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: 8542510
• 负责人: Lisa R Hale
• 金额: $ 34.41万
• 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 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8542510
• 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 Intervention; 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.

描述（由申请人提供）：焦虑症是儿童和青少年人群中最常见的心理障碍。认知行为疗法（CBT）已被证明是一种治疗焦虑的循证疗法（EBT），但对于有焦虑青少年的家庭来说，仍然缺乏可用的CBT资源。以技术为基础的干预措施，包括那些特别以cbt为基础的儿童焦虑治疗，已经显示出有效和高效的巨大希望，但即使是这些干预措施，也缺乏临床医生或自助使用者的广泛传播和采用。第一阶段SBIR是为了响应一项特别的项目公告，该公告指定用于开发心理健康研究和实践的复杂技术和治疗开发，特别强调工具和平台，以改善基于证据的心理健康干预措施的传播和实施。该项目将为有轻度至中度焦虑症状的青少年制定并评估一个互动式家庭治疗方案，该方案可以根据诊断表现和年龄进行量身定制。从在线和主机游戏的快速技术进步中得到启发，我们建议基于web的平台将允许更容易的订阅服务，更丰富的交互能力，更全面的数据监控和内容可扩展性的能力。我们的程序将使用一个