Web-based Interactive Intervention for Employees with ADHD

基于网络的多动症员工互动干预

• 批准号: 8251943
• 负责人: AMELIA J BIRNEY
• 金额: $ 19.92万
• 依托单位: OREGON CENTER FOR APPLIED SCIENCE, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-01 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8251943
• 关键词: Accidents; Address; Adult; Affect; American; Anger; Area; Assertiveness; Attention; Attention deficit hyperactivity disorder; Behavior; Canada; Caring; Characteristics; Client; Cognition; Cognitive Therapy; Coping Skills; Development; Disease; Education; Educational process of instructing; Elements; Emotional; Emotions; Employee; Employee Assistance Program (Health Care); Environment; Exercise; Health; Health Planning; Healthcare; Human; Impairment; Impulsivity; Injury; Instruction; Insurance Carriers; Internet; Intervention; Learning; Literature; Marketing; Mental Health; Methods; Monitor; Motivation; Neurobiology; Occupational; Online Systems; Performance; Pharmacologic Substance; Phase; Prevalence; Process; Productivity; Professional counselor; Provider; Psyche structure; Randomized Controlled Trials; Regulation; Research; Services; Severities; Severity of illness; Social Functioning; Solutions; Staging; Structure; Symptoms; System; Testing; Text; Therapeutic; Therapeutic Intervention; Time; Time Management; Training; Treatment Efficacy; Treatment Protocols; United States; Workplace; animation; base; commercialization; cost; design; executive function; follow-up; improved; inattention; programs; psychologic; randomized trial; self esteem; skills; skills training; successful intervention; tool; usability

DESCRIPTION (provided by applicant): This project will deliver an Internet-based modular tool kit designed to support EmployeeAssistance Program (EAP) therapists in the management of adult ADHD (Attention Deficit/Hyperactivity Disorder). ADHD is a debilitating condition, which impairs the worksite and day-to-day functioning of 4.2% of adult Americans. It is widely acknowledged that effective employer-provided mental health care interventions can result in substantial benefits for employers and employees. However, the four to eight sessions typically allowed by an EAP are often insufficient for addressing the challenges associated with ADHD. We propose to develop a comprehensive toolkit comprised of a set of assessment and skill-building modules based on empirically validated cognitive behavioral therapy treatment protocols. The EAP therapist will select all or a subset of the Internet-based tools depending on the specific needs of the client. The proposed program will provide: (a) symptom severity and stage of change assessment tools; (b) a set of modules on adultADHD education, organizing/planning and time management skills, emotional regulation, motivation, attention (focusing and sustaining), and self esteem (assertiveness), that can be completed by the client as between-session exercises and skills training; and (c) a therapist console to monitor symptoms and track the use of the program. This approach will allow the client to make greater progress between sessions and to complete their EAP therapy/intervention in the limited 4-8 sessions typically offered. In Phase I the Time Management module of the Internet-based program will be developed and its feasibility and proof of concept will be evaluated. In Phase II, the remaining tools/modules of the program will be developed. The completed program will be evaluated in a randomized control trial with a significant follow-up period to demonstrate long-term efficacy of the intervention. The product will then be marketed to EAPs across the United States and Canada. PUBLIC HEALTH RELEVANCE: Adult ADHD poses a common and costly mental health problem in the United States. Employee Assistance Program (EAP) services help to reduce costs to both employer and employees by providing support for ADHD employees with problems. This program has the potential to improve the quality of treatment that employees with ADHD receive through EAP care providers, and to do so without increasing expensive staff time by offering a set of Internet-based skill-building modules that can be used as adjunct support for existing EAP counselor treatment.

描述（由申请人提供）：该项目将提供一个基于Internet的模块化工具套件，旨在支持成人ADHD管理（注意缺陷/多动障碍）的ImereeeAsississance计划（EAP）治疗师。多动症是一种令人衰弱的状况，它会损害4.2％的成年美国人的工作场所和日常运作。人们普遍承认，有效的雇主提供的心理保健干预措施可能会给雇主和雇员带来可观的利益。但是，EAP通常允许的四到八个会议通常不足以应对与多动症相关的挑战。 我们建议开发一个由基于经验验证的认知行为治疗方案的评估和技能建设模块组成的全面工具包。 EAP治疗师将根据客户的特定需求选择所有基于Internet的工具的全部或子集。拟议的计划将提供：（a）症状严重程度和变化评估工具的阶段； （b）关于成人教育，组织/计划和时间管理技能，情感调节，动机，注意力（集中和维持）以及自尊（自信）的模块，可以由客户完成为会议间练习和技能培训； （c）治疗师控制台，以监测症状并跟踪该程序的使用。这种方法将使客户在通常提供的有限4-8次会议中完成会议之间的进展，并完成其EAP治疗/干预措施。在第一阶段，将开发基于Internet的程序的时间管理模块，并将评估其可行性和概念证明。在第二阶段，将开发该程序的剩余工具/模块。完成的计划将在一项随机对照试验中进行评估，并具有重大的随访期，以证明干预的长期疗效。然后，该产品将被销售给美国和加拿大的EAPS。 公共卫生相关性：成人多动症在美国构成了一个常见且昂贵的心理健康问题。员工援助计划（EAP）服务通过为有问题的ADHD员工提供支持，帮助降低雇主和员工的成本。该计划有可能通过提供一套基于互联网的技能建设模块来改善ADHD员工通过EAP护理提供者获得的治疗质量，而在不增加昂贵的员工时间的情况下这样做，这些模块可以用作对现有EAP辅导员治疗的辅助支持。