Web-Based CBT for Childhood Anxiety: A Family-Led Approach

基于网络的 CBT 治疗儿童焦虑症：家庭主导的方法

• 批准号: 8393892
• 负责人: Lisa R Hale
• 金额: $ 34.86万
• 依托单位: VIRTUALLY BETTER, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-12 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8393892
• 关键词: 12 year old; Adherence; Adolescent; Adoption; Age; Algorithms; Anxiety; Anxiety Disorders; Architecture; Behavior; Books; Child; Clinical; Cognitive Therapy; Collaborations; Communities; Complex; Computer software; Computers; Consultations; Cues; Data; Development; Devices; Diagnostic; Direct Costs; Early treatment; Evidence based treatment; Family; Feedback; Future; Goals; Health; Home environment; Individual; Industry; Internet; Intervention; Learning; Literature; Logic; Marketing; Mental Health; Mental disorders; Methodology; Methods; Modeling; Monitor; NIH Program Announcements; National Institute of Mental Health; Nature; Online Systems; Parents; Peripheral; Phase; Pilot Projects; Population; Research; Research Personnel; Resources; Risk; Schools; Scientist; Services; Small Business Innovation Research Grant; Symptoms; System; Tablets; Technology; Telephone; Testing; Text; Training; Training and Education; Translating; Translations; Youth; active method; artist; base; childhood anxiety; climate change; clinical efficacy; cost effective; design; effective therapy; evidence base; experience; flexibility; health organization; improved; innovation; next generation; novel; outreach; pediatrician; programs; response; self help; skills; skills training; therapeutic development; tool; treatment planning; treatment program; user-friendly

DESCRIPTION (provided by applicant): Anxiety Disorders are some of the most commonly occurring psychological disorders among child and adolescent populations. Cognitive-Behavioral Therapy (CBT) has been proven to be an Evidence-Based Treatment (EBT) to treat anxiety, but there continues to be a lack of available CBT resources for families with anxious youth. Technology-based interventions, including those specifically CBT-based for child anxiety treatment, have shown great promise as being effective and efficient, but even these interventions lack wide spread dissemination and adoption by clinicians or self-help users. This Phase I SBIR is in response to a special Program Announcement designated for the development of Complex Technologies and Therapeutics Development for Mental Health Research and Practice with specific emphasis Tools and Platforms to Improve the Dissemination and Implementation of Evidence-Based Mental Health Interventions. This project will develop and evaluate an interactive home treatment program for youth with mild to moderate anxiety symptoms that can be tailored across diagnostic presentations and ages. Taking a cue from the rapid technology advancements in online and console gaming, we propose that a web-based platform will allow easier subscription to services, richer interactive capacity, fuller data monitoring and abilities for content scalability. Our program will utilize an automated format inclusive of assessment and feedback loops that tailor delivery of CBT concepts validated in the extant literature. An interactive guide will direct modules of activitiesto evaluate, treat, and monitor adherence and progress, with families personalizing creation of avatar characters, behavior plans, treatment hierarchies and peripheral technology augments (e.g., text messaging and smart phone applications). If this program is accepted by the targeted user community in this study (anxious youth and their parents), and had demonstrated efficacy, we believe this project, titled "Web-Based CBT for Childhood Anxiety: A Family-Led Approach," can broadly impact the appeal, access and affordability of CBT. Future phases of this project would focus on expanding platform components and age range, larger testing of referrals across settings (health centers, schools, pediatrician offices, family-direct), and allow for potential commercial distribution and longitudinal tracking. Once established as a marketable resource, the core software model could be adapted to other conditions reliant on learning and adherence based interventions. The promise of commercial opportunity is significant in an era in which there is an increasingly widespread access to and everyday use of computers, smart phones, and tablet technologies. PUBLIC HEALTH RELEVANCE: "Web-Based CBT for Childhood Anxiety: A Family-Led Approach" is a web-based software treatment program designed for families with 8-12 year olds struggling with mild to moderate anxiety. This program combines interactive media, customizable content, and clinical conceptual models that drive our predetermined logic-based algorithms, all within a treatment framework comprised of already well-validated core components of Cognitive-Behavioral therapy (CBT), an Evidence-Based Treatment (EBT) for anxiety. This program, if successful, has the potential to dramatically change the climate for early outreach, dissemination, and implementation of an EBT by providing parents and their anxious youth a clinically effective, web-delivered software program that is user friendly, engaging, and includes experientially- driven software. We will be leveraging next generation technology methodologies inherent in current software for education, training, and entertainment to increase engagement and interactivity, which we believe will facilitate greater adoption and usage of this exciting program. This project represents an exciting collaboration between thought leaders in the field of CBT for child anxiety and expert artists, computer scientists, and game developers.

描述（由申请人提供）：焦虑症是儿童和青少年群体中最常见的心理障碍之一。认知行为疗法 (CBT) 已被证明是一种治疗焦虑的循证治疗 (EBT)，但对于患有焦虑青少年的家庭来说，仍然缺乏可用的 CBT 资源。基于技术的干预措施，包括专门用于儿童焦虑治疗的基于 CBT 的干预措施，已显示出有效和高效的巨大前景，但即使这些干预措施也缺乏临床医生或自助用户的广泛传播和采用。第一阶段 SBIR 是对一项特别计划公告的回应，该计划旨在开发用于心理健康研究和实践的复杂技术和治疗方法的开发，特别强调改善循证心理健康干预措施的传播和实施的工具和平台。该项目将为患有轻度至中度焦虑症状的青少年开发和评估交互式家庭治疗计划，该计划可以根据诊断表现和年龄进行定制。借鉴在线和游戏机游戏技术的快速进步，我们建议基于网络的平台将允许更轻松地订阅服务、更丰富的交互能力、更全面的数据监控和内容可扩展性。我们的计划将利用 自动化格式，包括评估和反馈循环，可定制现有文献中验证的 CBT 概念的交付。交互式指南将指导活动模块来评估、治疗和监控依从性和进展，并让家庭个性化创建化身角色、行为计划、治疗层次和外围技术增强（例如短信和智能手机应用程序）。如果该计划被本研究中的目标用户群体（焦虑的青少年及其父母）接受，并显示出有效性，我们相信这个名为“基于网络的 CBT 治疗儿童期焦虑：家庭主导的方法”的项目可以广泛影响 CBT 的吸引力、可及性和可负担性。该项目的未来阶段将侧重于扩大平台组件和年龄范围，对跨环境（健康中心、学校、儿科医生办公室、家庭直接）转诊进行更大规模的测试，并考虑到潜在的商业分销和纵向跟踪。一旦被确立为可销售资源，核心软件模型就可以适应依赖于学习和依从性干预的其他条件。在计算机、智能手机和平板电脑技术日益普及和日常使用的时代，商业机会的前景非常重要。 公共健康相关性：“基于网络的儿童焦虑 CBT：家庭主导的方法”是一个基于网络的软件治疗计划，专为患有轻度至中度焦虑的 8-12 岁儿童家庭而设计。该计划结合了交互式媒体、可定制的内容和临床概念模型，驱动我们预定的基于逻辑的算法，所有这些都在一个治疗框架内，该框架由认知行为疗法（CBT）（一种针对焦虑的循证治疗（EBT））已经经过充分验证的核心组成部分组成。该计划如果成功，将有可能通过为家长及其焦虑的青少年提供临床有效、网络交付的软件程序来极大地改变 EBT 早期推广、传播和实施的氛围，该软件程序用户友好、引人入胜，并包含体验驱动的软件。我们将利用当前教育、培训和娱乐软件中固有的下一代技术方法来提高参与度和交互性，我们相信这将促进这一令人兴奋的程序得到更广泛的采用和使用。该项目代表了针对儿童焦虑的 CBT 领域的思想领袖与专家艺术家、计算机科学家和游戏开发人员之间令人兴奋的合作。