Computer-Based Training in Panic Control Treatment for Adolescents

描述（由申请人提供）：这是第二阶段小企业创新研究（SBIR; R43/44）资助申请NIMH支持进一步开发和测试青少年恐慌控制治疗（PCT-A）的创新在线培训计划。目前的应用程序代表了PI的小企业关注，行为技术研究公司，该公司在开发心理社会治疗的创新培训项目方面有着令人印象深刻的历史，波士顿大学焦虑和相关疾病中心开发了PCT-A并在随机对照试验（RCT）中进行了评估。PCT-A是一种针对青少年惊恐障碍的认知行为循证治疗方法，也是对成年期惊恐障碍“黄金标准”治疗（惊恐控制治疗; PCT）的发展改良。拟议的在线培训计划将大大有助于社区精神卫生临床医生和其他社区从业人员在青少年中利用这种循证治疗的重要培训。具体而言，该第二阶段提案的目标是：1）通过创建包含所有相关PCT-A内容和材料的版本，在成功开发初始PCT-A在线培训原型的基础上再接再厉; 2）在创建完整的PCT-A在线培训时，我们将添加额外的基于病例的场景并扩大互动，以进一步促进兴趣并确保推广到临床实践; 3）我们将继续关注可用性和满意度变量，在迭代开发过程中对最终用户进行广泛的个人访谈; 4）我们将进行随机对照试验（N=120），将完成的在线培训与新治疗模式中两种最常见的培训形式进行比较 以教师为主导和以文字为基础的培训形式。这些条件与PCT-A的知识增益，回忆PCT-A组件，自我效能进行这种治疗与青少年诊断为惊恐障碍，除了学习者实施的PCT-A和基于性能的评估技能，利用PCT-A进行比较。公共卫生相关性：虽然对被诊断患有惊恐障碍的儿童和青少年确实存在基于药物的治疗，但只有相对较小比例的这类人群会接受这种治疗。青少年惊恐控制治疗（PCT-A）是治疗青少年惊恐的一种有效方法。除了书面文本手册或不频繁的研讨会之外，为临床医生提供PCT-A等治疗培训的固有困难也加剧了缺乏有效治疗的问题。该项目的目的是进一步开发和评估PCT-A的全面和互动的在线培训，以改善患有惊恐障碍的青少年的临床结果。

DESCRIPTION (provided by applicant): This is a Phase II Small Business Innovation Research (SBIR; R43/44) grant application to NIMH to support the further development and testing of an innovative, online training program in Panic Control Treatment for Adolescents (PCT-A). 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-A was developed and evaluated in a randomized controlled trial (RCT). PCT-A is a cognitive-behavioral, evidence-based treatment for panic disorder in adolescence and a developmental modification of the "gold standard" treatment for panic disorder in adulthood (Panic Control Treatment; PCT). 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 adolescents. Specifically, the aims of this Phase II proposal are to: 1) Build on the successful development of the initial PCT-A online training prototype by creating a version that encompasses all relevant PCT-A content and materials; 2) In creating the PCT-A online training in its entirety, we will add additional case-based scenarios and expand interactivities to further facilitate interest and to ensure generalization to clinical practice; 3) We will continue to attend to usability and satisfaction variables by conducting extensive individual interviews with end-users during an iterative development process, and; 4) We will conduct a randomized control trial (N=120), comparing the completed online training to the two most common forms of training in new treatment modalities instructor-led and text-based training formats. These conditions with be compared with regard to knowledge gains in PCT-A, recall of PCT-A components, and self-efficacy in conducting this treatment with adolescents diagnosed with panic disorder, in addition to learner implementation of PCT-A and performance-based assessment of skill in utilizing PCT-A. PUBLIC HEALTH RELEVANCE: Although empirically-based treatments do exist for children and adolescents diagnosed with panic disorder, only a relatively small percentage of this population will receive such treatments. Panic Control Treatment for Adolescents (PCT-A) is one efficacious approach for the treatment of panic in adolescents. The lack of effective treatment availability is compounded by inherent difficulties in providing clinicians with training in treatments like PCT-A, beyond written text manuals or infrequent workshops. The intent of this project is to further develop and evaluate a comprehensive and interactive online training in PCT-A, in order to improve clinical outcomes for adolescents suffering from panic disorder.