Enhancing Online Training in an Evidence-Based Treatment for Adolescent Panic Disorder: A Randomized Controlled Trial

Jill Ehrenreich-May, Linda A. Dimeff, Eric A. Woodcock, Alexander H. Queen, Tim Kelly, Ignacio S. Contreras, Brian Rash, Angela Kelley-Brimer, Jenny Hauschildt, Sankirtana Mundlapudi Danner, Sarah M. Kennedy, David H. Barlow

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


This randomized controlled trial compared 3 modes of training clinicians in a youth-focused evidence-based treatment for panic disorder, using an additive design. Community practitioners (N = 140) were randomly assigned to one of three conditions: a standard text-alone training condition (TXT); an interactive, online training program plus the TXT (TXT + OLT); or the TXT + OLT enhanced by a learning community adjunct leveraging Twitter (TXT + OLT + LC). Mastery of Anxiety and Panic for Adolescents (MAP-A), an efficacious cognitive-behavioral therapy for adolescents with panic disorder, was taught in all three training conditions. Analyses revealed that participants were more satisfied with the TXT + OLT and TXT + OLT + LC training, compared to the TXT condition. Although all conditions demonstrated equivalent increases in knowledge of MAP-A, participants in the TXT + OLT + LC demonstrated greater proficiency using MAP-A skills in a simulated clinical scenario, compared to those in both the TXT + OLT and TXT conditions. However, this effect was no longer statistically significant at a 90-day follow-up. Results indicate initial promise for enhancing online training dissemination efforts with a novel learning community and Twitter adjunct in training clinicians in a youth-focused, efficacious cognitive-behavioral therapy. Directions for future research and dissemination efforts are discussed.

Original languageEnglish (US)
Pages (from-to)241-258
Number of pages18
JournalEvidence-Based Practice in Child and Adolescent Mental Health
Issue number4
StatePublished - 2016

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Pediatrics, Perinatology, and Child Health


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