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

描述(由申请者提供)：拟议的以患者为导向的研究职业发展职业发展奖(K23)是一个五年计划，旨在将候选人发展成为一名独立的干预科学家，准备评估应用新技术扩展和加强儿童心理健康护理的可行性和有效性。五年期间的具体培训目标是：(1)获得干预科学方面的高级专门知识；(2)全面了解服务使用模式和护理障碍；(3)审查可改善获得精神卫生保健服务的新技术；(4)加深对与临床试验数据分析相关的生物统计学的了解；(5)培训负责任和符合道德的研究工作。在授奖期间，除了正式的课程、指导阅读和咨询公认的专家外，PI还将进行指导研究，旨在直接连接这5个培训目标-具体地说，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)的可行性和可接受性，该疗法使用视频电话会议技术，直接在家庭中向家庭提供远程PCIT。这项先导性研究的数据将被用于开发和支持随后的应用，以在大规模随机对照试验中评估I-PCIT的疗效。 公共卫生相关性：确定以互联网为基础的形式提供循证父母管理的可行性，是评估新技术及其促进儿童心理健康保健的潜力的关键一步。利用电话会议技术，这种形式为提供传统上由人提供的护理提供了实时互动，无论家庭在地理上是否靠近心理健康机构。此外，利用技术创新在自然环境中直接向家庭提供干预措施可能会延长治疗的生态有效性，因为治疗是在儿童问题发生的情况下提供的。

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.