CD Rom Child Anxiety Treatment

儿童焦虑症治疗光盘

• 批准号: 7106724
• 负责人: Marian Sue Harris
• 金额: $ 51.92万
• 依托单位: WORKBOOK PUBLISHING, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-03-14 至 2008-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7106724
• 关键词: DVD /CD ROM; adolescence (12-20); anxiety disorders; behavioral /social science research tag; child mental health service; clinical research; clinical trials; cognitive behavior therapy; computer assisted patient care; computer human interaction; computer program /software; computer system design /evaluation; cost effectiveness; educational resource design /development; health care personnel education; health care service availability; health care service evaluation; health services research tag; human subject; human therapy evaluation; interactive multimedia; interview; middle childhood (6-11); training

DESCRIPTION (provided by applicant): Empirical support exists for cognitive-behavioral therapy (CBT) for child anxiety, but the development and evaluation of cost-effective and transportable CBT approaches is critical. A widely endorsed goal is to disseminate evidence-based treatments to community settings. For the millions who have limited access to mental health facilities, a more accessible treatment is very much needed. A CD-ROM based CBT could increase, by a significant magnitude, the number of anxious youth for whom CBT would become available. Reports indicate that most of the 2.5 million American children seen in clinical practice each year receive interventions that have never been tested in a clinical trial, and CBT has been found to be underutilized by mental health providers. A CD-ROM therapist training program could provide a cost- effective and efficient way to train therapists in providing empirically supported CBT for anxious youth and promote the dissemination of evidence-based treatments. The primary goal of Phase I was to develop 4 sessions of the "Coping Cat CD" (CCCD) to examine its feasibility and acceptability. The preliminary data indicated its' acceptability and feasibility with anxious youth. The goal of Phase II is to develop and evaluate the full 12-session CCCD and supplemental materials (i.e., a Notebook and a Coach's Manual) for children aged 8-13 years diagnosed with a principle DSM-IV anxiety disorder. To communicate the CBT content, the CCCD uses interactive strategies (e.g., self- navigation) and immerses the user in an engaging (e.g., flash animation) and age-appropriate learning environment. The effects of the CCCD will be evaluated in Study 1 (n=60): a comparison of (a) CCCD, (b) a previously evaluated individual CBT, and (c) a 12-week attention control. The CCCD does not rely on trained or experienced practitioners for delivery. This Phase II project will also evaluate a CD-Based Training (CDBT) program designed to train therapists in the implementation of CBT. A separate trial, Study 2 (n=60), will compare the impact of (a) CDBT, (b) traditional manual based training, versus (c) waitlist control, on child treatment outcome. Outcomes will be assessed using independent diagnostic interviews, and self-, parent-, and teacher-reports. Maintenance of gains will be evaluated at 3-month follow-up. The larger goals are to develop an effective and affordable CD-ROM version of CBT for anxious youth and a CD-ROM based therapist training program to make evidence-based treatment available to a wide range of youth through educators, healthcare workers, service agencies, and therapists.

描述（由申请人提供）：存在对儿童焦虑的认知行为疗法（CBT）的经验支持，但开发和评估具有成本效益和可移植的CBT方法至关重要。一个得到广泛认可的目标是向社区环境传播循证治疗。对于数百万难以获得精神卫生设施的人来说，非常需要更容易获得的治疗。基于CD-ROM的CBT可以显著增加焦虑青年的数量，CBT将成为可用的。报告显示，每年在临床实践中看到的250万美国儿童中的大多数接受从未在临床试验中测试过的干预措施，并且发现心理健康提供者未充分利用CBT。CD-ROM治疗师培训计划可以提供一种具有成本效益和效率的方式来培训治疗师为焦虑的青少年提供经验支持的CBT，并促进循证治疗的传播。第一阶段的主要目标是开发4个阶段的“应对猫CD”（CCCD），以检查其可行性和可接受性。初步数据表明其在焦虑青年中的可接受性和可行性。第二阶段的目标是制定和评估完整的12届CCCD和补充材料（即，一本笔记本和一本教练手册），适用于8-13岁被诊断患有DSM-IV焦虑症的儿童。为了传达CBT内容，CCCD使用交互式策略（例如，自导航）并使用户沉浸在一种吸引人的（例如，Flash动画）和适合年龄的学习环境。将在研究1（n=60）中评价CCCD的效果：比较（a）CCCD、（B）先前评价的个体CBT和（c）12周注意力控制。CCCD不依赖于训练有素或经验丰富的从业人员提供服务。这个第二阶段项目还将评估一个基于CD的培训（CDBT）计划，旨在培训治疗师实施CBT。一项单独的试验，研究2（n=60），将比较（a）CDBT，（B）传统的基于手工的培训，与（c）等待名单控制对儿童治疗结果的影响。结果将使用独立的诊断访谈，自我，家长和教师的报告进行评估。将在3个月随访时评价增益的维持情况。更大的目标是开发一个有效的和负担得起的CD-ROM版本的CBT焦虑的青年和基于CD-ROM的治疗师培训计划，使循证治疗提供给广大的青年通过教育工作者，医疗保健工作者，服务机构，和治疗师。