Feasibility of Online Parent Training for the Treatment of Conduct Problems

处理行为问题的在线家长培训的可行性

• 批准号: 8228637
• 负责人: ALAN KAZDIN
• 金额: $ 33.22万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8228637
• 关键词: Address; Age; Behavior; Caring; Child; Client; Clinic; Clinical; Clinical Trials; Clip; Data Storage and Retrieval; Drops; Effectiveness; Electronic Mail; Ensure; Ethical Issues; Ethics; Evidence based treatment; Family; Feasibility Studies; Functional disorder; Future; Geographic Locations; Goals; Health Insurance Portability and Accountability Act; Health Services Accessibility; Health Services Research; Hearing; Internet; Life; Location; Mental Health; Modeling; Monitor; Online Systems; Outcome; Parents; Patients; Persons; Privacy; Procedures; Process; Psychology; Reaction; Regulation; Research; Research Design; Resources; Role; Sampling; Security; Services; Solutions; Staging; Structure; Technology; Telephone; Testing; Therapeutic; Time; Training; Travel; Treatment outcome; Underserved Population; United States; Variant; Videoconferences; Videoconferencing; Writing; anti social; base; comparative efficacy; data exchange; design; effective intervention; experience; meetings; programs; psychologic; rural area; satisfaction; skills training; training project; trial comparing; user-friendly; web site

DESCRIPTION (provided by applicant): The project tests two online versions of parent management training (PMT), an evidence-based treatment (EBT) for children referred for oppositional, aggressive, and antisocial behavior. Despite the existence of effective interventions, such as PMT, an estimated 70% of children in need of services do not receive them. Practical and logistical problems can make traveling to a clinic to receive in-person treatment impossible. Online treatment offers a solution to this dilemma by significantly expanding access to necessary care and reaching families who are not being served by standard, in-person treatment. The current project seeks to evaluate the feasibility and initial efficacy of two versions of online PMT in reducing clinical dysfunction in a sample of ethnically diverse children (ages 6-12 years) referred for CD and ODD. The groups will vary in the type of therapist contact. One group (Full- contact PMT) is structured identically to standard, in-person PMT but uses a videoconference program to deliver treatment instead of requiring in-person sessions. Although they will not be in the same physical location, families and their therapists will see, hear, and interact with each other in real time. Families in the second group (Reduced-contact PMT) do not have face-to-face interactions with a therapist. Instead, they receive PMT through a comprehensive PMT website with written materials, video clips, and downloadable forms. In addition to therapeutic change in the children, the project evaluates the therapeutic alliance, perceived barriers that interfere with treatment acceptability, and participation in treatment. These latter domains will be evaluated because they have been shown to moderate therapeutic change and may operate differently in the different versions of online treatment (which may differ from traditional, in-person PMT). Findings from this study will inform and guide a large-scale RCT on the efficacy of online PMT and will facilitate longer-term objectives of the research program, namely, wider dissemination of EBTs to underserved populations in the United States (and elsewhere) and geographic areas that are not well served (e.g., rural areas). The findings will also have important implications for other treatments involving the use of the Internet and telepsychiatry/psychology in terms of therapeutic processes, ease of use, and client reactions. PUBLIC HEALTH RELEVANCE: The research evaluates the use of online versions of delivering an effective psychological treatment for children clinically referred for serious oppositional, aggressive, and antisocial behavior. The goal is to develop models of delivery that reach families in need that are not being served by in-person treatment. The project has immediate implications for the treatment of children but more generally addresses several issues critical to treatments that are based on internet, telepsychiatry, and related technologies.

描述(由申请者提供)：该项目测试了父母管理培训(PMT)的两个在线版本，这是一种针对被转介为对立、攻击性和反社会行为的儿童的循证治疗(EBT)。尽管存在有效的干预措施，如PMT，但估计有70%的需要服务的儿童得不到服务。实际和后勤问题可能会使前往诊所接受面对面治疗变得不可能。在线治疗通过极大地扩大获得必要护理的机会，并接触到没有得到标准面对面治疗的家庭，为这一困境提供了解决方案。目前的项目旨在评估两个版本的在线PMT在减少CD和ODD转诊的不同种族儿童(6-12岁)样本中临床功能障碍方面的可行性和初步效果。这些群体在治疗师接触的类型上会有所不同。其中一组(全接触PMT)的结构与标准的面对面PMT相同，但使用视频会议程序来提供治疗，而不需要面对面的会议。虽然他们不会在同一物理位置，但家人和他们的治疗师将实时看到、听到和互动。第二组(减少接触PMT)的家庭没有与治疗师进行面对面的互动。取而代之的是，他们通过一个全面的PMT网站收到PMT，其中包括书面材料、视频剪辑和可下载的表格。除了儿童的治疗变化外，该项目还评估了治疗联盟、干扰治疗可接受性的感知障碍以及参与治疗。后几个领域将被评估，因为它们已被证明是适度的治疗变化，并且在不同版本的在线治疗中可能会有不同的操作(可能不同于传统的面对面PMT)。这项研究的结果将为关于在线PMT有效性的大规模随机对照试验提供信息和指导，并将促进该研究计划的长期目标，即在美国(和其他地方)和没有得到很好服务的地理地区(例如农村地区)向服务不足的人群更广泛地传播EBTS。这一发现也将在治疗过程、易用性和客户反应方面对其他涉及互联网和心灵感应/心理学的治疗产生重要影响。 公共卫生相关性：这项研究评估了为临床上因严重对立、攻击性和反社会行为而被转介的儿童提供有效心理治疗的在线版本的使用情况。其目标是开发能够接触到那些没有得到面对面治疗的有需要的家庭的接生模式。该项目对儿童的治疗有直接影响，但更广泛地解决了几个对基于互联网、心灵感应和相关技术的治疗至关重要的问题。