Web-based parent training for child anxiety

基于网络的儿童焦虑家长培训

• 批准号: 7536477
• 负责人: Marian Sue Harris
• 金额: $ 10.55万
• 依托单位: WORKBOOK PUBLISHING, INC.
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-25 至 2009-03-25
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7536477
• 关键词: Affective; Age; Anguish; Anxiety; Appendix; Behavioral; Bibliotherapy; Books; Caring; Child; Child Mental Health; Clinic; Clinical Trials; Cognitive; Cognitive Therapy; Condition; Confidentiality; Coping Skills; Data; Development; Development Plans; Disease; Distress; Education; Effectiveness; Emotional; Evaluation; Family; Future; Goals; Grant; Health Services Accessibility; Individual; Instruction; Internet; Intervention; Knowledge; Learning; Letters; Mediator of activation protein; Mental Health Services; Mental disorders; Nature; Numbers; Online Systems; Outcome; Parents; Phase; Positioning Attribute; Prevalence; Privacy; Problem Solving; Program Description; Psychopathology; Public Health; Randomized; Randomized Clinical Trials; Relaxation Therapy; Reporting; Research; Resources; Role; Rosa; Sampling; Self-Administered; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Standards of Weights and Measures; Stress; Symptoms; Time; Training; Training Programs; Treatment outcome; Underserved Population; Update; Variant; Youth; base; childhood anxiety; contingency management; design; experience; improved; interest; programs; psychoeducation; psychosocial; satisfaction; self help; theories; user-friendly

DESCRIPTION (provided by applicant): Parents 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, but are typically unaware of when to try to help, or how best to help their children. Additionally, empirical support exists for cognitive-behavioral therapy (CBT) for child anxiety, but child outcomes could be improved and the development and evaluation of approaches to disseminate this and other empirically-supported treatments is critical. Our goal is to design, develop, and eventually provide an affordable web-based parent-training program that will be user-friendly and inform parents about evidence-based strategies that they can employ to effectively help their children manage excessive and distressing anxiety and anxiety-related symptoms/disorders. The WPT will be designed to serve as (a) a stand-alone self-guided program as well as (b) an adjunctive component for parents of youth who receive CBT for anxiety. The interactive WPT program will include components of parent training that have been found to be associated with improved outcomes in the treatment of anxious youth (Barrett, Dadds, & Rapee, 1996; Khanna & Kendall, 2007) and will be based on an empirically supported CBT for child anxiety (Kendall et al., 1994; 2007). The initial aim is to develop and evaluate 3 modules of a 7-session cognitive-behavioral WPT program for parents of youth (ages 7-14) suffering from symptoms of distressing anxiety. In addition, we aim to examine the feasibility and acceptability of WPT with parents of youth (ages 7-14) suffering from symptoms of distressing anxiety as compared to a Bibliotherapy Parent Training (BPT) condition, both as a stand-alone treatment (Study 1) and as an adjunctive treatment to ongoing CBT for child anxiety (Study 2). Findings from the initial studies will inform the application for a Phase II SBIR grant for the development and completion of the full 7-session web-based parent-training program and to conduct a randomized clinical trial (RCT) to evaluate the efficacy of the WPT program as a stand-alone and an adjunctive program. Compared to other parent training formats (i.e., face-to-face sessions, group programs, self-help books), a web- based parent training adds accessibility, affordability, convenience, privacy/confidentiality and, given aspects of the medium, can be engaging, interactive, and easily updated, all while maintaining consistency of care (Greist, 1998; Marks, Cavanagh, Gega, 2007; Ritterband et al., 2006). The web-based platform can also help widen and ease access to care, helping parents overcome barriers to seeking treatment while becoming more educated consumers of mental health services, and subsequently, could facilitate the dissemination of empirically-supported treatments for anxious youth (Ritterband, 2006). As an adjunctive component of CBT for child anxiety, a web-based parent-training program has the potential to enhance child treatment outcomes as well as family functioning and to reduce clinician effort/time (Khanna & Kendall, 2007). A web platform also provides a unique opportunity to quickly and efficiently collect data from a large number of parents which may provide a better understanding of the phenomenology, prevalence, and course of childhood anxiety and about the parents of anxious youth (Khanna, Aschenbrand, & Kendall, 2007). PUBLIC HEALTH RELEVANCE From a public health perspective, there is great potential in self-administered interventions to improve the mental health of children and families who suffer from mental disorders and related emotional problems but who are unable to access services (Scogin, 2003). As Rosen (1987) noted two decades ago, the growing demand for self-administered psychosocial treatments necessitates research on their effectiveness. Additionally, the development and evaluation of approaches such as this that hold the potential to improve child treatment outcomes and facilitate the dissemination of empirically- supported treatments is critical.

描述（由申请人提供）：关心孩子情绪发展，尤其是与过度焦虑和压力相关的困难的父母，在充当孩子的变革推动者方面处于重要地位，但通常不知道何时尝试提供帮助，或者如何最好地帮助孩子。此外，对于儿童焦虑症的认知行为疗法（CBT）存在实证支持，但儿童的治疗结果可以得到改善，并且开发和评估传播这种疗法和其他实证支持的疗法的方法至关重要。我们的目标是设计、开发并最终提供一个负担得起的基于网络的家长培训计划，该计划将是用户友好的，并告知父母他们可以采用的基于证据的策略，以有效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/疾病。 WPT 将被设计为 (a) 一个独立的自我指导计划，以及 (b) 为因焦虑而接受 CBT 的青少年家长提供的辅助组成部分。交互式 WPT 计划将包括家长培训的组成部分，这些培训已被发现与改善焦虑青少年的治疗结果有关（Barrett、Dadds 和 Rapee，1996 年；Khanna 和 Kendall，2007 年），并将基于经验支持的儿童焦虑 CBT（Kendall 等人，1994 年；2007 年）。最初的目标是为患有令人痛苦的焦虑症状的青少年（7-14 岁）的父母开发和评估 7 个疗程的认知行为 WPT 计划的 3 个模块。此外，我们的目的是检验 WPT 对于患有令人痛苦的焦虑症状的青少年（7-14 岁）父母的可行性和可接受性，与阅读疗法家长培训 (BPT) 条件相比，既作为独立治疗（研究 1），又作为针对儿童焦虑的持续 CBT 的辅助治疗（研究 2）。初步研究的结果将为申请第二阶段 SBIR 拨款提供信息，用于开发和完成完整的 7 节基于网络的家长培训计划，并进行随机临床试验 (RCT)，以评估 WPT 计划作为独立计划和辅助计划的有效性。与其他家长培训形式（即面对面课程、小组计划、自助书籍）相比，基于网络的家长培训增加了可及性、负担能力、便利性、隐私/保密性，并且在媒介的特定方面，可以具有吸引力、互动性和易于更新，同时保持护理的一致性（Greist，1998；Marks、Cavanagh、Gega，2007；Ritterband 等，2006）。基于网络的平台还可以帮助扩大和简化获得护理的机会，帮助父母克服寻求治疗的障碍，同时成为受过更多教育的心理健康服务消费者，随后可以促进针对焦虑青少年的经验支持的治疗方法的传播（Ritterband，2006）。作为针对儿童焦虑的 CBT 的辅助组成部分，基于网络的家长培训计划有可能提高儿童治疗结果和家庭功能，并减少临床医生的精力/时间（Khanna 和 Kendall，2007）。网络平台还提供了一个独特的机会，可以快速有效地从大量家长那里收集数据，这可以更好地了解儿童焦虑的现象、患病率和过程，以及焦虑青少年的父母（Khanna、Aschenbrand 和 Kendall，2007 年）。公共卫生相关性 从公共卫生角度来看，自我管理干预措施对于改善患有精神障碍和相关情绪问题但无法获得服务的儿童和家庭的心理健康具有巨大潜力（Scogin，2003）。正如 Rosen (1987) 二十年前指出的那样，对自我管理的心理社会治疗的需求不断增长，需要对其有效性进行研究。此外，开发和评估此类可能改善儿童治疗结果并促进经验支持治疗方法传播的方法至关重要。