Increasing Parent Demand for Evidence-Based Practices to Treat Youth Anxiety: The Effect of Parent Key Opinion Leaders

项目总结/摘要 焦虑症在成年人和青年人中很常见，如果不治疗， 几个长期的负面后遗症。虽然研究已经确定了一些基于证据的做法， （EBP）治疗青少年焦虑症，尽管大规模的实施工作，很少有年轻人接受EBP。 直接面向消费者的营销提供了一种不同的方法，通过增加 父母对EBP的需求。鉴于患者的障碍，直接面向消费者的举措尤为重要， 防止青少年接受治疗，包括父母缺乏对EBPs的了解和相关的耻辱 心理健康治疗尽管父母对接受有关EBP的信息的偏好因年龄而异， 人口因素和个人经验，研究还没有调查的方法，剪裁直接， 消费者在当地环境下的努力。让当地家长关键意见领袖（KOL）参与， 消费者的倡议，以当地的情况下，可能是一个有效的战略，以增加父母的需求，电子商务。KOLs 是当地社区的可靠和值得信赖的成员，他们可以利用自己的社会影响力传播 关于EBP的信息和验证消息。研究表明，KOL可以改善健康促进 活动，但KOL没有在父母对EBP需求增加的背景下进行研究。项目 将研究KOL参与进行外展演示的作用，以增加家长的愿望， 为他们年轻时的焦虑寻求EBP。父母参与者（或主要护理人员; N = 180）将被分组- 按学校（6所学校）随机分配到两种不同的方法中的一种，用于为青少年介绍EBP 焦虑（每种情况90名父母）。这两种方法都将包括社区外展介绍， 有关青少年焦虑的信息，青少年焦虑的有效治疗方法，以及为青少年寻求EBP。的 研究人员专用条件将由两名研究人员共同主持。在KOL条件下，来自 每个地方社区都将参与根据情况调整介绍的内容， 社区，与研究人员共同促进演讲，并在演讲中认可策略， 他们发现这是有帮助的。每所学校的家长教师协会将提名一名家长， 在他们的社区中作为KOL而闻名并备受尊敬。这两种情况的家长与会者将 通过联系学校精神卫生工作者/其他学校管理人员招募，他们将宣传 通过学校的电子邮件列表和与孩子们一起寄回家的传单进行演示。家长参与者将完成 评估他们对EBP的认识、态度和寻求EBP的意图的措施， 他们将表明他们是否在六个月的随访中为他们的年轻人寻求EBP。结果 该研究将结合联合收割机定量和定性方法来评估KOL的有效性， 增加父母对EBP的需求。一个培训计划，包括指导，正式的课堂作业， 体验式学习的目的是发展申请人在传播电子商务政策方面的专门知识。

PROJECT SUMMARY/ABSTRACT Anxiety disorders are common among adults and youth and, when left untreated, are associated with several long-term negative sequelae. Although research has identified a number of evidence-based practices (EBPs) for treating youth anxiety and despite large-scale implementation efforts, few youth receive EBPs. Direct-to-consumer marketing offers a different approach to increase provider uptake of EBPs by increasing parent demand for EBPs. Direct-to-consumer initiatives are especially important given patient-barriers that prevent youth from receiving treatment, including lack of parental knowledge of EBPs and stigma associated with mental health treatment. Although parent preferences for receiving information about EBPs vary based on demographic factors and individual experiences, research has not investigated methods of tailoring direct-to- consumer efforts to local contexts. Involving a local parent key opinion leader (KOL) to tailor direct-to- consumer initiatives to local contexts may be an effective strategy to increase parent demand for EBPs. KOLs are credible and trustworthy members of a local community who can use their social influence to disseminate information and validate messages about EBPs. Research indicates that KOLs improve health promotion campaigns, but KOLs have not been studied in the context of increasing parent demand for EBPs. The project will examine the role of KOL participation in conducting outreach presentations to increase parent desire to seek EBPs for their youth’s anxiety. Parent attendees (or primary caregivers; N = 180) will be cluster- randomized by school (6 schools) to one of two different approaches for presentations on EBPs for youth anxiety (90 parents per condition). Both approaches will include community outreach presentations providing information about youth anxiety, effective treatments for youth anxiety, and seeking EBPs for youths. The researcher-only condition will be co-facilitated by two researchers. In the KOL condition, a parent KOL from each local community will be involved in tailoring the content of the presentation to the context of the community, co-facilitating the presentation with a researcher, and endorsing strategies in the presentation that they have found to be helpful. The parent-teacher association from each school will nominate a parent who is well-known and well-respected within their community as the KOL. Parent attendees for both conditions will be recruited by contacting school mental health workers/other school administrators, who will advertise the presentations via their school email list and fliers sent home with children. Parent attendees will complete measures assessing their knowledge of, attitudes towards, and intention to seek EBPs pre- and post- presentation, and they will indicate whether they sought EBPs for their youth at a six-month follow-up. Results of the study will combine quantitative and qualitative approaches to assess the effectiveness of a KOL to increase parent demand for EBPs. A training plan that consists of mentorship, formal classwork, and experiential learning has been designed to develop the applicant’s expertise in the dissemination of EBPs.