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Consumers’ and Providers’ Perceptions of Utilizing a Computer-Assisted Cognitive Behavioral Therapy for Childhood Anxiety

  • Alison Salloum (a1), Erika A. Crawford (a1), Adam B. Lewin (a1) and Eric A. Storch (a1)
Abstract

Background: Computer-assisted cognitive behavioral therapy (CCBT) programs for childhood anxiety are being developed, although research about factors that contribute to implementation of CCBT in community mental health centers (CMHC) is limited. Aim: The purpose of this mixed-methods study was to explore consumers’ and providers’ perceptions of utilizing a CCBT for childhood anxiety in CMHC in an effort to identify factors that may impact implementation of CCBT in CMHC. Method: Focus groups and interviews occurred with 7 parents, 6 children, 3 therapists, 3 project coordinators and 3 administrators who had participated in CCBT for childhood anxiety. Surveys of treatment satisfaction and treatment barriers were administered to consumers. Results: Results suggest that both consumers and providers were highly receptive to participation in and implementation of CCBT in CMHC. Implementation themes included positive receptiveness, factors related to therapists, treatment components, applicability of treatment, treatment content, initial implementation challenges, resources, dedicated staff, support, outreach, opportunities with the CMHC, payment, and treatment availability. Conclusion: As studies continue to demonstrate the effectiveness of CCBT for childhood anxiety, research needs to continue to examine factors that contribute to the successful implementation of such treatments in CMHC.

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Corresponding author
Reprint requests to Alison Salloum, University of South Florida, School of Social Work, 13301 Bruce B. Downs Blvd., MHC 1400, Tampa, FL 33612-3870, USA. E-mail: asalloum@usf.edu
References
Hide All
Chorpita, B. F. and Regan, J. (2009). Dissemination of effective mental health treatment procedures: maximizing the return on a significant investment. Behaviour Research and Therapy, 47, 990993.
Collins, K. A., Westra, H. A., Dozois, D. J. and Burns, D. D. (2004). Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care. Clinical Psychology Review, 24, 583616.
Crawford, E. A., Salloum, A., Lewin, A. B., Andel, R., Murphy, T. K. and Storch, E. A. (in press). A pilot study of computer-assisted cognitive-behavioral therapy for childhood anxiety in community mental health centers. Journal of Cognitive Psychotherapy.
Creswell, J. W. (1998). Qualitative Inquiry and Research Design: choosing among five traditions. Thousand Oaks, CA: Sage Publications.
Cunningham, M. J., Rapee, R. M. and Lyneham, H. J. (2006). Feedback to a prototype self-help computer program for anxiety disorders in adolescents. Australian e-Journal for the Advancement of Mental Health, 5, 19.
Garland, A. F., Haine-Schlagel, R., Brookman-Frazee, L., Baker-Ericzen, M., Trask, E. and Fawley-King, K. (2012). Improving community-based mental health care for children: translating knowledge into action. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-012-0450-8
Guy, W. (1976). Clinical global impressions. ECDEU Assessment Manual for Psychopharmacology (rev.) (pp. 218222). Rockville, MD: National Institute of Mental Health.
Kazdin, A. E., Holland, L., Crowley, M. and Breton, S. (1997). Barriers to treatment participation scale: evaluation and validation in the context of child outpatient treatment. Journal of Child Psychology and Psychiatry, 38, 10511062.
Kendall, P. (1994). Treating anxiety disorders in youth: results of randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100110.
Kendall, P. C., Khanna, M. S., Edson, A., Cummings, C. and Harris, M. S. (2011). Computers and psychosocial treatment for child anxiety: recent advances and ongoing efforts. Depression and Anxiety, 28, 5866.
Khanna, M. S. and Kendall, P. C. (2010). Computer-assisted cognitive behavioral therapy for child anxiety: results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 78, 737745.
Khanna, M. S. and Kendall, P. C. (2008). Computer assisted CBT for child anxiety: the Coping Cat CD Rom. Cognitive and Behavioral Practice, 15, 159165.
Kendall, P. C., Robin, J. A., Hedtke, K. A., Suveg, C. and Flannery-Schroeder, E. (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice, 12, 136150.
Moustakas, C. (1994). Phenomenology and the Social Sciences. Evanston, IL: Northwestern University Press.
Nguyen, T. D., Attkisson, C. C. and Stegner, B. (1983). Assessment of patient satisfaction: development and refinement of a service evaluation questionnaire. Evaluation and Program Planning, 6, 299314.
Padgett, D. (1998). Qualitative Methods in Social Work Research: challenges and rewards. Thousand Oaks, CA: Sage Publications.
Southam-Gerow, M. A., Rodríguez, A., Chorpita, B. F. and Daleiden, E. L. (2012). Dissemination and implementation of evidence based treatments for youth: challenges and recommendations. Professional Psychology: Research and Practice. doi:10.1037/a0029101
Spence, S. H., Holmes, J., March, S. and Lipp, O. (2006). The feasibility and outcome of clinic plus internet delivery of cognitive-behavioural therapy for childhood anxiety. Journal of Consulting and Clinical Psychology, 74, 614621.
Spence, S. H., Donovan, C. L., March, S., Gamble, A., Anderson, R., Prosser, S., et al. (2008). Online CBT in the treatment of child and adolescent anxiety disorders: issues in the development of BRAVE–ONLINE and two case illustrations. Behavioural and Cognitive Psychotherapy, 36, 411430.
Stewart, R. E., Stirman, S. W. and Chambless, D. L. (2012). A qualitative investigation of practicing psychologists’ attitudes toward research-informed practice: implications for dissemination strategies. Professional Psychology, Research and Practice, 43, 100109.
Torrey, W. C., Bond, G. R., McHugo, G. J. and Swain, K. (2012). Evidence-based practice implementation in community mental health settings: the relative importance of key domains of implementation activity. Administration, Policy and Mental Health, 39, 353364.
Wuthrich, V. M., Rapee, R. M., Cunningham, M. J., Lyneham, H. J., Hudson, J. L. and Schniering, C. A. (2012). A randomized controlled trial of the Cool Teens CD-ROM computerized program for adolescent anxiety. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 261270.
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Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
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