Evaluating the Feasibility of Internet-Delivered Parent-Child Interaction Therapy

评估互联网亲子互动治疗的可行性

• 批准号: 8111016
• 负责人: Jonathan S Comer
• 金额: $ 16.1万
• 依托单位: BOSTON UNIVERSITY (CHARLES RIVER CAMPUS)
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8111016
• 关键词: Adherence; Affect; Age; Award; Behavior Therapy; Biometry; Caring; Case Series; Child; Child Mental Health; Clinical Trials; Conduct Disorder; Consultations; DSM-IV; Data; Development; Disruptive Behavior Disorder; Drops; Ear; Enrollment; Equipment; Ethics; Evaluation; Family; Feasibility Studies; Feedback; Five-Year Plans; Geographic Locations; Goals; Healthcare; Home environment; Improve Access; Internet; Intervention; K-Series Research Career Programs; Maintenance; Manuals; Measures; Mental Health; Mentors; Monitor; Nursery Schools; Oppositional Defiant Disorder; Parent-Child Relations; Parents; Participant; Pattern; Persons; Phase; Pilot Projects; Procedures; Protocols documentation; Psychiatric Hospitals; Randomized; Randomized Controlled Trials; Reading; Reporting; Research; Research Design; Science; Scientist; Series; Services; Site; Symptoms; Technology; Testing; Therapeutic Intervention; Time; Training; Treatment Protocols; Videoconferences; Videoconferencing; Work; Youth; base; career development; design; effective therapy; evidence base; follow-up; meetings; new technology; patient oriented research; post intervention; programs; satisfaction; success; symposium; technological innovation

DESCRIPTION (provided by applicant): The proposed Mentored Patient-Oriented Research Career Development Career Development Award (K23) is a five-year plan to develop the candidate into an independent intervention scientist poised to evaluate the feasibility and efficacy of applying new technologies to extend and enhance children's mental health care. Specific training goals for the 5-year period are to: (1) Gain advanced expertise in intervention science; (2) Develop a comprehensive understanding of service use patterns and barriers to care; (3) Examine new technologies that can improve access to mental health care; (4) Acquire an advanced understanding of biostatistics relevant to the analysis of clinical trial data; and (5) Train in the responsible and ethical conduct of research. During the award period, in addition to formal coursework, guided reading, and consultation with recognized experts, the PI will conduct mentored research designed to directly bridge these 5 training goals- specifically, developing and testing via randomized design the feasibility and acceptability of an Internet- delivered format of Parent-Child Interaction Therapy (I-PCIT), which uses video-teleconferencing technology to provide remote PCIT directly to families in their homes. The data from this pilot research will be used to develop and support a subsequent application to evaluate the efficacy of I-PCIT in a large-scale randomized controlled trial. PUBLIC HEALTH RELEVANCE: Establishing the feasibility of an Internet-based format for the delivery of evidence-based parent management is a critical step in the evaluation of new technologies and their potential for advancing children's mental health care. Drawing on teleconferencing technology, such a format affords real-time interactions for the provision of care traditionally delivered in person, regardless of a family's geographic proximity to a mental health facility. Moreover, drawing on technological innovation to deliver interventions directly to families in their natural settings may extend the ecological validity of treatments, as treatments are delivered in the very contexts in which child problems occur.

描述（由申请人提供）：拟议的以患者为导向的研究职业发展职业发展奖（K23）是一项五年计划，旨在将候选人培养成为一名独立的干预科学家，准备评估应用新技术来扩展和加强儿童心理健康护理的可行性和有效性。 5年期间的具体培训目标是：（1）获得干预科学方面的高级专业知识； (2) 全面了解服务使用模式和护理障碍； (3) 研究能够改善获得精神卫生保健的新技术； (4) 对与临床试验数据分析相关的生物统计学有深入的了解； (5) 开展负责任且符合道德的研究行为培训。在奖励期间，除了正式的课程作业、指导性阅读以及与知名专家的咨询之外，PI还将开展旨在直接衔接这5个培训目标的指导性研究——具体来说，通过随机设计开发和测试互联网传输的亲子互动疗法（I-PCIT）格式的可行性和可接受性，该疗法使用视频电话会议技术直接向家中的家庭提供远程PCIT。该试点研究的数据将用于开发和支持后续应用，以评估 I-PCIT 在大规模随机对照试验中的功效。 公共卫生相关性：建立基于互联网的格式的可行性，以提供基于证据的家长管理，是评估新技术及其促进儿童心理健康保健的潜力的关键一步。利用电话会议技术，这种形式可以提供实时互动，以提供传统上亲自提供的护理，而不管家庭与精神卫生机构的地理距离如何。此外，利用技术创新直接向自然环境中的家庭提供干预措施可能会扩大治疗的生态有效性，因为治疗是在儿童问题发生的环境中进行的。