Interactive Computer Treatment for Panic Disorder

恐慌症的交互式计算机治疗

• 批准号: 6802183
• 负责人: NORMAN BRAD SCHMIDT
• 金额: $ 17.47万
• 依托单位: FLORIDA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-01 至 2004-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6802183
• 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(由申请者提供)：本提案要求通过 心理健康干预研究探索性发展助学金。恐慌 障碍(PD)是一种非常普遍和令人衰弱的疾病。研究表明， 提示认知行为疗法(CBT)是一种非常有效的治疗方法 然而，对于有或没有广场恐惧症的帕金森病患者，大多数帕金森病患者都有 没有接受这种治疗(或任何推荐的治疗)。其中一些 限制患者参与治疗的主要因素包括成本和 治疗可获得性。自助治疗是一种提供低成本的方法 为更多的个人提供治疗，并提供基于书籍的治疗 自助形式已被发现是有效的。基于计算机的交互式 与基于书本的方法相比，治疗方法具有额外的优势，因为它们 更具吸引力，从而导致更高的合规性和减少 自然减员。此外，计算机治疗具有提高学习能力的能力 通过多种模式和交互功能。该计划的目的是 拟议的调查是开发一种由计算机管理的交互式 治疗恐慌症的最新CBT疗法的版本 (治疗开发阶段)，并测试这种类型的 与已建立的CBT阅读疗法手册(试点测试)相关的治疗 阶段)。该提案的第一阶段涉及开发一个交互式的 基于计算机的治疗，有效地模拟现有的CBT方案 恐慌症。这一发展将涉及翻译手动CBT 对具有各种交互特征的多媒体演示的干预 旨在模拟实时CBT中通常发生的通信类型。 该提案的第二阶段涉及完善计算机管理的 基于患者利用的治疗，来自具有代表性的小样本 病人。根据患者的评估，治疗将被重新设计 相应地。该提案的最后阶段涉及临床试验。 检验改良电脑治疗的相对疗效(约=20) 与基于书本的治疗(约=20)和延迟治疗对照 组(约=20)。结果将在治疗后和治疗3个月时进行比较 后续行动。据推测，两个积极治疗组都会产生 相对于控制条件和基于计算机的更好的结果 相对于基于书本的治疗，治疗将产生更好的结果。