Online PCT Training for Clinicians

描述（由申请人提供）：这是向NIMH提交的第一阶段小企业创新研究（SBIR; R43/44）拨款申请，以支持开发一项创新的恐慌控制治疗（PCT）在线培训计划。目前的申请代表了PI的小型企业行为技术研究公司与波士顿大学焦虑和相关疾病中心之间的合作伙伴关系，该公司在开发创新的社会心理治疗培训项目方面有着令人印象深刻的历史，PCT是在波士顿大学开发的，并在随机对照试验（RCT）中进行了评估。PCT是一种认知行为、循证治疗恐慌症的方法。拟议的在线培训计划将极大地帮助社区心理健康临床医生和其他社区从业人员对不同人群使用这种基于证据的治疗进行重要培训。具体来说，第一阶段申请的最初目标是：1)利用具有多学科培训专业知识（即监狱、公共部门社区精神卫生机构、私人实践环境和精神病学）的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)采用随机对照设计进行可行性试点研究，评估对惊恐障碍患者进行前两次治疗时PCT的知识收获、PCT成分的召回和自我效能感。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展多媒体计划及其评估。

DESCRIPTION (provided by applicant): This is a Phase I Small Business Innovation Research (SBIR; R43/44) grant application to NIMH to support the development of an innovative, online training program in Panic Control Treatment (PCT). The current application represents a cooperative partnership between the PI's small business concern, Behavioral Tech Research, Inc., a company with an impressive history of developing innovative training programs for psychosocial treatments, and the Center for Anxiety and Related Disorders at Boston University, where PCT was developed and evaluated in a randomized controlled trial (RCT). PCT is a cognitive-behavioral, evidence-based treatment for panic disorder. The proposed online training program will substantially aid in the vital training of community mental health clinicians and other community practitioners in the utilization of this evidence- based treatment with diverse populations. Specifically, the initial aims of this Phase I application are to: 1) Determine content for the prototype utilizing an advisory board of experts, with multidisciplinary training expertise (i.e., prisons, public sector community mental health agencies, private practice environments, and psychiatry) ; 2) Create the prototype using an iterative process of development and evaluation; and, 3) Conduct a feasibility pilot study using a randomized controlled design to evaluate knowledge gains in PCT, recall of PCT components, and self-efficacy in conducting the initial two sessions with patients diagnosed with panic disorder. In the event of a successful Phase I test of feasibility, we will substantially expand the multimedia program and its evaluation in Phase II. Although empirically-based treatments do exist for people diagnosed with panic disorder, only a relatively small percentage of this population will receive such treatments. Panic Control Treatment (PCT) is one efficacious approach for the treatment of panic. The lack of effective treatment availability is compounded by inherent difficulties in providing clinicians with training in treatments like PCT, beyond written text manuals or infrequent workshops. The intent of this project is to develop a uniquely comprehensive and interactive online training in PCT, in order to improve clinical outcomes for patients suffering from panic disorder.