Online Training in the Principles and Procedures of Exposure Therapies

描述(由申请者提供)：这是一个第一阶段的小型企业创新研究(SBIR)拨款申请，以支持一个创新的在线培训计划的发展，以帮助传播暴露疗法(ETS)治疗焦虑症。ETS一直被发现在治疗焦虑症方面是有效的。然而，这些循证治疗很少在现实世界的临床环境中使用，这似乎主要是因为临床从业者缺乏关于一般暴露原则和程序的培训。该项目的主要目标是通过为社区治疗提供者创建一个关于一般暴露原则和程序的创新在线培训，促进焦虑症的ETS的传播。本产品旨在作为一个基础平台，总结焦虑障碍的所有ETS共同的理论和程序要素。具体地说，第一阶段提案的初始目标是：1)利用暴露专家咨询委员会确定原型的内容；2)使用迭代的开发和评估过程来创建原型；3)与顾问合作，为受试者创建警示咨询，以及为有兴趣进一步了解ET的受试者提供广泛的ET培训、咨询和监督资源清单；以及4)使用随机对照试验(n=30)进行可行性初步研究，以评估在ETS理论和证据基础、暴露程序的回忆、实施暴露技术的自我效能和对ETS的态度方面的进展。如果第一阶段可行性测试成功，我们将在第二阶段大幅扩展多媒体计划及其评估。 公共卫生相关性：焦虑症是美国最常见的精神疾病，与巨大的个人、社会和经济成本有关。绝大多数焦虑症患者没有得到或没有得到充分的治疗，这在一定程度上是由于未能将循证治疗传播到社区精神卫生机构。暴露疗法是治疗焦虑症的高效、循证的治疗方法，可以很容易地转移到社区临床医生那里。该项目旨在开发一个关于一般暴露原则和程序的创新在线培训，以促进暴露疗法的传播，并改善焦虑症患者的临床结果。

DESCRIPTION (provided by applicant): This is a Phase I Small Business Innovation Research (SBIR) grant application to support the development of an innovative, online training program to aid in the dissemination of exposure therapies (ETs) for anxiety disorders. ETs have consistently and robustly been found effective in the treatment of anxiety disorders. However, these evidence-based treatments are rarely used in real world clinical settings and this appears to be due primarily to a lack of training in general exposure principles and procedures among clinical practitioners. The primary goal of this project is to facilitate the dissemination of ETs for anxiety disorders by creating an innovative online training in general exposure principles and procedures for community treatment providers. This product is intended to serve as a foundational platform that will summarize the theoretical and procedural elements common to all ETs for anxiety disorders. Specifically, the initial aims of this Phase I proposal are to: 1) determine content for the prototype utilizing an advisory board of exposure experts; 2) create the prototype using an iterative process of development and evaluation; 3) in collaboration with consultants, create warning advisory for subjects as well as extensive list of resources for further training, consultation, and supervision in ET for subjects interested in furthering their knowledge of ET; and 4) conduct a feasibility pilot study using a randomized controlled trial (n=30) to evaluate gains in knowledge of the theory and evidence base of ETs, recall of exposure procedures, self-efficacy in implementing exposure techniques, and attitudes toward ETs. In the event of a successful Phase I test of feasibility, we will substantially expand the multimedia program and its evaluation in Phase II. PUBLIC HEALTH RELEVANCE: Anxiety disorders are the most common mental illness in the United States and are associated with significant personal, social, and economic costs. The vast majority of individuals with anxiety disorders receive no or inadequate treatment and this is due, in part, to a failure to disseminate evidence-based treatments to community mental health settings. Exposure therapies are highly effective, evidence-based treatments for anxiety disorders that may be readily transportable to community clinicians. This project aims to develop an innovative online training in general exposure principles and procedures to facilitate the dissemination of exposure therapies and improve clinical outcomes for individuals suffering from anxiety disorders.