Computer-Based Training in Panic Control Treatment for Adolescents

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青少年恐慌控制治疗在线培训计划（PCT-A）。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-A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- a是一种针对青少年惊恐障碍的认知-行为、基于证据的治疗方法，也是对成年惊恐障碍“黄金标准”治疗方法（惊恐控制治疗；PCT）的发展修改。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利用这种基于证据的治疗青少年的重要培训。具体而言，第一阶段提案的初始目标是：1)利用PCT和PCT- a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)采用随机对照试验设计进行可行性试点研究，以评估对诊断为惊恐障碍的青少年进行PCT-A的知识收获、PCT-A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。虽然对于被诊断患有恐慌症的儿童和青少年确实存在基于经验的治疗方法，但只有相对较小的比例会接受这种治疗。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经常举行的讲习班之外，向临床医生提供PCT-A等治疗方面的培训本身就存在困难，这加剧了有效治疗的缺乏。这个项目的目的是开发一种独特的全面和互动的PCT-A在线培训，以便改善患有恐慌症的青少年的临床结果。

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 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 initial aims of this Phase I proposal are to: 1) Determine content for the prototype utilizing an advisory board of PCT and PCT-A experts; 2) Create the prototype using an iterative process of development and evaluation; and, 3) Conduct a feasibility pilot study using an RCT design to evaluate knowledge gains in PCT-A, recall of PCT-A components, and self-efficacy in conducting the initial two sessions with adolescents 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 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 develop a uniquely comprehensive and interactive online training in PCT-A, in order to improve clinical outcomes for adolescents suffering from panic disorder.