Interactive Computer Treatment for Panic Disorder

恐慌症的交互式计算机治疗

• 批准号: 6433838
• 负责人: NORMAN BRAD SCHMIDT
• 金额: $ 17.7万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-01-04 至 2004-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6433838
• 关键词: agoraphobia; behavioral /social science research tag; books; clinical trials; cognitive behavior therapy; computer assisted instruction; computer assisted patient care; computer graphics /printing; computer human interaction; computer program /software; educational resource design /development; human subject; human therapy evaluation; interactive multimedia; longitudinal human study; outcomes research; panic disorder; patient oriented research; self help; telecommunications; therapy compliance

DESCRIPTION (provided by applicant): This proposal requests funding through an Exploratory Development Grant for Mental Health Intervention Research. Panic disorder (PD) is a highly prevalent and debilitating condition. Research has suggested that cognitive-behavioral therapy (CBT) is a very effective treatment for PD with or without agoraphobia, however, a majority of patients with PD do not receive this type of therapy (or any recommended treatment). Some of the primary factors that limit patient participation in treatment include cost and treatment availability. Self-help treatments are a means to provide low-cost treatment to a much greater number of individuals, and available book-based self-help formats have been found to be effective. Interactive computer-based treatments offer additional advantages over a book-based approach because they are more engaging, thereby leading to greater compliance and decreased attrition. Moreover, computer treatments have the capacity to enhance learning through multiple modalities and interactive features. The purpose of the proposed investigation is to develop an interactive computer-administered version of the most recent genre of CBT treatments for panic disorder (treatment development phase) and to test the efficacy of this type of treatment relative to an established CBT bibliotherapy manual (pilot testing phase). The first phase of this proposal involves developing an interactive computer-based treatment that effectively emulates available CBT protocols for panic disorder. This development will involve translating manualized CBT interventions into a multimedia presentation with various interactive features designed to mimic the type of communication that typically occurs in live CBT. The second phase of this proposal involves refining the computer-administered treatment based on patient utilization from a small, representative sample of patients. Based on patient assessments, the treatment will be redesigned accordingly. The final phase of the proposal involves a clinical trial examining the relative efficacy of the refined computer treatment (about = 20) versus a book-based treatment (about = 20) and a delayed-treatment control group (about = 20). Outcomes will be compared at posttreatment and at 3-month follow-up. It is hypothesized that both active treatment groups will produce better outcomes relative to the control condition and that the computer-based treatment will produce superior outcomes relative to the book-based treatment.

描述（由申请人提供）：本提案要求通过 心理健康干预研究探索性发展补助金。恐慌 疾病（PD）是一种高度流行的和使人衰弱的病症。研究 认为认知行为疗法（CBT）是一种非常有效的治疗方法， 然而，对于伴有或不伴有广场恐怖症的PD患者，大多数PD患者 不要接受这种类型的治疗（或任何推荐的治疗）。一些 限制患者参与治疗的主要因素包括费用和 治疗可用性。自助治疗是提供低成本 治疗的人数要多得多，并提供基于书籍 自助形式被认为是有效的。交互式计算机 治疗方法提供了额外的优势，因为他们 更有吸引力，从而导致更大的顺应性和减少 消耗此外，计算机处理有能力提高学习能力 通过多种形式和互动功能。的目的 拟议的调查是开发一个互动的计算机管理的 最新版本的CBT治疗恐慌症 （治疗开发阶段），并测试这种类型的疗效 治疗相对于既定的CBT阅读疗法手册（试点测试 阶段）。该提案的第一阶段涉及开发一个互动的 基于计算机的治疗，有效地模拟可用的CBT协议， 恐慌症这一发展将涉及翻译手动CBT 将干预措施融入具有各种交互功能的多媒体演示中 旨在模仿通常在现场CBT中发生的通信类型。 这项建议的第二阶段涉及改进计算机管理的 基于患者利用率的治疗， 患者根据患者的评估，将重新设计治疗方案 相应地该提案的最后阶段涉及临床试验 检查改进的计算机处理的相对功效（约= 20） 与基于书本的治疗（约= 20）和延迟治疗对照相比， 组（约= 20）。将在治疗后和3个月时比较结局 随访假设两个活性治疗组都将产生 更好的结果相对于控制条件和计算机为基础的 治疗将产生相对于基于书本的治疗的上级结果。