Evaluating the Feasibility of Internet-Delivered Parent-Child Interaction Therapy

拟议的指导以患者为导向的研究职业发展职业发展奖（K23）是一项为期五年的计划，旨在将候选人发展成为独立的干预科学家，以评估应用新技术的可行性和有效性，以扩展和加强儿童的心理健康护理。5年期的具体培训目标是：（1）获得干预科学方面的先进专业知识;（2）全面了解服务使用模式和护理障碍;（3）研究可改善获得精神卫生保健的新技术;（4）深入了解与临床试验数据分析相关的生物统计学;（5）了解如何利用生物统计学来提高精神卫生保健的质量。（5）培养负责任和合乎道德的研究行为。在奖励期间，除了正式的课程、指导阅读和咨询公认的专家外，PI还将进行旨在直接连接这5个培训目标的指导研究-具体而言，通过随机设计开发和测试互联网提供的亲子互动疗法（I-PCIT）格式的可行性和可接受性，该公司使用视频电话会议技术直接向家中的家庭提供远程PCIT。这项试点研究的数据将用于开发和支持随后的应用程序，以评估I-PCIT在大规模随机对照试验中的疗效。 公共卫生相关性：建立一个基于互联网的格式提供循证父母管理的可行性是一个关键步骤，在评估新技术及其潜力，以促进儿童的精神卫生保健。利用电话会议技术，这种形式提供了实时互动，以提供传统上亲自提供的护理，无论一个家庭的地理位置接近精神卫生设施。此外，利用技术创新直接向处于自然环境中的家庭提供干预措施，可能会扩大治疗的生态有效性，因为治疗是在儿童问题发生的背景下提供的。

DESCRIPTION (provided by applicant): The proposed Mentored Patient-Oriented Research Career Development Career Development Award (K23) is a five-year plan to develop the candidate into an independent intervention scientist poised to evaluate the feasibility and efficacy of applying new technologies to extend and enhance children's mental health care. Specific training goals for the 5-year period are to: (1) Gain advanced expertise in intervention science; (2) Develop a comprehensive understanding of service use patterns and barriers to care; (3) Examine new technologies that can improve access to mental health care; (4) Acquire an advanced understanding of biostatistics relevant to the analysis of clinical trial data; and (5) Train in the responsible and ethical conduct of research. During the award period, in addition to formal coursework, guided reading, and consultation with recognized experts, the PI will conduct mentored research designed to directly bridge these 5 training goals- specifically, developing and testing via randomized design the feasibility and acceptability of an Internet- delivered format of Parent-Child Interaction Therapy (I-PCIT), which uses video-teleconferencing technology to provide remote PCIT directly to families in their homes. The data from this pilot research will be used to develop and support a subsequent application to evaluate the efficacy of I-PCIT in a large-scale randomized controlled trial. PUBLIC HEALTH RELEVANCE: Establishing the feasibility of an Internet-based format for the delivery of evidence-based parent management is a critical step in the evaluation of new technologies and their potential for advancing children's mental health care. Drawing on teleconferencing technology, such a format affords real-time interactions for the provision of care traditionally delivered in person, regardless of a family's geographic proximity to a mental health facility. Moreover, drawing on technological innovation to deliver interventions directly to families in their natural settings may extend the ecological validity of treatments, as treatments are delivered in the very contexts in which child problems occur.