Computer-Based Training in Panic Control Treatment for Adolescents

描述(由申请人提供)：这是向NIMH提出的第二阶段小型企业创新研究(SBIR；R43/44)拨款申请，以支持进一步开发和测试青少年恐慌控制治疗(PCT-A)的创新在线培训计划。目前的申请代表了PI的小企业公司行为技术研究公司和波士顿大学焦虑和相关障碍中心之间的合作伙伴关系，行为技术研究公司在开发心理社会治疗创新培训计划方面有着令人印象深刻的历史，PCT-A是在那里开发的，并在随机对照试验(RCT)中进行了评估。PCT-A是一种针对青春期恐慌症的认知行为、循证治疗方法，是对成年恐慌症“黄金标准”治疗方法(恐慌控制治疗；PCT)的发展修正。拟议的在线培训方案将极大地帮助社区精神卫生临床医生和其他社区从业者利用这一循证治疗青少年的重要培训。具体地说，第二阶段提案的目标是：1)在成功开发初始PCT-A在线培训原型的基础上，创建一个包含所有相关PCT-A内容和材料的版本；2)在创建整个PCT-A在线培训时，我们将增加更多基于案例的场景并扩大互动，以进一步促进兴趣并确保推广到临床实践；3)我们将通过在迭代开发过程中与最终用户进行广泛的个人访谈，继续关注可用性和满意度变量；以及4)我们将进行一项随机对照试验(N=120)，将完成的在线培训与两种最常见的培训形式进行比较，即新的治疗模式、讲师指导和基于文本的培训形式。将这些情况与PCT-A中的知识获得、PCT-A成分的回忆以及对被诊断为惊恐障碍的青少年进行这种治疗的自我效能进行比较，以及学习者实施PCT-A和基于绩效的使用PCT-A的技能评估。与公共卫生相关：尽管被诊断为恐慌症的儿童和青少年确实存在基于经验的治疗，但只有相对较小比例的人群将接受此类治疗。青少年惊恐控制治疗(PCT-A)是治疗青少年惊恐的一种有效方法。除了书面文本手册或不频繁的研讨会外，在为临床医生提供PCT-A等治疗方面的培训方面存在固有困难，从而使缺乏有效的治疗变得更加复杂。该项目的目的是进一步开发和评估PCT-A的全面和互动在线培训，以改善患有惊恐障碍的青少年的临床结果。

DESCRIPTION (provided by applicant): This is a Phase II Small Business Innovation Research (SBIR; R43/44) grant application to NIMH to support the further development and testing of an innovative, online training program in Panic Control Treatment for Adolescents (PCT-A). 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-A was developed and evaluated in a randomized controlled trial (RCT). PCT-A is a cognitive-behavioral, evidence-based treatment for panic disorder in adolescence and a developmental modification of the "gold standard" treatment for panic disorder in adulthood (Panic Control Treatment; PCT). 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 adolescents. Specifically, the aims of this Phase II proposal are to: 1) Build on the successful development of the initial PCT-A online training prototype by creating a version that encompasses all relevant PCT-A content and materials; 2) In creating the PCT-A online training in its entirety, we will add additional case-based scenarios and expand interactivities to further facilitate interest and to ensure generalization to clinical practice; 3) We will continue to attend to usability and satisfaction variables by conducting extensive individual interviews with end-users during an iterative development process, and; 4) We will conduct a randomized control trial (N=120), comparing the completed online training to the two most common forms of training in new treatment modalities instructor-led and text-based training formats. These conditions with be compared with regard to knowledge gains in PCT-A, recall of PCT-A components, and self-efficacy in conducting this treatment with adolescents diagnosed with panic disorder, in addition to learner implementation of PCT-A and performance-based assessment of skill in utilizing PCT-A. PUBLIC HEALTH RELEVANCE: Although empirically-based treatments do exist for children and adolescents diagnosed with panic disorder, only a relatively small percentage of this population will receive such treatments. Panic Control Treatment for Adolescents (PCT-A) is one efficacious approach for the treatment of panic in adolescents. The lack of effective treatment availability is compounded by inherent difficulties in providing clinicians with training in treatments like PCT-A, beyond written text manuals or infrequent workshops. The intent of this project is to further develop and evaluate a comprehensive and interactive online training in PCT-A, in order to improve clinical outcomes for adolescents suffering from panic disorder.