Feasibility of Online Parent Training for the Treatment of Conduct Problems

描述（由申请人提供）：该项目测试了两个在线版本的父母管理培训（PMT），一种针对反对，攻击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70%需要服务的儿童得不到服务。实际和后勤问题可能使前往诊所接受面对面治疗成为不可能。在线治疗为解决这一困境提供了一个解决方案，它大大扩大了获得必要护理的机会，并覆盖了那些得不到标准的面对面治疗的家庭。目前的项目旨在评估两个版本的在线PMT在减少CD和ODD的种族多样性儿童（6-12岁）样本中的临床功能障碍方面的可行性和初步疗效。这些团体在治疗师接触的类型上会有所不同。一个小组（全接触式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个物理位置，家庭和他们的治疗师将看到，听到，并在真实的时间相互作用。第二组（减少接触PMT）的家庭没有与治疗师面对面的互动。相反，他们通过一个全面的PMT网站获得PMT，该网站提供书面材料，视频剪辑和可下载的表格。除了在儿童的治疗变化，该项目评估的治疗联盟，感知障碍，干扰治疗的可接受性，并参与治疗。这些领域将进行评估，因为它们已被证明可以缓和治疗变化，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一项关于在线PMT疗效的大规模RCT提供信息和指导，并将促进研究计划的长期目标，即向美国（和其他地方）服务不足的人群和服务不足的地理区域（例如，农村地区）。这些发现也将对其他涉及使用互联网和远程精神病学/心理学的治疗方法在治疗过程，易用性和客户反应方面产生重要影响。

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.