2005 — 2009 |
Southam-Gerow, Michael A |
K23Activity Code Description: To provide support for the career development of investigators who have made a commitment of focus their research endeavors on patient-oriented research. This mechanism provides support for a 3 year minimum up to 5 year period of supervised study and research for clinically trained professionals who have the potential to develop into productive, clinical investigators. |
Adaptation of Evidence-Based Child Therapy in Context @ Virginia Commonwealth University
DESCRIPTION (provided by applicant): The ultimate goal of this Mentored Career Development Award (K23) is to provide the applicant with the training and experience necessary to develop an independent program of research focused on adapting evidence-based child treatment (EBTs) programs for use in community practice settings. The application focuses on adapting a treatment program for children with internalizing disorders by addressing client symptom and provider-related factors. The award will provide for in-depth training that will expand the applicant's expertise in outcome research and treatment development in several specific ways. First, he will be trained in treatment approaches that address externalizing comorbidity. In addition, he will receive training in methodologies to identify and assess provider, agency, and system factors that will facilitate the adaptation of evidence-based treatment program. Furthermore, he will receive training in advanced statistical and methodological topics that will facilitate his future research. Finally, he will receive training in the ethical conduct of research. The research plan has two phases: Early Adaptation/Safety and Feasibility Pilot. The Early Adaptation/Safety phase involves (a) focus groups with stakeholders to provide possible ways of adapting EBTs to better fit the clients, providers, and agency and (b) eight single-case design studies piloting the preliminary version of the adapted treatment. The Feasibility Pilot phase involves (a) a small pilot trial (n=58) comparing the adapted EBT to usual care in the clinic and (b) post-project focus groups with agency stakeholders to assess perceptions of the research process and to identify ways of further adapting the treatment program. Data from the projects will be used as pilot data for an RO1 application to NIMH to test the adapted treatment in a larger comparative design.
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2010 — 2014 |
Mcleod, Bryce Douglas (co-PI) [⬀] Southam-Gerow, Michael A |
R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
Development and Validation of Child Therapy Integrity Measures @ Virginia Commonwealth University
DESCRIPTION (provided by applicant): The ultimate objective of the proposed study is to further develop a set of measures capable of assessing the integrity of cognitive-behavioral treatments (CBT) for anxiety in youths. Despite the success of CBT for child anxiety in controlled trials, measurement gaps in the field limit efforts to (a) refine and optimize the effectiveness of CBT, and (b) evaluate the success of CBT clinician training efforts. Indeed, there is a paucity of evidence-based measurement strategies to assess the integrity of efforts to implement CBT programs for child anxiety and none that incorporate the three dimensions of integrity. The proposed study addresses this significant methodological gap through the further development and validation of a set of observational measures designed to assess the key components of treatment integrity-treatment adherence, therapist competence, and treatment differentiation-concerning CBT for youths with anxiety. The project will accomplish two primary aims: (a) Establish reliability (interrater reliability, internal consistency, generalizability) and validity (convergent, discriminant) for the treatment integrity measures;and (b) Provide evidence linking data from these measures to (i) child outcomes, and (ii) therapy input variables (e.g., client, therapist characteristics). Recorded therapy sessions from three randomized clinical trials (RCTs;efficacy and 2 effectiveness trials) evaluating CBT for youth with primary anxiety disorders will be used to accomplish these aims. The research project progresses through three phases. In Phase I, the psychometric properties of the treatment integrity measures will be assessed using recorded therapy sessions of CBT for anxiety in youths from one efficacy and one effectiveness trial. The psychometric data provided in Phase I will be used to refine the measures during Phase II. The measures will then be used in Phase III to code archived therapy sessions of CBT for anxiety in youths from an effectiveness study. The resulting data will be used to investigate key questions of theoretical and practical interest, with an eye toward optimizing the effectiveness and efficiency of CBT, including: (a) Exploring the relations among treatment adherence, competence, differentiation, and outcomes in CBT for anxiety in youth;and (b) Identify sources of variation in the integrity of CBT for anxiety in youth. The proposed study is the first to examine the relation between the three integrity components (treatment adherence, competence, differentiation) and clinical outcomes in CBT for children with anxiety disorders. Moreover, the measures produced by the proposed study may be used as a gold standard against which to validate parent- and therapist report measures of integrity.
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