Optimizing CBT Implementation among Community Providers Through Internet-based Consultation and Networking (i-CAN)

通过基于互联网的咨询和网络 (i-CAN) 优化社区提供商之间的 CBT 实施

• 批准号: 10676908
• 负责人: Susan Williams White
• 金额: $ 18.08万
• 依托单位: UNIVERSITY OF ALABAMA IN TUSCALOOSA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-05 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10676908
• 关键词: Address; Adolescent; Adoption; Affect; Anxiety; Anxiety Disorders; Area; Attitude; Behavior; Belief; Child; Client; Cognitive Therapy; Collaborations; Color; Commercial grade; Communities; Computer software; Consultations; Data; Dedications; Development; Disparity; Educational Curriculum; Ensure; Environment; Evidence based intervention; Feedback; Goals; Happiness; Health Personnel; Home; Impairment; Improve Access; Intention; Internet; Knowledge; Literature; Location; Manuals; Mental Health; Modality; Modeling; NIH Program Announcements; Patient Care; Patient Self-Report; Persons; Planning Theory; Poverty; Process; Production; Provider; Quality Control; Randomized; Randomized, Controlled Trials; Reporting; Reproducibility; Research; Resource Sharing; Resource-limited setting; Resources; Sampling; Schools; Secure; Services; Site; Testing; Training; Work; Youth; childhood anxiety; clinical anxiety; cost; design; evidence base; feasibility testing; flexibility; health care delivery; improved; innovation; optimism; peer; peer support; provider networks; racial diversity; rural area; rural setting; rurality; satisfaction; services as usual; skills; social media; social networking website; tool; underserved community; uptake; usability

PROJECT SUMMARY The goal of this exploratory/developmental (R21) project is to advance the uptake of cognitive- behavioral therapy (CBT), an evidence-based intervention (EBI) for youth anxiety problems, by community-based providers. Using readily available, commercial-grade software, we will develop a highly replicable remote (online) peer consultation and support hub. This hub, termed Internet-based Consultation and Networking [i-CAN], will be developed with input from stakeholders, including community providers, using a participatory implementation workgroup approach. We will then test the feasibility and preliminary impact of i-CAN in the context of a pilot randomized controlled trial with a diverse sample of providers. The purpose of program announcement PAR-19-275 is to “support innovative approaches to identifying, understanding, and developing strategies for overcoming barriers to the adoption…of evidence-based interventions.” Although clinical anxiety is one of the most impairing and common mental health problems seen among children and adolescents1, and CBT is considered an established EBI for anxiety disorders2, most youth do not receive high-quality CBT in their home communities. This implementation gap is especially prominent for youth who live in rural areas, communities of color, and low-resources settings.3–5 We are testing i-CAN in a large community that is characterized by rurality and poverty, and which is highly racially diverse, because remote peer consultation may be especially beneficial for providers who cannot otherwise access in-person support to improve their skills. As such, this project addresses disparities by improving access to EBI resources and tools among the providers who work in under-served communities. In addition to high

项目摘要 这个探索/发展项目（R21）的目标是提高认知的吸收 行为疗法（CBT），一种基于证据的干预措施（EBI），用于青年焦虑问题，通过 基于社区的提供商。使用随时可用的商业级软件，我们将 开发高度可复制的遥控（在线）同行咨询和支持中心。这个枢纽，称为 基于Internet的咨询和网络[I-CAN]将通过来自 利益相关者，包括社区提供商，使用参与实施工作组 方法。然后，我们将测试I-Can在一个背景下的可行性和初步影响 PILOT随机对照试验与潜水者的提供者样本。程序的目的 宣布Par-19-275是“支持创新的方法来识别，理解， 并制定克服采用障碍的策略……基于证据 干预措施。 在儿童和青少年中看到的问题1和CBT被认为是既定的EBI 焦虑症2，大多数青年在其家庭社区中没有获得高质量的CBT。这 实施差距对于生活在粗糙地区，社区的年轻人而言尤为突出 颜色和低资源设置。3–5我们正在一个大型社区中测试I-CAN 以粗糙和贫穷为特征 咨询可能对无法亲自访问的提供商特别有益 支持提高他们的技能。因此，该项目通过改善访问来解决分布 在服务不足社区工作的提供商中为EBI资源和工具。在 增加高