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

项目总结 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(EBI)，由 基于社区的提供者。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。这个枢纽被称为 基于互联网的咨询和联网[I-CAN]将与来自以下方面的意见一起开发 利益攸关方，包括社区提供者，使用参与性实施工作组 接近。然后，我们将测试I-CAN的可行性和初步影响 试点随机对照试验，提供不同样本的提供者。节目的目的 公告PAR-19-275是为了“支持创新的方法来识别、理解、 并制定策略以克服采用…的障碍以证据为基础的 干预措施。“虽然临床焦虑症是最有害和最常见的心理健康之一 在儿童和青少年中发现的问题1，CBT被认为是一种既定的EBI 焦虑症2，大多数年轻人在他们的家乡社区没有接受高质量的CBT。这 执行差距对于生活在农村地区、社区的青年来说尤为突出 颜色和低资源设置。3-5我们正在一个大型社区测试i-can，该社区 以乡村和贫穷为特征，种族高度多样化，因为偏远的同龄人 咨询对于无法以其他方式亲自访问的提供者可能特别有好处 支持提高他们的技能。因此，该项目通过改善获取机会来解决差距。 向在服务不足的社区工作的提供者提供EBI资源和工具。在……里面 除高之外

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