Internal Validity in Randomized Trials. Can J Nurs Res. 2022 Mar;54(1):87-95. doi: 10.1177/0844562120974197. Epub 2020 Nov 29.
PMID: 33249887BACKGROUNDSanchez-Sanchez LC, Klysing A, Steij Stalbrand I, Lundberg T. Validation of the Spanish Version of the Body Awareness Questionnaire (BAQ) and an Exploration of Its Relationship to Meditation and Embodiment Variables. Healthcare (Basel). 2025 Mar 14;13(6):628. doi: 10.3390/healthcare13060628.
PMID: 40150478BACKGROUNDRezapour T, McLean KL, Psederska E, Maleki KN, Ekhtiari H, Vassileva J. Neuroscience-informed psychoeducation for addiction: a conceptual and feasibility study. Front Psychiatry. 2025 Feb 12;16:1527828. doi: 10.3389/fpsyt.2025.1527828. eCollection 2025.
PMID: 40012711BACKGROUNDPatient-Reported Outcomes Measurement Information System. (2012). PROMIS Short Form v1.0 - Anxiety 6a - Spanish [Measurement instrument]. HealthMeasures.
BACKGROUNDPro G, Brown C, Rojo M, Patel J, Flax C, Haynes T. Downward National Trends in Mental Health Treatment Offered in Spanish: State Differences by Proportion of Hispanic Residents. Psychiatr Serv. 2022 Nov 1;73(11):1232-1238. doi: 10.1176/appi.ps.202100614. Epub 2022 May 3.
PMID: 35502519BACKGROUNDPowla P, Maxey N, Griffin T, Pabon-Rodriguez F. Mental Health Treatment Utilization Among Hispanic and Latino Adults in the United States: The Role of Immigration Status, Acculturation, and Socioeconomic Disadvantage. J Immigr Minor Health. 2026 Apr 1. doi: 10.1007/s10903-026-01896-x. Online ahead of print.
PMID: 41920428BACKGROUNDPeris-Baquero O, Fadrique-Jimenez A, Prieto-Rollan I, Camacho-Guerrero L, Martinez-Lluesma S, Osma J. Brief Versions of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Spanish Primary Care Service: Results of a Feasibility Pilot Study. J Clin Psychol. 2025 Nov;81(11):1103-1117. doi: 10.1002/jclp.70016. Epub 2025 Jul 16.
PMID: 40667676BACKGROUNDNelson, A., Ayers, E., Sun, F., & Zhang, A. (2020). Culturally adapted psychotherapeutic interventions for Latino depression and anxiety: A meta-analysis. Research on Social Work Practice, 30(4), 368-381. https://doi.org/10.1177/1049731519899991
BACKGROUNDNeff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223-250. https://doi.org/10.1080/15298860309027
BACKGROUNDMiller, R. (2016). Neuroeducation: Integrating brain-based psychoeducation into clinical practice. Journal of Mental Health Counseling, 38(2), 103-115. https://doi.org/10.17744/mehc.38.2.02
BACKGROUNDMartin, G. C., Manjarrez, A., Tower, J., & Field, T. A. (2026). Longitudinal time-series repeated measures study of neuroscience-informed cognitive behavioral therapy for anxiety. Manuscript submitted for publication.
BACKGROUNDLo Coco G, Gullo S, Albano G, Brugnera A, Fluckiger C, Tasca GA. The alliance-outcome association in group interventions: A multilevel meta-analysis. J Consult Clin Psychol. 2022 Jun;90(6):513-527. doi: 10.1037/ccp0000735. Epub 2022 May 16.
PMID: 35575726BACKGROUNDKahneman D. A perspective on judgment and choice: mapping bounded rationality. Am Psychol. 2003 Sep;58(9):697-720. doi: 10.1037/0003-066X.58.9.697.
PMID: 14584987BACKGROUNDGarcia-Campayo J, Navarro-Gil M, Andres E, Montero-Marin J, Lopez-Artal L, Demarzo MM. Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health Qual Life Outcomes. 2014 Jan 10;12:4. doi: 10.1186/1477-7525-12-4.
PMID: 24410742BACKGROUNDFaul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.
PMID: 17695343BACKGROUNDField, T. A., Miller, R., Martin, G. C., Manjarrez, A., & Beeson, E. T. (2025). Nonhierarchical, multidirectional, and oscillatory processing in neuroscience-informed cognitive-behavior therapy. Journal of Mental Health Counseling, 47(3), 262-280. https://doi.org/10.17744/mehc.47.3.05
BACKGROUNDField, T. A., Miller, R., Beeson, E. T., & Jones, L. K. (2019). Treatment fidelity in neuroscience-informed cognitive-behavior therapy: A feasibility study. Journal of Mental Health Counseling, 41(4), 359-376. https://doi.org/10.17744/mehc.41.4.06
BACKGROUNDField, T. A., Beeson, E. T., Jones, L. K., & Miller, R. (2017). Counselor allegiance and client expectancy in neuroscience-informed cognitive-behavior therapy: A 12-month qualitative follow-up. Journal of Mental Health Counseling, 39(4), 351-365. https://doi.org/10.17744/mehc.39.4.06
BACKGROUNDField, T. A., Beeson, E. T., & Jones, L. K. (2016). Neuroscience-informed cognitive behavior therapy in clinical practice: A preliminary study. Journal of Mental Health Counseling, 38(2), 139-154. https://doi.org/10.17744/mehc.38.2.05
BACKGROUNDField, T. A., Beeson, E. T., & Jones, L. K. (2015). The new ABCs: A practitioner's guide to neuroscience-informed cognitive-behavior therapy. Journal of Mental Health Counseling, 37(3), 206-220. https://doi.org/10.17744/mehc.37.3.02
BACKGROUNDFerrari, M., Hunt, C., Harrysunker, A., Abbott, M. J., Beath, A. P., & Einstein, D. A. (2019). Self-compassion interventions and psychosocial outcomes: A meta-analysis of RCTs. Mindfulness, 10(8), 1455-1473. https://doi.org/10.1007/s12671-019-01134-6
BACKGROUNDEllis, A. (1991). The revised ABC's of rational-emotive therapy (RET). Journal of Rational-Emotive and Cognitive-Behavior Therapy, 9(3), 139-172. https://doi.org/10.1007/bf01061227
BACKGROUNDDevilly GJ, Borkovec TD. Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther Exp Psychiatry. 2000 Jun;31(2):73-86. doi: 10.1016/s0005-7916(00)00012-4.
PMID: 11132119BACKGROUNDLima-Araujo GL, de Sousa Junior GM, Mendes T, Demarzo M, Farb N, Barros de Araujo D, Sousa MBC. The impact of a brief mindfulness training on interoception: A randomized controlled trial. PLoS One. 2022 Sep 7;17(9):e0273864. doi: 10.1371/journal.pone.0273864. eCollection 2022.
PMID: 36070308BACKGROUNDCuijpers P, Miguel C, Harrer M, Ciharova M, Karyotaki E. The overestimation of the effect sizes of psychotherapies for depression in waitlist controlled trials: a meta-analytic comparison with usual care controlled trials. Epidemiol Psychiatr Sci. 2024 Nov 6;33:e56. doi: 10.1017/S2045796024000611.
PMID: 39501660BACKGROUNDConstantino MJ, Visla A, Coyne AE, Boswell JF. A meta-analysis of the association between patients' early treatment outcome expectation and their posttreatment outcomes. Psychotherapy (Chic). 2018 Dec;55(4):473-485. doi: 10.1037/pst0000169.
PMID: 30335459BACKGROUNDConstantino MJ, Coyne AE, Boswell JF, Iles BR, Visla A. A meta-analysis of the association between patients' early perception of treatment credibility and their posttreatment outcomes. Psychotherapy (Chic). 2018 Dec;55(4):486-495. doi: 10.1037/pst0000168.
PMID: 30335460BACKGROUNDCollado A, Castillo SD, Maero F, Lejuez CW, Macpherson L. Pilot of the brief behavioral activation treatment for depression in latinos with limited english proficiency: preliminary evaluation of efficacy and acceptability. Behav Ther. 2014 Jan;45(1):102-15. doi: 10.1016/j.beth.2013.10.001. Epub 2013 Oct 16.
PMID: 24411118BACKGROUNDClemente R, Murphy A, Murphy J. The relationship between self-reported interoception and anxiety: A systematic review and meta-analysis. Neurosci Biobehav Rev. 2024 Dec;167:105923. doi: 10.1016/j.neubiorev.2024.105923. Epub 2024 Oct 18.
PMID: 39427810BACKGROUNDBernal G, Bonilla J, Bellido C. Ecological validity and cultural sensitivity for outcome research: issues for the cultural adaptation and development of psychosocial treatments with Hispanics. J Abnorm Child Psychol. 1995 Feb;23(1):67-82. doi: 10.1007/BF01447045.
PMID: 7759675BACKGROUNDBeeson, E. T., Field, T. A., Jones, L. K., & Miller, R. M. (2017). nCBT: A semi-structured multiphasic treatment manual. Unpublished treatment manual.
BACKGROUNDBarrera M Jr, Castro FG, Strycker LA, Toobert DJ. Cultural adaptations of behavioral health interventions: a progress report. J Consult Clin Psychol. 2013 Apr;81(2):196-205. doi: 10.1037/a0027085. Epub 2012 Jan 30.
PMID: 22289132BACKGROUNDAndrade-González, N., & Fernandez-Liria, A. (2016). Working Alliance Inventory-Short Form: Psychometric properties in Spanish clinical and non-clinical samples. Clinical Psychology & Psychotherapy, 23(3), 228-239. https://doi.org/10.1002/cpp.1944
BACKGROUNDAlegria M, Stein GL, Cruz-Gonzalez M, Falgas-Bague I, Markle SL, Eddington KM, Supple A, Fuentes L, Poindexter C, Shrout PE. Building community capacity in mental health care with the Strong Minds-Strong Communities programme: a randomised controlled trial in the USA. Lancet. 2025 Aug 23;406(10505):832-845. doi: 10.1016/S0140-6736(25)00859-1.
PMID: 40849140BACKGROUNDAbend R, Gold AL, Britton JC, Michalska KJ, Shechner T, Sachs JF, Winkler AM, Leibenluft E, Averbeck BB, Pine DS. Anticipatory Threat Responding: Associations With Anxiety, Development, and Brain Structure. Biol Psychiatry. 2020 May 15;87(10):916-925. doi: 10.1016/j.biopsych.2019.11.006. Epub 2019 Nov 15.
PMID: 31955915BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Thomas Field, PhD
Oregon State University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 10, 2026
First Posted
September 16, 2026
Study Start
June 2, 2025
Primary Completion
November 21, 2025
Study Completion
December 15, 2025
Last Updated
September 16, 2026
Record last verified: 2026-09
Data Sharing
- IPD Sharing
- Will not share
Participants did not give consent for their individual data to be publicly shared.