Online Training in the Principles and Procedures of Exposure Therapies

描述（由申请人提供）：这是第一阶段的小企业创新研究（SBIR）资助申请，以支持开发一个创新的在线培训计划，以帮助传播焦虑症的暴露疗法。已经一致地和有力地发现，抗抑郁药在治疗焦虑症中是有效的。然而，这些循证治疗很少用于真实的临床环境，这似乎主要是由于临床从业人员缺乏一般暴露原则和程序的培训。该项目的主要目标是通过为社区治疗提供者创建关于一般接触原则和程序的创新在线培训，促进焦虑症预防知识的传播。该产品旨在作为一个基础平台，总结所有焦虑症患者共同的理论和程序要素。具体而言，第一阶段提案的最初目标是：1）利用曝光专家咨询委员会确定原型的内容; 2）使用开发和评估的迭代过程创建原型; 3）与顾问合作，为受试者创建警告咨询以及进一步培训，咨询，及督导有兴趣加深对教育技术认识的人士;和4）使用随机对照试验（n=30）进行可行性试点研究，以评估在暴露技术的理论和证据基础、暴露程序的回忆、实施暴露技术的自我效能和对死亡的态度。如果第一阶段的可行性测试成功，我们将在第二阶段大幅扩大多媒体项目及其评估。 公共卫生相关性：焦虑症是美国最常见的精神疾病，与重大的个人，社会和经济成本有关。绝大多数焦虑症患者没有得到治疗或治疗不足，部分原因是未能向社区精神卫生机构传播循证治疗。暴露疗法是非常有效的，基于证据的焦虑症治疗方法，可以很容易地转移到社区临床医生。该项目旨在开发一种关于一般暴露原则和程序的创新在线培训，以促进暴露疗法的传播，并改善患有焦虑症的个人的临床结果。

DESCRIPTION (provided by applicant): This is a Phase I Small Business Innovation Research (SBIR) grant application to support the development of an innovative, online training program to aid in the dissemination of exposure therapies (ETs) for anxiety disorders. ETs have consistently and robustly been found effective in the treatment of anxiety disorders. However, these evidence-based treatments are rarely used in real world clinical settings and this appears to be due primarily to a lack of training in general exposure principles and procedures among clinical practitioners. The primary goal of this project is to facilitate the dissemination of ETs for anxiety disorders by creating an innovative online training in general exposure principles and procedures for community treatment providers. This product is intended to serve as a foundational platform that will summarize the theoretical and procedural elements common to all ETs for anxiety disorders. Specifically, the initial aims of this Phase I proposal are to: 1) determine content for the prototype utilizing an advisory board of exposure experts; 2) create the prototype using an iterative process of development and evaluation; 3) in collaboration with consultants, create warning advisory for subjects as well as extensive list of resources for further training, consultation, and supervision in ET for subjects interested in furthering their knowledge of ET; and 4) conduct a feasibility pilot study using a randomized controlled trial (n=30) to evaluate gains in knowledge of the theory and evidence base of ETs, recall of exposure procedures, self-efficacy in implementing exposure techniques, and attitudes toward ETs. In the event of a successful Phase I test of feasibility, we will substantially expand the multimedia program and its evaluation in Phase II. PUBLIC HEALTH RELEVANCE: Anxiety disorders are the most common mental illness in the United States and are associated with significant personal, social, and economic costs. The vast majority of individuals with anxiety disorders receive no or inadequate treatment and this is due, in part, to a failure to disseminate evidence-based treatments to community mental health settings. Exposure therapies are highly effective, evidence-based treatments for anxiety disorders that may be readily transportable to community clinicians. This project aims to develop an innovative online training in general exposure principles and procedures to facilitate the dissemination of exposure therapies and improve clinical outcomes for individuals suffering from anxiety disorders.