Optimizing CBT Implementation Among Community Providers Through Internet-based Consultation and Networking (i-CAN)
Study Details
Study Description
Brief Summary
Although anxiety is one of the most common and debilitating mental health conditions affecting children and adolescents, the vast majority of sufferers do not receive effective treatment. Cognitive-behavioral therapy (CBT) is an evidence-based, frontline treatment for pediatric anxiety, yet many community-based practitioners do not implement CBT with high fidelity, which can detrimentally affect its clinical impact. The goal of this study is to develop and test an online platform to support community providers' effective use of CBT for pediatric anxiety.
Detailed Description
Stemming from implementation science and, specifically, the Theory of Planned Behavior, investigators are working alongside community stakeholders to develop a novel, online consultation platform. This platform, termed Internet-based Consultation or Networking (or i-CAN) will utilize a professional navigator (i.e., a provider with CBT expertise), online support and resources, and parallel peer consultation to create a user-friendly and supportive community for providers to get support as they implement CBT. Once finalized, the platform will be tested in the context of a preliminary randomized controlled trial (RCT) with approximately 100 mental healthcare providers who work with anxious children and adolescents. Providers who enroll will be randomly assigned to either the experimental condition (i-CAN) or the control condition (wait-list for i-CAN). The primary outcome of interest is change in intentions to use CBT.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: i-CAN 18 weeks of access to the online consulting platform |
Behavioral: i-CAN
online support and consultation to providers
|
No Intervention: waitlit control No offered support or consultation |
Outcome Measures
Primary Outcome Measures
- Reasoned Action Questionnaire [18 weeks]
questionnaire that assesses instrumental beliefs, perceived norms, and self-efficacy (all related to use of CBT)
Secondary Outcome Measures
- Evidence-based practice attitude scale [18 weeks]
questionnaire that assesses views toward CBT
Eligibility Criteria
Criteria
Inclusion Criteria:
-
provide direct mental healthcare to anxious youth
-
practice in general community within state of Alabama
-
agree to try i-CAN
Exclusion Criteria:
- None
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University of Alabama, Tuscaloosa
Investigators
- Principal Investigator: Susan W White, PhD, UA
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- A22-0473