Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-30T23:13:33.348Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  25 July 2013

Alison Salloum ,
Erika A. Crawford ,
Adam B. Lewin  and
Eric A. Storch
Alison Salloum*
Affiliation:
University of South Florida, Tampa, Florida, USA
Erika A. Crawford
Affiliation:
University of South Florida, Tampa, Florida, USA
Adam B. Lewin
Affiliation:
University of South Florida, Tampa, Florida, USA
Eric A. Storch
Affiliation:
University of South Florida, Tampa, Florida, USA
*
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: [email protected]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Implementationcomputer-assisted treatmentcognitive behavioral therapychildhood anxietyevidence-based practice
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 1 , January 2015 , pp. 31 - 41
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

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, 990–993.Google Scholar
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, 583–616.Google Scholar
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.Google Scholar
Creswell, J. W. (1998). Qualitative Inquiry and Research Design: choosing among five traditions. Thousand Oaks, CA: Sage Publications.Google Scholar
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, 1–9.CrossRefGoogle Scholar
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 Google Scholar
Guy, W. (1976). Clinical global impressions. ECDEU Assessment Manual for Psychopharmacology (rev.) (pp. 218–222). Rockville, MD: National Institute of Mental Health.Google Scholar
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, 1051–1062.Google Scholar
Kendall, P. (1994). Treating anxiety disorders in youth: results of randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–110.Google Scholar
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, 58–66.Google Scholar
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, 737–745.Google Scholar
Khanna, M. S. and Kendall, P. C. (2008). Computer assisted CBT for child anxiety: the Coping Cat CD Rom. Cognitive and Behavioral Practice, 15, 159–165.Google Scholar
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, 136–150.Google Scholar
Moustakas, C. (1994). Phenomenology and the Social Sciences. Evanston, IL: Northwestern University Press.Google Scholar
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, 299–314.Google Scholar
Padgett, D. (1998). Qualitative Methods in Social Work Research: challenges and rewards. Thousand Oaks, CA: Sage Publications.Google Scholar
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 Google Scholar
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, 614–621.Google Scholar
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, 411–430.Google Scholar
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, 100–109.Google Scholar
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, 353–364.Google Scholar
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, 261–270.Google Scholar
Submit a response

Comments

No Comments have been published for this article.