Increasing Parent Demand for Evidence-Based Practices to Treat Youth Anxiety: The Effect of Parent Key Opinion Leaders

家长对治疗青少年焦虑的循证实践的需求不断增加：家长关键意见领袖的作用

• 批准号: 10424371
• 负责人: Margaret Crane
• 金额: $ 3.22万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2022-07-04
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10424371
• 关键词: Active Learning; Administrator; Anxiety; Anxiety Disorders; Attitude; Behavior; Belief; Caring; Child; Client satisfaction; Clinical Trials; Communities; Community Outreach; Demographic Factors; Education and Outreach; Electronic Mail; Evidence based practice; Future; Health Campaign; Health Promotion; High Prevalence; Home; Hour; Impairment; Individual; Influentials; Intention; Interview; Knowledge; Left; Marketing; Measures; Mental Health; Mental disorders; Mentorship; Methods; National Institute of Mental Health; Parents; Planning Theory; Provider; Public Health; Questionnaires; Randomized; Research; Research Personnel; Role; Schools; Social support; Strategic Planning; Supervision; Training; Youth; base; childhood anxiety; community setting; design; effective therapy; effectiveness evaluation; experience; follow-up; health literacy; implementation efforts; improved; member; outreach; patient-level barriers; physical conditioning; preference; prevent; primary caregiver; recruit; social; social stigma; symptomatology; teacher; trustworthiness; uptake; young adult

PROJECT SUMMARY/ABSTRACT Anxiety disorders are common among adults and youth and, when left untreated, are associated with several long-term negative sequelae. Although research has identified a number of evidence-based practices (EBPs) for treating youth anxiety and despite large-scale implementation efforts, few youth receive EBPs. Direct-to-consumer marketing offers a different approach to increase provider uptake of EBPs by increasing parent demand for EBPs. Direct-to-consumer initiatives are especially important given patient-barriers that prevent youth from receiving treatment, including lack of parental knowledge of EBPs and stigma associated with mental health treatment. Although parent preferences for receiving information about EBPs vary based on demographic factors and individual experiences, research has not investigated methods of tailoring direct-to- consumer efforts to local contexts. Involving a local parent key opinion leader (KOL) to tailor direct-to- consumer initiatives to local contexts may be an effective strategy to increase parent demand for EBPs. KOLs are credible and trustworthy members of a local community who can use their social influence to disseminate information and validate messages about EBPs. Research indicates that KOLs improve health promotion campaigns, but KOLs have not been studied in the context of increasing parent demand for EBPs. The project will examine the role of KOL participation in conducting outreach presentations to increase parent desire to seek EBPs for their youth’s anxiety. Parent attendees (or primary caregivers; N = 180) will be cluster- randomized by school (6 schools) to one of two different approaches for presentations on EBPs for youth anxiety (90 parents per condition). Both approaches will include community outreach presentations providing information about youth anxiety, effective treatments for youth anxiety, and seeking EBPs for youths. The researcher-only condition will be co-facilitated by two researchers. In the KOL condition, a parent KOL from each local community will be involved in tailoring the content of the presentation to the context of the community, co-facilitating the presentation with a researcher, and endorsing strategies in the presentation that they have found to be helpful. The parent-teacher association from each school will nominate a parent who is well-known and well-respected within their community as the KOL. Parent attendees for both conditions will be recruited by contacting school mental health workers/other school administrators, who will advertise the presentations via their school email list and fliers sent home with children. Parent attendees will complete measures assessing their knowledge of, attitudes towards, and intention to seek EBPs pre- and post- presentation, and they will indicate whether they sought EBPs for their youth at a six-month follow-up. Results of the study will combine quantitative and qualitative approaches to assess the effectiveness of a KOL to increase parent demand for EBPs. A training plan that consists of mentorship, formal classwork, and experiential learning has been designed to develop the applicant’s expertise in the dissemination of EBPs.

项目摘要/摘要 焦虑症在成年人和青年中很常见，如果不进行治疗，则与 尽管研究已经确定了许多循证实践 （EBP）用于治疗青年焦虑和目的地大规模实施工作，很少有青年会收到EBP。 直接面向消费者的营销提供了另一种方法来通过增加提供商的EBP的吸收 父母对EBP的需求。鉴于患者障碍者，直接面向消费者的举措尤为重要 防止青年接受治疗，包括缺乏对EBP的父母知识和相关的污名 通过心理健康治疗。尽管父母接受有关EBP的信息的偏好会因 人口统计学因素和个人经验，研究尚未调查直接调整的方法 消费者在当地环境中的努力。涉及当地的父母关键意见负责人（KOL），以量身定制直接 消费者对本地环境的计划可能是增加父母对EBP需求的有效策略。科尔斯 是当地社区的可信和值得信赖的成员，他们可以利用自己的社会影响 信息并验证有关EBP的消息。研究表明，KOLS改善了健康促进 竞选活动，但在父母对EBP的需求增加的背景下，KOLS并未进行研究。项目 将研究KOL参与在进行外展演示中的作用，以增加父母的愿望 寻求EBP的青年动画。家长与会者（或初级护理人员； n = 180）将是群集 - 由学校（6所学校）随机分配到两种不同的方法之一，用于EBP上的年轻人 焦虑（每个条件90个父母）。两种方法都将包括提供社区外展活动 有关青年动画，有效治疗青年动画的信息以及为青年寻求EBP。 仅研究人员的条件将由两名研究人员共同利用。在KOL条件下，父母KOL来自 每个当地社区将参与根据演示文稿的内容来定制演示文稿的内容 社区，与研究人员共同提出演讲，并认可演讲中的策略 他们发现有帮助。每所学校的家长教师协会将提名一个父母 在社区中著名且备受尊敬的KOL。这两种情况的家长与会者将是 通过联系学校精神卫生工作者/其他学校管理员招募，他们将宣传 通过他们的学校电子邮件列表演讲，传单带着孩子送回家。家长与会者将完成 衡量评估他们对参与者的了解，参与并打算寻求EBP的知识 演讲，他们将表明他们是否在为期六个月的随访中感觉到年轻时的EBP。结果 这项研究将结合定量和定性方法，以评估KOL的有效性 增加父母对EBP的需求。由指导，正规课堂和 经验学习旨在发展申请人在EBP的传播方面的专业知识。

项目成果

Changes in Community Clinicians' Attitudes and Competence following a Transdiagnostic Cognitive Behavioral Therapy Training.

• DOI: 10.1177/26334895211030220
• 发表时间: 2021-01-01
• 期刊: Implementation research and practice
• 作者: Creed TA;Crane ME;Calloway A;Olino TM;Kendall PC;Stirman SW
• 通讯作者: Stirman SW