Online PCT Training for Clinicians

描述(由申请人提供)：这是一项第一阶段小型企业创新研究(SBIR；R43/44)向NIMH提出的拨款申请，以支持在恐慌控制治疗(PCT)方面开发创新的在线培训计划。目前的申请代表了PI的小企业公司行为技术研究公司和波士顿大学焦虑和相关障碍中心之间的合作伙伴关系，行为技术研究公司在开发心理社会治疗的创新培训计划方面有着令人印象深刻的历史，PCT是在波士顿大学的随机对照试验(RCT)中开发和评估的。PCT是一种认知行为、循证治疗恐慌症的方法。拟议的在线培训方案将大大有助于对社区精神卫生临床医生和其他社区从业人员进行重要培训，以利用这种针对不同人群的循证治疗。具体地说，这一第一阶段应用的初始目标是：1)利用具有多学科培训专业知识(即监狱、公共部门社区精神卫生机构、私人执业环境和精神病学)的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创建原型；以及3)使用随机对照设计进行可行性初步研究，以评估在PCT中获得的知识、PCT组成部分的召回以及在与被诊断为恐慌症的患者进行最初两次治疗时的自我效能。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。 尽管被诊断为恐慌症的人确实存在基于经验的治疗，但只有相对较小比例的人群将接受此类治疗。恐慌控制治疗(PCT)是治疗恐慌的一种有效方法。除了书面文本手册或不频繁的研讨会外，在向临床医生提供PCT等治疗方面的培训方面存在固有困难，这加剧了缺乏有效治疗的可能性。这个项目的目的是开发一个独特的全面和互动的PCT在线培训，以改善患有惊恐障碍的患者的临床结果。

DESCRIPTION (provided by applicant): This is a Phase I Small Business Innovation Research (SBIR; R43/44) grant application to NIMH to support the development of an innovative, online training program in Panic Control Treatment (PCT). 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 was developed and evaluated in a randomized controlled trial (RCT). PCT is a cognitive-behavioral, evidence-based treatment for panic disorder. 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 diverse populations. Specifically, the initial aims of this Phase I application are to: 1) Determine content for the prototype utilizing an advisory board of experts, with multidisciplinary training expertise (i.e., prisons, public sector community mental health agencies, private practice environments, and psychiatry) ; 2) Create the prototype using an iterative process of development and evaluation; and, 3) Conduct a feasibility pilot study using a randomized controlled design to evaluate knowledge gains in PCT, recall of PCT components, and self-efficacy in conducting the initial two sessions with patients diagnosed with panic disorder. In the event of a successful Phase I test of feasibility, we will substantially expand the multimedia program and its evaluation in Phase II. Although empirically-based treatments do exist for people diagnosed with panic disorder, only a relatively small percentage of this population will receive such treatments. Panic Control Treatment (PCT) is one efficacious approach for the treatment of panic. The lack of effective treatment availability is compounded by inherent difficulties in providing clinicians with training in treatments like PCT, beyond written text manuals or infrequent workshops. The intent of this project is to develop a uniquely comprehensive and interactive online training in PCT, in order to improve clinical outcomes for patients suffering from panic disorder.