Online PCT Training for Clinicians

描述(由申请人提供)：在社区样本中，大约23%的成年人受到惊恐发作(PA)的影响。伴或不伴广场恐惧症(PDA)的恐慌症往往是一种慢性疾病，终生患病率为4.7%。如果不治疗，恐慌症(PD)往往会导致衰弱的问题，并带来严重的经济和人际成本。惊恐控制治疗(PCT)是治疗帕金森病的有效方法。该项目的主要目标是通过为临床医生创建在线PCT培训(PCT OLT)，促进PCT(又名MAP；掌握您的焦虑和恐慌)传播给治疗PD的临床医生。在第一阶段，我们使用迭代开发过程，根据目标最终用户和PCT专家的反馈，制作了一个由143个屏幕组成的创新OLT原型。随后进行了一项随机对照试验(RCT；N=31)，比较PCT OLT和对照OLT。PCT OLT受试者在包括知识、回忆和自我效能在内的所有结果变量上的表现都显著优于对照组。结果维持在一周的随访中。拟议的第二阶段项目通过扩展OLT及其在第二阶段的评估来扩展这项工作。具体地说，我们将包括PCT手册中的所有剩余内容，并增加额外的临床场景和基于性能的互动活动。我们将使用三种训练方法的相加研究设计在随机对照试验(N=180)中测试该程序的有效性：文本(n=60)、文本+PCT OLT(PCT OLT；n=60)、VS文本+PCT OLT+专家每周会诊(混合；n=60)。结果变量将再次包括PCT知识，以及在治疗患有PCT的PDA患者时的自我效能。我们将扩大评估范围，将计算机生成的临床应用测试包括PCT的能力和忠诚度以及课程完成情况。受试者将在培训前和培训后进行评估，然后在培训后30天和60天进行后续评估。 与公共卫生相关：尽管被诊断为惊恐障碍(PD)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(又名焦虑和恐慌的掌握；MAP)是治疗帕金森氏症的有效方法。这个项目的目的是在MAP中开发一个独特的全面和互动的在线培训，以帮助传播这一循证治疗，以改善帕金森病患者的临床结果。

DESCRIPTION (provided by applicant): Panic attacks (PA) impact about 23% of adults in community samples. Panic disorder with or without agoraphobia (PDA) tends to be a chronic condition with a lifetime prevalence of 4.7%. When untreated, panic disorder (PD) often leads to debilitating problems, with severe financial and interpersonal costs. Panic Control Treatment (PCT) is an efficacious treatment for PD. The overarching goal of this project is to facilitate the dissemination of PCT (aka MAP; Mastery of Your Anxiety and Panic) to clinicians who treat PD by creating the Online PCT Training for Clinicians (PCT OLT). In Phase I, we produced an innovative OLT prototype comprised of 143 screens using an iterative process of development with feedback from target end-users and PCT experts. A randomized controlled trial (RCT; N=31) was then conducted comparing the PCT OLT to a control OLT. PCT OLT subjects significantly outperformed controls on all outcome variables, including knowledge, recall, and self-efficacy. Results were maintained at the one week follow up. The proposed Phase II project extends this work by expanding the OLT and its evaluation in Phase II. Specifically, we will include all remaining content from the PCT manuals and add additional clinical scenarios and performance-based interactivities. We will test the program's efficacy in a RCT (N=180) using an additive research design of three training approaches: text (n=60), text + PCT OLT (PCT OLT; n=60), vs. text + PCT OLT + expert weekly consultation (Hybrid; n= 60). Outcome variables will again include PCT knowledge, as well as self-efficacy in treating PDA clients with PCT. We will expand the assessments to include a computer- generated clinical application test of competence and fidelity to PCT and course completion. Subjects will be assessed pre- and post-training, then again at 30-day and 60-day post-training follow-ups. PUBLIC HEALTH RELEVANCE: Although empirically-based treatments do exist for people diagnosed with panic disorder (PD), only a relatively small percentage of this population will receive such treatments. Panic Control Treatment (aka Mastery of Anxiety and Panic; MAP) is an efficacious treatment for PD. The intent of this project is to develop a uniquely comprehensive and interactive online training in MAP, to aid in the dissemination of this evidence based treatment, in order to improve clinical outcomes for patients suffering from PD.