Web-based parent training for child anxiety

基于网络的儿童焦虑家长培训

• 批准号: 7536477
• 负责人: Marian Sue Harris
• 金额: $ 10.55万
• 依托单位: WORKBOOK PUBLISHING, INC.
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-25 至 2009-03-25
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7536477
• 关键词: Affective; Age; Anguish; Anxiety; Appendix; Behavioral; Bibliotherapy; Books; Caring; Child; Child Mental Health; Clinic; Clinical Trials; Cognitive; Cognitive Therapy; Condition; Confidentiality; Coping Skills; Data; Development; Development Plans; Disease; Distress; Education; Effectiveness; Emotional; Evaluation; Family; Future; Goals; Grant; Health Services Accessibility; Individual; Instruction; Internet; Intervention; Knowledge; Learning; Letters; Mediator of activation protein; Mental Health Services; Mental disorders; Nature; Numbers; Online Systems; Outcome; Parents; Phase; Positioning Attribute; Prevalence; Privacy; Problem Solving; Program Description; Psychopathology; Public Health; Randomized; Randomized Clinical Trials; Relaxation Therapy; Reporting; Research; Resources; Role; Rosa; Sampling; Self-Administered; Small Business Funding Mechanisms; Small Business Innovation Research Grant; Standards of Weights and Measures; Stress; Symptoms; Time; Training; Training Programs; Treatment outcome; Underserved Population; Update; Variant; Youth; base; childhood anxiety; contingency management; design; experience; improved; interest; programs; psychoeducation; psychosocial; satisfaction; self help; theories; user-friendly

DESCRIPTION (provided by applicant): Parents 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, but are typically unaware of when to try to help, or how best to help their children. Additionally, empirical support exists for cognitive-behavioral therapy (CBT) for child anxiety, but child outcomes could be improved and the development and evaluation of approaches to disseminate this and other empirically-supported treatments is critical. Our goal is to design, develop, and eventually provide an affordable web-based parent-training program that will be user-friendly and inform parents about evidence-based strategies that they can employ to effectively help their children manage excessive and distressing anxiety and anxiety-related symptoms/disorders. The WPT will be designed to serve as (a) a stand-alone self-guided program as well as (b) an adjunctive component for parents of youth who receive CBT for anxiety. The interactive WPT program will include components of parent training that have been found to be associated with improved outcomes in the treatment of anxious youth (Barrett, Dadds, & Rapee, 1996; Khanna & Kendall, 2007) and will be based on an empirically supported CBT for child anxiety (Kendall et al., 1994; 2007). The initial aim is to develop and evaluate 3 modules of a 7-session cognitive-behavioral WPT program for parents of youth (ages 7-14) suffering from symptoms of distressing anxiety. In addition, we aim to examine the feasibility and acceptability of WPT with parents of youth (ages 7-14) suffering from symptoms of distressing anxiety as compared to a Bibliotherapy Parent Training (BPT) condition, both as a stand-alone treatment (Study 1) and as an adjunctive treatment to ongoing CBT for child anxiety (Study 2). Findings from the initial studies will inform the application for a Phase II SBIR grant for the development and completion of the full 7-session web-based parent-training program and to conduct a randomized clinical trial (RCT) to evaluate the efficacy of the WPT program as a stand-alone and an adjunctive program. Compared to other parent training formats (i.e., face-to-face sessions, group programs, self-help books), a web- based parent training adds accessibility, affordability, convenience, privacy/confidentiality and, given aspects of the medium, can be engaging, interactive, and easily updated, all while maintaining consistency of care (Greist, 1998; Marks, Cavanagh, Gega, 2007; Ritterband et al., 2006). The web-based platform can also help widen and ease access to care, helping parents overcome barriers to seeking treatment while becoming more educated consumers of mental health services, and subsequently, could facilitate the dissemination of empirically-supported treatments for anxious youth (Ritterband, 2006). As an adjunctive component of CBT for child anxiety, a web-based parent-training program has the potential to enhance child treatment outcomes as well as family functioning and to reduce clinician effort/time (Khanna & Kendall, 2007). A web platform also provides a unique opportunity to quickly and efficiently collect data from a large number of parents which may provide a better understanding of the phenomenology, prevalence, and course of childhood anxiety and about the parents of anxious youth (Khanna, Aschenbrand, & Kendall, 2007). PUBLIC HEALTH RELEVANCE From a public health perspective, there is great potential in self-administered interventions to improve the mental health of children and families who suffer from mental disorders and related emotional problems but who are unable to access services (Scogin, 2003). As Rosen (1987) noted two decades ago, the growing demand for self-administered psychosocial treatments necessitates research on their effectiveness. Additionally, the development and evaluation of approaches such as this that hold the potential to improve child treatment outcomes and facilitate the dissemination of empirically- supported treatments is critical.

描述（由申请人提供）：关心孩子的情绪发展，尤其是与过度焦虑和压力有关的困难，是为孩子的变革，但通常不知道何时尝试帮助，或者如何最好地帮助孩子。此外，对儿童焦虑的认知行为疗法（CBT）也存在经验支持，但是可以改善儿童的结果，并且对这种传播这种和其他经验上支持治疗的方法的发展和评估至关重要。我们的目标是设计，开发并最终提供一个负担得起的基于Web的父母培训计划，该计划将是用户友好的，并告知父母基于证据的策略，他们可以采用这些策略来有效地帮助孩子管理过度和令人痛苦的焦虑和焦虑症和焦虑相关的症状/疾病。 WPT将被设计为（a）独立的自导计划，以及（b）为接受CBT焦虑的年轻人的父母的辅助组件。交互式WPT计划将包括父母培训的组成部分，这些组件与焦虑青年的治疗结果的改善有关（Barrett，Dadds和Rapee，1996; Khanna＆Kendall，2007），并将基于经验支持的CBT CBT的CBT（Kendall等，1994; 1994; 2007; 2007）。最初的目的是开发和评估针对青年父母（7-14岁）的7条经验认知行为的WPT计划的3个模块，患有令人困扰的焦虑症状。此外，我们旨在研究与书记疗法的父母培训（BPT）疾病相比，WPT与青年父母（7-14岁）患有痛苦焦虑症状的可行性和可接受性，无论是独立治疗（研究1）还是作为持续的CBT治疗儿童焦虑症的辅助治疗（研究2）。最初研究的结果将为II期SBIR赠款的申请提供信息，以开发和完成基于7会员的基于Web的父母培训计划，并进行随机临床试验（RCT），以评估WPT计划作为独立和辅助计划的WPT计划的疗效。 Compared to other parent training formats (i.e., face-to-face sessions, group programs, self-help books), a web- based parent training adds accessibility, affordability, convenience, privacy/confidentiality and, given aspects of the medium, can be engaging, interactive, and easily updated, all while maintaining consistency of care (Greist, 1998; Marks, Cavanagh, Gega, 2007; Ritterband et al., 2006).基于Web的平台还可以帮助扩大和轻松获得护理，帮助父母克服寻求治疗的障碍，同时成为受过教育的精神卫生服务的消费者，随后，可以促进对焦虑青年的经验支持治疗的传播（Ritterband，2006年）。作为CBT儿童焦虑症的辅助分量，基于Web的父母培训计划有可能增强儿童治疗结果以及家庭功能并减少临床医生的努力/时间（Khanna＆Kendall，2007年）。网络平台还提供了一个独特的机会，可以从许多父母那里快速有效地收集数据，这可能会更好地了解童年焦虑的现象学，流行和过程以及焦虑青年的父母（Khanna，Aschenbrand和Kendall，＆Kendall，2007年）。从公共卫生的角度来看，公共卫生的相关性在自我管理的干预措施中具有很大的潜力，可以改善患有精神障碍和相关情绪问题但无法获得服务的儿童和家庭的心理健康（Scogin，2003年）。正如罗森（Rosen）（1987）在二十年前指出的那样，对自我管理的社会心理治疗的需求不断增长，这需要对其有效性进行研究。此外，对这种方法的发展和评估具有改善儿童治疗结果并促进经验支持的治疗的潜力至关重要。