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

项目摘要/摘要 焦虑症在成年人和年轻人中很常见，如果不治疗，与 几个长期的负面后遗症。尽管研究已经确定了许多基于证据的做法 尽管作出了大规模的执行努力，但很少有青年获得该计划。 直接面向消费者的营销提供了一种不同的方法，通过增加 母公司对EBP的需求。考虑到患者的障碍，直接面向消费者的计划尤其重要 阻止青少年接受治疗，包括缺乏父母对EBPS的了解和相关的耻辱 接受心理健康治疗。尽管家长接收有关EBP的信息的首选项根据不同的 人口统计因素和个人经验，研究还没有调查直接针对 消费者根据当地情况所做的努力。让当地家长关键意见领袖(KOL)直接针对- 消费者对当地环境的主动行动可能是增加父母对EBP需求的有效战略。KOL 是当地社区中可信和值得信赖的成员，可以利用他们的社会影响力来传播 关于EBP的信息和验证消息。研究表明，KOL有助于促进健康 但是，在父母对EBPS的需求不断增加的背景下，还没有对KOL进行研究。该项目 将研究KOL参与在开展外展演示以提高家长意愿方面的作用 为他们年轻时的焦虑寻找EBPS。家长出席者(或主要照顾者；N=180)将是集群- 按学校(6所学校)随机选择两种不同的青年循证计划演示方法之一 焦虑症(每种情况下有90名父母)。这两种方法都将包括社区外联演示，以提供 关于青少年焦虑的信息，青少年焦虑的有效治疗，以及为青少年寻求EBPS。这个 仅限研究人员参加的情况将由两名研究人员共同促成。在KOL条件下，来自 每个地方社区将参与调整演示文稿的内容以适应 社区，与研究人员共同促进演示，并在演示中认可 他们已经发现是有帮助的。每所学校的家长会将提名一名符合以下条件的家长 作为KOL在他们的社区中广为人知和备受尊敬。这两个条件的家长出席者将是 通过联系学校心理健康工作者/其他学校管理人员招聘，他们将在 通过学校的电子邮件列表进行演示，并与孩子们一起寄回家的传单。家长出席者将完成 评估他们对寻求EBPS前后的知识、态度和意向的措施 他们将在六个月的后续行动中说明是否为他们的青年寻求EBPS。结果 将结合定量和定性方法来评估KOL的有效性 增加家长对EBP的需求。培训计划，包括指导、正式课堂作业和 体验式学习的目的是发展申请者在EBP传播方面的专业知识。

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.