Computer-Assisted Delivery of Prolonged Exposure Therapy for PTSD

计算机辅助针对 PTSD 进行长时间暴露治疗

• 批准号: 8057078
• 负责人: KELLY CHRESTMAN
• 金额: $ 18.23万
• 依托单位: BEHAVIORAL TECH RESEARCH, INC.
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-15 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8057078
• 关键词: Adherence; Anxiety Disorders; Client; Clinical; Clinical Trials; Community Practice; Comorbidity; Computer Assisted; Computer-Assisted Therapy; Computers; Data; Development; Doctor of Philosophy; Economic Burden; Effectiveness; Electronics; Elements; Ensure; Evaluation; Event; Evidence based treatment; Exposure to; Feedback; Funding; Generalized Anxiety Disorder; Goals; Gold; Health Maintenance Organizations; Health Personnel; Health Professional; Instruction; Intervention; Label; Learning; Major Depressive Disorder; Manuals; Mental Health; Mental Health Services; Mental disorders; Methods; Modification; Nurses; Outcome; Patients; Performance; Phase; Population; Post-Traumatic Stress Disorders; Prevalence; Process; Productivity; Randomized Controlled Trials; Recommendation; Relative (related person); Research; Research Support; Resources; Senior Scientist; Small Business Innovation Research Grant; Social Functioning; Staging; Structure; Substance Addiction; Substance abuse problem; Supervision; Support System; Symptoms; Testing; Text; Time; Training; Trauma; Work; base; clinical practice; computer assisted patient care; cost; design; experience; health care delivery; innovation; physical conditioning; primary care setting; programs; prototype; psychologic; psychosocial; routine practice; satisfaction; sound; tool; trial comparing; usability

DESCRIPTION (provided by applicant): Post-traumatic stress disorder (PTSD) is a common anxiety disorder with lifetime prevalence in the U.S. of 6.8%. Prolonged Exposure (PE), an exposure-based treatment developed by Edna Foa, Ph.D. and colleagues, is a highly efficacious treatment for PTSD. PE is considered the gold-standard in psychosocial interventions for PTSD, but is rarely used in routine clinical practice. This Phase I Small Business Innovation Research (SBIR) grant represents a cooperative partnership between Dr. Foa and BTECH Research. Our primary goal is to facilitate the widespread dissemination of PE by creating a PE Computer-Assisted Therapy Program (PE-CAT) to assist clinicians in implementing PE in real time. The PE-CAT program will be designed for clinicians and patients to use together during therapy sessions and will provide step-by-step guidance through each PE session. This innovative training approach provides a rapid and efficient method of disseminating PE to a large number of clinicians, while also maximizing the likelihood that trained clinicians both use and adhere to PE. We will use an iterative development process involving feedback from end-users throughout all stages of prototype development. Given the novelty of computer-assisted therapy as a method of psychological treatment delivery, in Phase 1 we plan to conduct an extensive formative evaluation to confirm and ensure proof of concept. Specifically, we propose to test the product's usability, acceptability, and feasibility by gathering in-depth qualitative and quantitative data from clinicians and patients. In the event of a successful Phase I formative evaluation, we will complete development of all elements of the PE-CAT program in Phase II. At that time, we intend to conduct an open trial to extensively evaluate the feasibility and effectiveness of the PE-CAT program in a large Health Maintenance Organization where client and therapist outcomes can be collected. PUBLIC HEALTH RELEVANCE: Despite the prevalence and often disabling impact of post-traumatic stress disorder (PTSD), the majority of patients with PTSD receive no or inadequate treatment due largely to a lack of training opportunities for treatment providers. Prolonged Exposure (PE) therapy for PTSD is considered the gold standard in psychosocial interventions for PTSD, but is rarely used in routine practice settings. The primary goal of this project is to facilitate the widespread dissemination of PE by developing a PE Computer- Assisted Therapy Program (PE-CAT) to assist clinicians in implementing and adhering to PE in the context of typical clinical practice.

描述（由申请人提供）：创伤后应激障碍 (PTSD) 是一种常见的焦虑症，在美国的终生患病率为 6.8%。延长暴露 (PE)，一种由 Edna Foa 博士开发的基于暴露的治疗方法。和同事们认为，这是治疗创伤后应激障碍（PTSD）的一种非常有效的方法。 PE 被认为是 PTSD 心理社会干预的黄金标准，但很少用于常规临床实践。第一阶段小型企业创新研究 (SBIR) 资助代表了 Foa 博士和 BTECH Research 之间的合作伙伴关系。我们的主要目标是通过创建 PE 计算机辅助治疗程序 (PE-CAT) 来协助临床医生实时实施 PE，从而促进 PE 的广泛传播。 PE-CAT 程序专为临床医生和患者在治疗期间一起使用而设计，并将在每次 PE 疗程中提供逐步指导。这种创新的培训方法提供了一种向大量临床医生传播 PE 的快速有效的方法，同时也最大限度地提高了受过培训的临床医生使用和坚持 PE 的可能性。我们将使用迭代开发流程，涉及原型开发所有阶段的最终用户的反馈。鉴于计算机辅助治疗作为一种心理治疗方法的新颖性，我们计划在第一阶段进行广泛的形成性评估，以确认和确保概念证明。具体来说，我们建议通过收集临床医生和患者的深入定性和定量数据来测试产品的可用性、可接受性和可行性。如果第一阶段形成性评估成功，我们将在第二阶段完成 PE-CAT 计划所有要素的开发。届时，我们打算进行公开试验，广泛评估 PE-CAT 计划在大型健康维护组织中的可行性和有效性，并收集客户和治疗师的结果。 公共卫生相关性：尽管创伤后应激障碍 (PTSD) 普遍存在，而且常常造成残疾，但大多数 PTSD 患者没有接受治疗或接受治疗不足，这主要是由于治疗提供者缺乏培训机会。 PTSD 的长期暴露 (PE) 疗法被认为是 PTSD 心理社会干预的黄金标准，但很少在常规实践中使用。该项目的主要目标是通过开发 PE 计算机辅助治疗程序 (PE-CAT) 来促进 PE 的广泛传播，以帮助临床医生在典型的临床实践中实施和遵守 PE。