Web-Based CBT for Childhood Anxiety: A Family-Led Approach

基于网络的 CBT 治疗儿童焦虑症：家庭主导的方法

• 批准号: 8393892
• 负责人: Lisa R Hale
• 金额: $ 34.86万
• 依托单位: VIRTUALLY BETTER, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-12 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8393892
• 关键词: 12 year old; Adherence; Adolescent; Adoption; Age; Algorithms; Anxiety; Anxiety Disorders; Architecture; Behavior; Books; Child; Clinical; Cognitive Therapy; Collaborations; Communities; Complex; Computer software; Computers; Consultations; Cues; Data; Development; Devices; Diagnostic; Direct Costs; Early treatment; Evidence based treatment; Family; Feedback; Future; Goals; Health; Home environment; Individual; Industry; Internet; Intervention; Learning; Literature; Logic; Marketing; Mental Health; Mental disorders; Methodology; Methods; Modeling; Monitor; NIH Program Announcements; National Institute of Mental Health; Nature; Online Systems; Parents; Peripheral; Phase; Pilot Projects; Population; Research; Research Personnel; Resources; Risk; Schools; Scientist; Services; Small Business Innovation Research Grant; Symptoms; System; Tablets; Technology; Telephone; Testing; Text; Training; Training and Education; Translating; Translations; Youth; active method; artist; base; childhood anxiety; climate change; clinical efficacy; cost effective; design; effective therapy; evidence base; experience; flexibility; health organization; improved; innovation; next generation; novel; outreach; pediatrician; programs; response; self help; skills; skills training; therapeutic development; tool; treatment planning; treatment program; user-friendly

DESCRIPTION (provided by applicant): Anxiety Disorders are some of the most commonly occurring psychological disorders among child and adolescent populations. Cognitive-Behavioral Therapy (CBT) has been proven to be an Evidence-Based Treatment (EBT) to treat anxiety, but there continues to be a lack of available CBT resources for families with anxious youth. Technology-based interventions, including those specifically CBT-based for child anxiety treatment, have shown great promise as being effective and efficient, but even these interventions lack wide spread dissemination and adoption by clinicians or self-help users. This Phase I SBIR is in response to a special Program Announcement designated for the development of Complex Technologies and Therapeutics Development for Mental Health Research and Practice with specific emphasis Tools and Platforms to Improve the Dissemination and Implementation of Evidence-Based Mental Health Interventions. This project will develop and evaluate an interactive home treatment program for youth with mild to moderate anxiety symptoms that can be tailored across diagnostic presentations and ages. Taking a cue from the rapid technology advancements in online and console gaming, we propose that a web-based platform will allow easier subscription to services, richer interactive capacity, fuller data monitoring and abilities for content scalability. Our program will utilize an automated format inclusive of assessment and feedback loops that tailor delivery of CBT concepts validated in the extant literature. An interactive guide will direct modules of activitiesto evaluate, treat, and monitor adherence and progress, with families personalizing creation of avatar characters, behavior plans, treatment hierarchies and peripheral technology augments (e.g., text messaging and smart phone applications). If this program is accepted by the targeted user community in this study (anxious youth and their parents), and had demonstrated efficacy, we believe this project, titled "Web-Based CBT for Childhood Anxiety: A Family-Led Approach," can broadly impact the appeal, access and affordability of CBT. Future phases of this project would focus on expanding platform components and age range, larger testing of referrals across settings (health centers, schools, pediatrician offices, family-direct), and allow for potential commercial distribution and longitudinal tracking. Once established as a marketable resource, the core software model could be adapted to other conditions reliant on learning and adherence based interventions. The promise of commercial opportunity is significant in an era in which there is an increasingly widespread access to and everyday use of computers, smart phones, and tablet technologies. PUBLIC HEALTH RELEVANCE: "Web-Based CBT for Childhood Anxiety: A Family-Led Approach" is a web-based software treatment program designed for families with 8-12 year olds struggling with mild to moderate anxiety. This program combines interactive media, customizable content, and clinical conceptual models that drive our predetermined logic-based algorithms, all within a treatment framework comprised of already well-validated core components of Cognitive-Behavioral therapy (CBT), an Evidence-Based Treatment (EBT) for anxiety. This program, if successful, has the potential to dramatically change the climate for early outreach, dissemination, and implementation of an EBT by providing parents and their anxious youth a clinically effective, web-delivered software program that is user friendly, engaging, and includes experientially- driven software. We will be leveraging next generation technology methodologies inherent in current software for education, training, and entertainment to increase engagement and interactivity, which we believe will facilitate greater adoption and usage of this exciting program. This project represents an exciting collaboration between thought leaders in the field of CBT for child anxiety and expert artists, computer scientists, and game developers.

描述（由申请人提供）：焦虑症是儿童和青少年人群中最常见的心理障碍。认知行为疗法（CBT）已被证明是一种基于证据的治疗（EBT）来治疗焦虑症，但对于患有焦虑青年的家庭来说，仍然缺乏可用的CBT资源。基于技术的干预措施，包括特别是基于CBT的儿童焦虑疗法的干预措施，表现出巨大的希望是有效有效的，但是即使这些干预措施也缺乏临床医生或自助使用者的广泛传播和收养。这一I阶段SBIR是针对一个特殊计划公告，该公告指定了用于开发复杂技术和用于精神健康研究和实践的治疗性开发，并使用特定的强调工具和平台来改善基于证据的心理健康干预措施的传播和实施。该项目将开发并评估一个互动家庭治疗计划，该计划针对轻度至中度焦虑症状的年轻人进行互动式家庭治疗计划，该计划可以在诊断演示和年龄范围内量身定制。从在线和控制台游戏中的快速技术进步中获取提示，我们建议基于Web的平台可以更轻松地订阅服务，更丰富的交互式容量，更丰富的数据监视和内容可扩展性的能力。我们的程序将利用 自动化格式包括评估和反馈循环，这些循环定制了现有文献中验证的CBT概念的交付。互动指南将指导Activitiesto的模块评估，治疗和监视依从性和进步，家庭个性化头像角色，行为计划，治疗层次结构和外围技术增强（例如，文本消息传递和智能手机应用程序）的创建。如果该计划在这项研究中被目标用户社区接受（焦虑的青年及其父母），并且已经证明了功效，我们认为该项目的标题为“基于Web的CBT儿童焦虑：家庭主导的方法”，可以广泛地说影响CBT的上诉，获得和负担能力。该项目的未来阶段将着重于扩展平台组件和年龄范围，对跨环境（卫生中心，学校，儿科办公室，家庭指导）进行推荐的更大测试，并允许潜在的商业分销和纵向跟踪。核心软件模型一旦建立为可销售的资源，就可以适应其他依赖于学习和依从性干预措施的条件。在这个时代，商业机会的承诺在一个时代越来越广泛地访问计算机，智能手机和平板电脑技术的时代。 公共卫生相关性：“基于Web的CBT儿童焦虑：一种家庭主导的方法”是一个基于Web的软件治疗计划，旨在为8-12岁的家庭而苦苦挣扎，以轻度至中度的焦虑症。该计划结合了交互式媒体，可自定义的内容和临床概念模型，这些模型推动了我们预先确定的基于逻辑的算法，这些算法都包括在一个已经有充分验证的认知行为疗法（CBT）的治疗框架内，这是一种基于证据的治疗（CBT）（一种基于证据的治疗）（ EBT）焦虑。如果成功的话，该计划有可能通过为父母及其焦虑的青年提供临床有效，网络传递的软件程序，从而极大地改变EBT的早期外展，传播和实施的气候，以用户友好，参与经验驱动的软件。我们将利用当前软件中的下一代技术方法来进行教育，培训和娱乐，以提高参与度和互动性，我们认为这将有助于对这个令人兴奋的计划的更多采用和使用。该项目代表了CBT领域的思想领导者与儿童焦虑症领域与专家艺术家，计算机科学家和游戏开发人员之间的一项激动人心的合作。