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

项目摘要 这个探索/发展（R21）项目的目标是促进认知的吸收- 行为疗法（CBT），一种针对青少年焦虑问题的循证干预（EBI）， 以社区为基础的供应商。使用现成的商业级软件，我们将 建立一个可高度复制的远程（在线）同侪协商和支助中心。这个中心，被称为 将利用以下方面的投入开发基于因特网的协商和联网[i-CAN] 包括社区提供者在内的利益攸关方，利用参与式执行机制， approach.然后，我们将在以下背景下测试i-CAN的可行性和初步影响： 试点随机对照试验与不同样本的供应商。方案的目的 公告PAR-19-275是“支持创新的方法来识别，理解， 制定战略，克服采用.循证 干预措施。”虽然临床焦虑是一种最具危害性和最常见的心理健康 在儿童和成人中发现的问题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庭社区没有接受高质量的CBT。这 对于生活在农村地区、社区 3 -5我们正在一个大型社区中测试i-CAN， 特点是农村和贫困，这是高度种族多样性，因为远程同行 咨询对于无法亲自访问的提供者来说可能特别有益 帮助他们提高技能。因此，该项目通过改善获得机会来解决不平等问题 向在服务不足的社区工作的提供者提供EBI资源和工具。在 除了高

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