Computer-Based Training in Panic Control Treatment for Adolescents

描述（由申请人提供）：这是向NIMH提交的第二阶段小企业创新研究（SBIR; R43/44）拨款申请，以支持进一步开发和测试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对青少年利用这种循证治疗进行至关重要的培训。具体而言，该第二阶段提案的目标是：1)通过创建包含所有相关PCT-A内容和材料的版本，在最初PCT-A在线培训原型成功开发的基础上建立；2)在创建完整的PCT-A在线培训时，我们将增加额外的基于病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对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；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，即新治疗模式的讲师指导和基于文本的培训形式。除了学习者对PCT-A的实施情况和对PCT-A使用技能的基于绩效的评估外，还将比较这些条件在PCT-A的知识收获、PCT-A成分的回忆以及对诊断为惊恐障碍的青少年进行这种治疗时的自我效能感。公共卫生相关性：虽然对于被诊断为惊恐障碍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。这个项目的目的是进一步发展和评估一项全面的互动式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 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.