Web-based Parent Training for Child Anxiety: Phase II

描述（由申请人提供）：父母/监护人关注孩子的情感发展，特别是与过度焦虑和压力相关的困难，是一个有价值的位置，可以作为孩子的变革推动者。不幸的是，他们通常不知道什么时候该试着帮助孩子，或者如何最好地帮助他们的孩子。该第二阶段项目旨在设计、开发、评估并最终向公众提供一个可负担得起的基于网络的家长培训（WPT）方案，该方案将对用户友好，并告知家长他们可以使用的循证策略，以帮助他们的孩子管理过度和令人痛苦的焦虑以及与焦虑相关的症状/障碍。WPT将是(a)一个独立的自我指导项目，以及(b)为接受焦虑治疗（如认知行为疗法；CBT）的青少年父母提供的辅助组成部分。在第一阶段，我们开发并试验了10个模块WPT计划的一个章节的样本。我们与焦虑青少年的父母（包括临床和非临床样本）以及CBT专家一起工作。初步数据表明，在该人群中使用基于网络的模式是可接受和可行的，数据支持在大规模随机对照试验中进一步开发和评估该计划。这个第二阶段的项目将包括(a)开发完整的10个模块的WPT计划，(b)评估该计划的可行性，可接受性和有效性，与阅读疗法（BPT）和候补名单控制（WLC）进行比较，(a)关注他们的孩子（7-14岁）患有亚临床焦虑的父母（非临床样本）和(b)同时接受认知行为疗法（CBT）治疗青少年焦虑的青少年父母（7-14岁）（临床样本）。提高家长对焦虑的理解，帮助孩子管理焦虑的策略，以及循证实践。

DESCRIPTION (provided by applicant): Parents/guardians who are concerned about their child's emotional development, especially difficulties related to excessive anxiety and stress, are in a valuable position to serve as change-agents for their children. Unfortunately, they are typically unaware of when to try to help, or how best to help their children. This Phase II project aims to design, develop, evaluate and eventually provide to the public an affordable web-based parent training (WPT) program that will be user-friendly and inform parents about evidence-based strategies they can use to help their children manage excessive and distressing anxiety and anxiety-related symptoms/disorders. The WPT will be (a) a stand-alone self-guided program as well as (b) an adjunctive component for parents of youth who receive treatment (e.g., cognitive-behavioral therapy; CBT) for anxiety. In Phase I, we developed and piloted a sample of one chapter of the 10-module WPT program. We worked with parents of anxious youth (in both clinical and non-clinical samples) and with CBT experts. The preliminary data indicated that the web-based modality is acceptable and feasible for use in this population, and the data support the further development and evaluation of such a program in a large-scale randomized controlled trial. This Phase II proposed project will involve (a) the development of the full 10-module WPT program and (b) the evaluation of the feasibility, acceptability, and effectiveness of the program compared to Bibliotherapy (BPT) and a Waitlist Control (WLC) in (a) parents concerned about their child (ages 7-14) suffering subclinical anxiety (non clinic sample) and (b) in parents of youth (ages 7-14) who are concurrently receiving cognitive-behavioral therapy (CBT) for youth anxiety (clinic sample), in producing improvement in parent understanding of anxiety, strategies to support their child in managing anxiety, and evidence-based practice.