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Training Outpatient Clinicians to Deliver Cognitive Behavior Therapy to Children

培训门诊临床医生为儿童提供认知行为治疗

基本信息

批准号：
8502369
负责人：
Judy Reaven
金额：
$ 21.11万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2014-12-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8502369
关键词：
14 year old Age Alabama Ambulatory Care Facilities Anxiety Anxiety Disorders Autistic Disorder Child Childhood Clinical Code Cognitive Therapy Communities Comorbidity Consultations Data Development Developmental Disabilities Disease Educational workshop Face Family Family Relationship Feedback Fright Goals Guidelines Health Home environment Individual Instruction Intervention Interview Knowledge Lead Learning Licensing Manuals Manuscripts Measures Methods Modeling Modification Outcome Outcome Measure Outpatients Parents Participant Performance Phase Population Procedures Process Protocols documentation Psychologist Psychology Public Health Publications Publishing Qualifying Randomized Recommendation Recruitment Activity Risk Schedule Schools Sequential Treatment Severities Site Social isolation Students Symptoms Techniques Telephone Testing Training Travel Universities Videotape Work autism spectrum disorder base clinical anxiety clinical practice clinical research site cohort high risk impression meetings novel peer portability primary outcome protocol development public health relevance success symposium

项目摘要

DESCRIPTION (provided by applicant): Training Outpatient Clinicians to Deliver Cognitive Behavior Therapy to Children with High- Functioning Autism Spectrum Disorders and Anxiety: A Comparison of Three Methods of Learning Children with high-functioning autism spectrum disorders (ASD) are at greater risk for developing psychiatric symptoms, particularly anxiety symptoms, compared to typically developing children and children with other developmental disabilities. Anxiety problems can be especially "debilitating" to individuals with ASD by adversely impacting school performance, peer relationships, family functioning, and further exacerbating the core-deficits of ASD. Cognitive behavioral treatments (CBT) are frequently used in the general pediatric population with good success to reduce anxiety symptoms. Recently published studies, have demonstrated significant reductions in anxiety symptoms for children with ASD following the delivery of modified CBT interventions. Because these treatment studies have occurred exclusively in lab settings, generalizability to other clinical settings may be limited. To enhance the portability and generalizability of novel interventions, it is important to introduce the interventions into real world settings to inform protocol development, increase acceptability of the intervention and subsequently maximize the success for clinical practice. To further enhance acceptability, it is also important to identify the instruction methods necessary for the intervention to be delivered to fidelity. There are two main goals for this proposal. First, to train outpatient clinicians (professionals in psychology) to fidelity on an original, manualized group CBT (Face Your Fears - FYF) intervention for 8-14 year old children with high-functioning ASD and clinical anxiety. Second, to develop an optimal training model for clinicians delivering the FYF intervention by comparing three different instruction methods for learning the FYF intervention. In Phase 1, eight clinicians will be recruited from one site, to deliver the FYF intervention to four sequential treatment groups (four children and their families). Clinicians will work in teams of three. Training materials will be developed, and the outpatient cohort of clinicians will be trained to fidelity on the FYF intervention. In Phase 2, 36 total clinicians will be recruited from three sites to deliver the FYF intervention to three sequential treatment groups. Clinicians will be randomized to one of three instruction methods.--1) manual only (Manual), 2) manual plus three-day workshop (Workshop), and 3) manual plus three-day workshop, plus bi-weekly supervised consultation (Workshop-Plus). The efficacy of the different instruction methods will be evaluated by examining a) the increases in the clinicians' acquisition of the intervention techniques, and b) the reductions in anxiety symptoms for children with ASD.

描述（由申请人提供）：培训门诊医生为患有高功能自闭症谱系障碍和焦虑症的儿童提供认知行为治疗：三种学习方法的比较与典型发育儿童和患有其他发育障碍的儿童相比，患有高功能自闭症谱系障碍（ASD）的儿童出现精神症状，特别是焦虑症状的风险更大。焦虑问题可能会对ASD患者造成特别的“衰弱”，因为它会对学习成绩、同伴关系、家庭功能产生不利影响，并进一步加剧ASD的核心缺陷。认知行为治疗（CBT）经常用于一般儿科人群，在减少焦虑症状方面取得了良好的成功。最近发表的研究表明，在提供改良的CBT干预措施后，ASD儿童的焦虑症状显着减少。由于这些治疗研究仅在实验室环境中进行，因此对其他临床环境的推广可能有限。为了增强新型干预措施的可移植性和普遍性，重要的是将干预措施引入真实的世界环境，以告知方案制定，增加干预措施的可接受性，并随后最大限度地提高临床实践的成功率。为了进一步提高可接受性，还必须确定必要的指导方法，以达到逼真的效果。这项建议有两个主要目标。首先，培训门诊临床医生（心理学专业人员）忠实于原始的，手动化的团体CBT（面对你的恐惧- FYF）干预8-14岁的高功能ASD和临床焦虑儿童。第二，通过比较三种不同的学习FYF干预的教学方法，为临床医生提供FYF干预制定一个最佳的培训模式。在第1阶段，将从一个研究中心招募8名临床医生，向4个序贯治疗组（4名儿童及其家庭）提供FYF干预。临床医生将以三人一组的方式工作。将编制培训材料，并对门诊临床医生进行培训，以忠实于FYF干预措施。在第2阶段，将从三个研究中心招募36名临床医生，向三个连续治疗组提供FYF干预。临床医生将被随机分配到三种指导方法中的一种。1)仅手册（手册），2）手册加为期三天的研讨会（研讨会），和3）手册加为期三天的研讨会，加上两周一次的监督咨询（研讨会加）。不同指导方法的有效性将通过检查a）临床医生获得干预技术的增加和B）ASD儿童焦虑症状的减少来评估。

项目成果

期刊论文数量（7）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Improving transportability of a cognitive-behavioral treatment intervention for anxiety in youth with autism spectrum disorders: results from a US-Canada collaboration.

DOI：
10.1177/1362361313518124
发表时间：
2015-02
期刊：
Autism : the international journal of research and practice
影响因子：
0
作者：
Reaven J;Blakeley-Smith A;Beattie TL;Sullivan A;Moody EJ;Stern JA;Hepburn SL;Smith IM
通讯作者：
Smith IM

Training clinicians to deliver group CBT to manage anxiety in youth with ASD: Results of a multisite trial.

DOI：
10.1037/ccp0000285
发表时间：
2018-03
期刊：
Journal of consulting and clinical psychology
影响因子：
5.9
作者：
Reaven J;Moody EJ;Grofer Klinger L;Keefer A;Duncan A;O'Kelley S;Meyer A;Hepburn S;Blakeley-Smith A
通讯作者：
Blakeley-Smith A

Psychometric Properties of the SCARED in Youth with Autism Spectrum Disorder.

DOI：
10.1016/j.rasd.2014.06.008
发表时间：
2014-09-01
期刊：
Research in autism spectrum disorders
影响因子：
2.5
作者：
Stern JA;Gadgil MS;Blakeley-Smith A;Reaven JA;Hepburn SL
通讯作者：
Hepburn SL

Effect of Co-occurring Psychiatric Disorders on Treatment of Children with Autism Spectrum Disorder and Anxiety.

共存精神疾病对自闭症谱系障碍和焦虑儿童治疗的影响。

DOI：
10.1007/s10803-020-04540-1
发表时间：
2023
期刊：
Journal of autism and developmental disorders
影响因子：
3.9
作者：
Meyer,AllisonT;Moody,EricJ;Keefer,Amy;O'Kelley,Sarah;Duncan,Amie;Blakeley-Smith,Audrey;Reaven,Judy
通讯作者：
Reaven,Judy

Examining the Relationship Between Parental Anxiety and Treatment Response in Children and Adolescents with Autism Spectrum Disorder and Anxiety.