Web-based Parent Training for Child Anxiety: Phase II

描述（由申请人提供）：父母/监护人谁是关心他们的孩子的情绪发展，特别是与过度焦虑和压力有关的困难，是在一个宝贵的位置，作为改变他们的孩子。不幸的是，他们通常不知道什么时候应该帮助孩子，或者如何最好地帮助孩子。这个第二阶段项目旨在设计，开发，评估并最终向公众提供一个负担得起的基于网络的父母培训（WPT）计划，该计划将是用户友好的，并告知父母他们可以使用的循证策略，以帮助他们的孩子管理过度和令人痛苦的焦虑和焦虑相关的症状/障碍。WPT将是（a）一个独立的自我指导方案，以及（B）一个针对接受治疗的青少年父母的指导性组成部分（例如，认知行为疗法（CBT）。在第一阶段，我们开发并试用了10模块WPT程序的一个章节的样本。我们与焦虑青年的父母（临床和非临床样本）以及CBT专家合作。初步数据表明，基于网络的方式是可以接受的，并在这一人群中使用的可行性，数据支持进一步开发和评估这样的程序在一个大规模的随机对照试验。该第二阶段拟议项目将涉及（a）开发完整的10个模块WPT计划，以及（B）评估可行性、可接受性，与阅读疗法（BPT）和等待控制（WLC）相比，该计划在（a）关心孩子的父母中的有效性（7-14岁）患有亚临床焦虑症（非临床样本）和（B）青年父母（7-14岁）同时接受认知行为疗法（CBT）治疗青少年焦虑症（临床样本），在生产改善父母的理解焦虑，策略，以支持他们的孩子在管理焦虑，和循证实践。

DESCRIPTION (provided by applicant): Parents/guardians who are concerned about their child's emotional development, especially difficulties related to excessive anxiety and stress, are in a valuable position to serve as change-agents for their children. Unfortunately, they are typically unaware of when to try to help, or how best to help their children. This Phase II project aims to design, develop, evaluate and eventually provide to the public an affordable web-based parent training (WPT) program that will be user-friendly and inform parents about evidence-based strategies they can use to help their children manage excessive and distressing anxiety and anxiety-related symptoms/disorders. The WPT will be (a) a stand-alone self-guided program as well as (b) an adjunctive component for parents of youth who receive treatment (e.g., cognitive-behavioral therapy; CBT) for anxiety. In Phase I, we developed and piloted a sample of one chapter of the 10-module WPT program. We worked with parents of anxious youth (in both clinical and non-clinical samples) and with CBT experts. The preliminary data indicated that the web-based modality is acceptable and feasible for use in this population, and the data support the further development and evaluation of such a program in a large-scale randomized controlled trial. This Phase II proposed project will involve (a) the development of the full 10-module WPT program and (b) the evaluation of the feasibility, acceptability, and effectiveness of the program compared to Bibliotherapy (BPT) and a Waitlist Control (WLC) in (a) parents concerned about their child (ages 7-14) suffering subclinical anxiety (non clinic sample) and (b) in parents of youth (ages 7-14) who are concurrently receiving cognitive-behavioral therapy (CBT) for youth anxiety (clinic sample), in producing improvement in parent understanding of anxiety, strategies to support their child in managing anxiety, and evidence-based practice.