Optimizing CBT Implementation among Community Providers Through Internet-based Consultation and Networking (i-CAN)

通过基于互联网的咨询和网络 (i-CAN) 优化社区提供商之间的 CBT 实施

• 批准号: 10503091
• 负责人: Susan Williams White
• 金额: $ 21.82万
• 依托单位: UNIVERSITY OF ALABAMA IN TUSCALOOSA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-05 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10503091
• 关键词: Address; Adolescent; Adoption; Affect; Anxiety; Area; Attitude; Back; Behavior; Belief; Child; Client; Cognitive Therapy; Collaborations; Color; Communities; Computer software; Consultations; Data; Development; Educational Curriculum; Ensure; Environment; Evidence based intervention; Feedback; Goals; Happiness; Health Personnel; Healthcare; Home; Impairment; Improve Access; Infrastructure; Intention; Internet; Knowledge; Literature; Location; Manuals; Mental Health; Modality; Modeling; NIH Program Announcements; Network-based; Patient Care; Patient Self-Report; Persons; Planning Theory; Poverty; Process; Production; Provider; Quality Control; Randomized; Randomized Controlled Trials; Reporting; Reproducibility; Research; Resource Sharing; Resource-limited setting; Resources; Sampling; Schools; Secure; Services; Site; Testing; Training; Work; Youth; base; childhood anxiety; clinical anxiety; cost; design; evidence base; feasibility testing; flexibility; improved; innovation; peer; peer support; provider networks; racial diversity; rural area; rural setting; rurality; satisfaction; services as usual; skills; social media; social networking website; tool; underserved community; uptake; usability

PROJECT SUMMARY The goal of this exploratory/developmental (R21) project is to advance the uptake of cognitive- behavioral therapy (CBT), an evidence-based intervention (EBI) for youth anxiety problems, by community-based providers. Using readily available, commercial-grade software, we will develop a highly replicable remote (online) peer consultation and support hub. This hub, termed Internet-based Consultation and Networking [i-CAN], will be developed with input from stakeholders, including community providers, using a participatory implementation workgroup approach. We will then test the feasibility and preliminary impact of i-CAN in the context of a pilot randomized controlled trial with a diverse sample of providers. The purpose of program announcement PAR-19-275 is to “support innovative approaches to identifying, understanding, and developing strategies for overcoming barriers to the adoption…of evidence-based interventions.” Although clinical anxiety is one of the most impairing and common mental health problems seen among children and adolescents1, and CBT is considered an established EBI for anxiety disorders2, most youth do not receive high-quality CBT in their home communities. This implementation gap is especially prominent for youth who live in rural areas, communities of color, and low-resources settings.3–5 We are testing i-CAN in a large community that is characterized by rurality and poverty, and which is highly racially diverse, because remote peer consultation may be especially beneficial for providers who cannot otherwise access in-person support to improve their skills. As such, this project addresses disparities by improving access to EBI resources and tools among the providers who work in under-served communities. In addition to high

项目总结