Web-based Interactive Intervention for Employees with ADHD

描述（由申请人提供）：该项目将提供一个基于互联网的模块化工具包，旨在支持雇员援助计划（EAP）治疗师管理成人ADHD（注意缺陷/多动障碍）。多动症是一种使人衰弱的疾病，它损害了4.2%的美国成年人的工作和日常功能。人们普遍承认，雇主提供的有效的精神保健干预措施可为雇主和雇员带来实质性的好处。然而，EAP通常允许的4到8次会议往往不足以解决与ADHD相关的挑战。我们建议开发一个综合工具包，包括一套基于经验验证的认知行为疗法治疗方案的评估和技能培养模块。EAP治疗师将根据客户的具体需求选择全部或部分基于互联网的工具。拟议的计划将提供：(a)症状严重程度和变化阶段评估工具；(b)一套关于成人多动症教育、组织/计划和时间管理技能、情绪调节、动机、注意力（集中和维持）和自尊（自信）的模块，可由客户在治疗间隙练习和技能培训中完成；(c)一个治疗师控制台来监测症状和跟踪程序的使用情况。这种方法将使患者在疗程之间取得更大的进步，并在通常提供的有限的4-8次疗程中完成他们的EAP治疗/干预。在第一阶段，将开发基于互联网的计划的时间管理模块，并评估其可行性和概念证明。在第二阶段，将开发该计划的剩余工具/模块。完成的计划将在随机对照试验中进行评估，并进行重要的随访，以证明干预的长期有效性。该产品将在美国和加拿大销售给eap。

DESCRIPTION (provided by applicant): This project will deliver an Internet-based modular tool kit designed to support EmployeeAssistance Program (EAP) therapists in the management of adult ADHD (Attention Deficit/Hyperactivity Disorder). ADHD is a debilitating condition, which impairs the worksite and day-to-day functioning of 4.2% of adult Americans. It is widely acknowledged that effective employer-provided mental health care interventions can result in substantial benefits for employers and employees. However, the four to eight sessions typically allowed by an EAP are often insufficient for addressing the challenges associated with ADHD. We propose to develop a comprehensive toolkit comprised of a set of assessment and skill-building modules based on empirically validated cognitive behavioral therapy treatment protocols. The EAP therapist will select all or a subset of the Internet-based tools depending on the specific needs of the client. The proposed program will provide: (a) symptom severity and stage of change assessment tools; (b) a set of modules on adultADHD education, organizing/planning and time management skills, emotional regulation, motivation, attention (focusing and sustaining), and self esteem (assertiveness), that can be completed by the client as between-session exercises and skills training; and (c) a therapist console to monitor symptoms and track the use of the program. This approach will allow the client to make greater progress between sessions and to complete their EAP therapy/intervention in the limited 4-8 sessions typically offered. In Phase I the Time Management module of the Internet-based program will be developed and its feasibility and proof of concept will be evaluated. In Phase II, the remaining tools/modules of the program will be developed. The completed program will be evaluated in a randomized control trial with a significant follow-up period to demonstrate long-term efficacy of the intervention. The product will then be marketed to EAPs across the United States and Canada. PUBLIC HEALTH RELEVANCE: Adult ADHD poses a common and costly mental health problem in the United States. Employee Assistance Program (EAP) services help to reduce costs to both employer and employees by providing support for ADHD employees with problems. This program has the potential to improve the quality of treatment that employees with ADHD receive through EAP care providers, and to do so without increasing expensive staff time by offering a set of Internet-based skill-building modules that can be used as adjunct support for existing EAP counselor treatment.