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

家长对治疗青少年焦虑的循证实践的需求不断增加：家长关键意见领袖的作用

• 批准号: 10066477
• 负责人: Margaret Crane
• 金额: $ 3.23万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10066477
• 关键词: Active Learning; Administrator; Anxiety; Anxiety Disorders; Attitude; Behavior; Belief; Caring; Child; Client satisfaction; Clinical Trials; Communities; Community Outreach; Demographic Factors; Education and Outreach; Effectiveness; Electronic Mail; Evidence based practice; Future; Health Campaign; Health Promotion; High Prevalence; Home environment; Hour; Impairment; Individual; Influentials; Intention; Interview; Knowledge; Left; Marketing; Measures; Mental Health; Mental disorders; Mentorship; Methods; National Institute of Mental Health; Parents; Planning Theory; Provider; Public Health; Questionnaires; Randomized; Research; Research Personnel; Role; Schools; Social support; Strategic Planning; Supervision; Training; Youth; base; childhood anxiety; community setting; design; effective therapy; experience; follow-up; health literacy; improved; member; outreach; patient-level barriers; physical conditioning; preference; prevent; primary caregiver; recruit; social; social stigma; symptomatology; teacher; uptake; young adult

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.

项目概要/摘要 焦虑症在成人和青少年中很常见，如果不及时治疗，可能会导致 一些长期的负面后遗症。尽管研究已经确定了一些基于证据的实践 （EBP）用于治疗青少年焦虑症，尽管进行了大规模的实施努力，但很少有青少年接受 EBP。 直接面向消费者的营销提供了一种不同的方法，通过增加 家长对 EBP 的需求。鉴于患者障碍，直接面向消费者的举措尤其重要 阻止青少年接受治疗，包括父母缺乏对 EBP 的了解以及相关的耻辱感 与心理健康治疗。尽管家长对接收有关 EBP 信息的偏好有所不同 人口因素和个人经历，研究尚未调查直接定制的方法 消费者对当地情况的努力。让当地家长关键意见领袖 (KOL) 参与定制直接面向- 消费者针对当地情况的倡议可能是增加家长对 EBP 需求的有效策略。意见领袖 是当地社区可靠且值得信赖的成员，可以利用其社会影响力传播 信息并验证有关 EBP 的消息。研究表明 KOL 可以改善健康促进 活动，但尚未在家长对 EBP 需求不断增加的背景下对 KOL 进行研究。项目 将研究 KOL 参与进行外展演示的作用，以提高家长的意愿 寻求 EBP 来缓解青少年的焦虑。家长参加者（或主要照顾者；N = 180）将聚集在一起 按学校（6 所学校）随机选择两种不同方法之一来介绍青少年 EBP 焦虑（每种情况 90 位家长）。这两种方法都将包括社区外展演示，提供 有关青少年焦虑、青少年焦虑的有效治疗方法以及为青少年寻求 EBP 的信息。这 仅研究人员条件将由两名研究人员共同促进。在 KOL 条件下，父级 KOL 来自 每个当地社区都将参与根据具体情况调整演示内容 社区，与研究人员共同促进演示，并认可演示中的策略 他们发现这很有帮助。每所学校的家长教师协会将提名一名家长 作为 KOL 在社区中广为人知且受人尊敬。这两种情况的家长参加者将 通过联系学校心理健康工作者/其他学校管理人员来招募，他们将在广告中宣传 通过学校电子邮件列表进行演示，并与孩子们一起寄回家的传单。家长参加者将完成 评估他们在事前和事后寻求 EBP 的知识、态度和意图的措施 演讲中，他们将表明是否在六个月的随访中为他们的青少年寻求 EBP。结果 该研究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 体验式学习旨在培养申请人在传播 EBP 方面的专业知识。