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Principal Investigator: Denise A. Chavira
Funding: National Institute of Mental Health (06/06-05/11)
This primary goal of this K01 is to better understand factors
that affect care for children with anxiety disorders in pediatric
settings. The proposed projects will examine child and parent
factors that affect service engagement for children with anxiety
disorders and will adapt and pilot test an evidence based
intervention for child anxiety in the pediatric primary care
setting. A secondary goal of these studies will be to identify
factors that affect service engagement for Latino families
with anxious children.
The research plan relies on a mixed-method approach including
qualitative and quantitative strategies. The following studies
will be conducted:
1. Qualitative interviews will be conducted with 30 parents
of anxious youth with met and unmet treatment need. Latinos
families will be oversampled in order to examine culture specific
perceptions of anxiety and barriers to treatment.
2. A quantitative study with 150 families of children with
anxiety disorders will also be used to identify predisposing,
enabling, and need characteristics that influence service
engagement. Latino families will be oversampled.
3. Equipped with parent perspectives about barriers to care,
an evidence based child anxiety treatment will be adapted
to include service engagement strategies and to be feasible
in the primary care setting.
a. Data regarding functional and symptom improvement, treatment
acceptability, initial uptake and adherence will be collected
and used to design and parameterize a larger effectiveness
trial for child anxiety disorders in primary care.
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