Web-Based CBT for Childhood Anxiety: A Family-Led Approach

描述（由申请人提供）：焦虑症是儿童和青少年人群中最常见的心理障碍。认知行为疗法（CBT）已被证明是一种治疗焦虑的循证治疗（EBT），但仍然缺乏可用于焦虑青少年家庭的CBT资源。以技术为基础的干预措施，包括那些专门为儿童焦虑症治疗的基于CBT的干预措施，已经显示出很大的希望，因为它们是有效和高效的，但即使是这些干预措施也缺乏临床医生或自助用户的广泛传播和采用。第一阶段SBIR是为了响应一项特别计划公告，该公告旨在开发用于心理健康研究和实践的复杂技术和治疗开发，特别强调改善循证心理健康干预措施的传播和实施的工具和平台。该项目将开发和评估一个互动的家庭治疗计划，为青少年轻度至中度焦虑症状，可以在诊断介绍和年龄定制。从在线和控制台游戏的快速技术进步中得到启示，我们建议基于Web的平台将允许更容易的服务订阅，更丰富的交互能力，更全面的数据监控和内容可扩展性的能力。我们的计划将利用一个 自动化格式，包括评估和反馈回路，定制现有文献中验证的CBT概念的交付。互动指南将指导活动模块评估，治疗和监测依从性和进展，家庭个性化创建化身角色，行为计划，治疗层次结构和外围技术增强（例如，文本消息和智能电话应用）。如果该计划被本研究中的目标用户社区（焦虑的青少年及其父母）接受，并已证明有效，我们相信这个名为“基于网络的CBT儿童焦虑：家庭主导的方法”的项目可以广泛影响CBT的吸引力，可及性和可负担性。该项目的未来阶段将侧重于扩大平台组件和年龄范围，扩大跨环境（卫生中心，学校，儿科医生办公室，家庭直接）的转诊测试，并允许潜在的商业分销和纵向跟踪。一旦被确立为可销售的资源，核心软件模型就可以适应其他依赖于学习和坚持的干预措施的条件。在计算机、智能手机和平板电脑技术日益普及和日常使用的时代，商业机会的前景非常重要。 公共卫生相关性：“基于网络的儿童焦虑CBT：家庭主导的方法”是一个基于网络的软件治疗计划，专为8-12奥尔兹的家庭与轻度至中度焦虑作斗争。该计划结合了交互式媒体，可定制的内容和临床概念模型，这些模型驱动我们预定的基于逻辑的算法，所有这些都在一个治疗框架内，该框架由认知行为疗法（CBT）已经得到充分验证的核心组成部分组成，这是一种基于证据的治疗（EBT）。该计划如果成功，有可能通过为父母和他们焦虑的青少年提供临床有效的网络交付软件程序，极大地改变EBT的早期推广，传播和实施的气候，该软件程序是用户友好的，具有吸引力的，并且包括经验驱动的软件。我们将利用当前教育，培训和娱乐软件中固有的下一代技术方法来提高参与度和互动性，我们相信这将促进这一令人兴奋的计划的更多采用和使用。该项目代表了儿童焦虑CBT领域的思想领袖与专家艺术家，计算机科学家和游戏开发人员之间令人兴奋的合作。

DESCRIPTION (provided by applicant): Anxiety Disorders are some of the most commonly occurring psychological disorders among child and adolescent populations. Cognitive-Behavioral Therapy (CBT) has been proven to be an Evidence-Based Treatment (EBT) to treat anxiety, but there continues to be a lack of available CBT resources for families with anxious youth. Technology-based interventions, including those specifically CBT-based for child anxiety treatment, have shown great promise as being effective and efficient, but even these interventions lack wide spread dissemination and adoption by clinicians or self-help users. This Phase I SBIR is in response to a special Program Announcement designated for the development of Complex Technologies and Therapeutics Development for Mental Health Research and Practice with specific emphasis Tools and Platforms to Improve the Dissemination and Implementation of Evidence-Based Mental Health Interventions. This project will develop and evaluate an interactive home treatment program for youth with mild to moderate anxiety symptoms that can be tailored across diagnostic presentations and ages. Taking a cue from the rapid technology advancements in online and console gaming, we propose that a web-based platform will allow easier subscription to services, richer interactive capacity, fuller data monitoring and abilities for content scalability. Our program will utilize an automated format inclusive of assessment and feedback loops that tailor delivery of CBT concepts validated in the extant literature. An interactive guide will direct modules of activitiesto evaluate, treat, and monitor adherence and progress, with families personalizing creation of avatar characters, behavior plans, treatment hierarchies and peripheral technology augments (e.g., text messaging and smart phone applications). If this program is accepted by the targeted user community in this study (anxious youth and their parents), and had demonstrated efficacy, we believe this project, titled "Web-Based CBT for Childhood Anxiety: A Family-Led Approach," can broadly impact the appeal, access and affordability of CBT. Future phases of this project would focus on expanding platform components and age range, larger testing of referrals across settings (health centers, schools, pediatrician offices, family-direct), and allow for potential commercial distribution and longitudinal tracking. Once established as a marketable resource, the core software model could be adapted to other conditions reliant on learning and adherence based interventions. The promise of commercial opportunity is significant in an era in which there is an increasingly widespread access to and everyday use of computers, smart phones, and tablet technologies. PUBLIC HEALTH RELEVANCE: "Web-Based CBT for Childhood Anxiety: A Family-Led Approach" is a web-based software treatment program designed for families with 8-12 year olds struggling with mild to moderate anxiety. This program combines interactive media, customizable content, and clinical conceptual models that drive our predetermined logic-based algorithms, all within a treatment framework comprised of already well-validated core components of Cognitive-Behavioral therapy (CBT), an Evidence-Based Treatment (EBT) for anxiety. This program, if successful, has the potential to dramatically change the climate for early outreach, dissemination, and implementation of an EBT by providing parents and their anxious youth a clinically effective, web-delivered software program that is user friendly, engaging, and includes experientially- driven software. We will be leveraging next generation technology methodologies inherent in current software for education, training, and entertainment to increase engagement and interactivity, which we believe will facilitate greater adoption and usage of this exciting program. This project represents an exciting collaboration between thought leaders in the field of CBT for child anxiety and expert artists, computer scientists, and game developers.