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

项目概要 这个探索性/发展性（R21）项目的目标是促进认知- 行为疗法（CBT），一种针对青少年焦虑问题的循证干预措施（EBI） 基于社区的提供商。使用现成的商业级软件，我们将 开发一个高度可复制的远程（在线）同行咨询和支持中心。这个中心，称为 基于互联网的咨询和网络 [i-CAN]，将根据来自 利益相关者，包括社区提供者，利用参与式实施工作组 方法。然后，我们将在以下环境中测试 i-CAN 的可行性和初步影响： 对不同的提供者样本进行试点随机对照试验。计划的目的 公告 PAR-19-275 旨在“支持创新方法来识别、理解、 并制定战略来克服采用……基于证据的障碍 干预。”尽管临床焦虑是对心理健康影响最大且最常见的一种 儿童和青少年中出现的问题1，CBT 被认为是针对儿童和青少年的既定 EBI 由于焦虑症2，大多数青少年在其家乡社区没有接受高质量的认知行为治疗。这 对于生活在农村地区、社区的青年来说，实施差距尤其突出 颜色和低资源设置。3-5 我们正在一个大型社区中测试 i-CAN，该社区 其特点是乡村和贫困，而且种族高度多样化，因为偏远的同龄人 对于无法亲自访问的提供者来说，咨询可能特别有益 支持提高他们的技能。因此，该项目通过改善访问来解决差异 向在服务不足的社区工作的提供商提供 EBI 资源和工具。在 除了高