The effect of caregiver opinion leaders to increase demand for evidence-based practices for youth anxiety: A cluster randomized controlled trial
Background Dissemination initiatives have the potential to increase consumer knowledge of and engagement with evidence-based treatments (e.g., cognitive behavioral therapy [CBT]). Opinion leaders (OLs) have been used in public health campaigns, but have not been examined for the dissemination of men...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-01-01
|
| Series: | Implementation Research and Practice |
| Online Access: | https://doi.org/10.1177/26334895241312406 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832584711195590656 |
|---|---|
| author | Margaret E. Crane Marc S. Atkins Sara J. Becker Jonathan Purtle Gillian C. Dysart Sydney Keller Olivia Brauer Sirina E. Tiwari Thomas M. Olino Lara Baez John Lestino Philip C. Kendall |
| author_facet | Margaret E. Crane Marc S. Atkins Sara J. Becker Jonathan Purtle Gillian C. Dysart Sydney Keller Olivia Brauer Sirina E. Tiwari Thomas M. Olino Lara Baez John Lestino Philip C. Kendall |
| author_sort | Margaret E. Crane |
| collection | DOAJ |
| description | Background Dissemination initiatives have the potential to increase consumer knowledge of and engagement with evidence-based treatments (e.g., cognitive behavioral therapy [CBT]). Opinion leaders (OLs) have been used in public health campaigns, but have not been examined for the dissemination of mental health treatments. This study uses the Theory of Planned Behavior to test the dissemination strategy of involving an OL in an educational presentation to increase caregiver demand for CBT for youth anxiety. Method Participants ( N = 262; 92% female; 69% White, 82% non-Hispanic) were caregivers who registered for a virtual presentation on youth anxiety treatment through their child's school. Schools within 1.5-hr drive of Philadelphia, PA were cluster-randomized ( k = 25; two-arm prospective randomization) to the OL condition (presented by a clinical researcher and local caregiver OL; n = 119 participants) or the researcher-only condition ( n = 143 participants). Presentations occurred from May 2021 to May 2022. Measures were completed pre- and post-presentation and at 3-month follow-up. Results Relative to the researcher co-presenter, participants rated the OL as significantly more relatable, familiar, similar, and understanding of their community, but less credible than the researcher co-presenter. In both conditions, there was a significant pre-post increase in participants’ knowledge of, attitudes about, subjective norms related to, and intention of seeking CBT for youth anxiety, but not stigma. Presentation conditions did not differ in change on these measures, or on rates of seeking youth anxiety CBT at follow-up. Conclusions Although involvement of a caregiver OL did not increase caregiver demand for evidence-based treatment for youth anxiety, the outreach presentation was associated with increases in knowledge of, attitudes about, subjective norms related to, and intention to seek CBT for youth anxiety. Involving OLs in researcher-delivered dissemination efforts may not be necessary for all consumer audiences, but may be beneficial for engendering a sense of relatability, similarity, and connection with disseminators. |
| format | Article |
| id | doaj-art-27a6e4b965dd4048833154eeef1a0a3f |
| institution | Kabale University |
| issn | 2633-4895 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Implementation Research and Practice |
| spelling | doaj-art-27a6e4b965dd4048833154eeef1a0a3f2025-01-27T12:03:22ZengSAGE PublishingImplementation Research and Practice2633-48952025-01-01610.1177/26334895241312406The effect of caregiver opinion leaders to increase demand for evidence-based practices for youth anxiety: A cluster randomized controlled trialMargaret E. Crane0Marc S. Atkins1Sara J. Becker2Jonathan Purtle3Gillian C. Dysart4Sydney Keller5Olivia Brauer6Sirina E. Tiwari7Thomas M. Olino8Lara Baez9John Lestino10Philip C. Kendall11 Department of Psychiatry and Human Behavior, , Providence, RI, USA Institute for Juvenile Research, Department of Psychiatry, , IL, USA Institute for Public Health and Medicine, , Chicago, IL, USA Department of Public Health Policy and Management, School of Global Public Health, New York, NY, USA Department of Psychology, , Philadelphia, PA, USA Department of Psychology, , Philadelphia, PA, USA Department of Psychology, , Philadelphia, PA, USA Department of Psychology, , Philadelphia, PA, USA Department of Psychology, , Philadelphia, PA, USA Center for Behavioral Intervention Technologies (CBITs), Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA Magowan Elementary School, Beverly, NJ, USA Department of Psychology, , Philadelphia, PA, USABackground Dissemination initiatives have the potential to increase consumer knowledge of and engagement with evidence-based treatments (e.g., cognitive behavioral therapy [CBT]). Opinion leaders (OLs) have been used in public health campaigns, but have not been examined for the dissemination of mental health treatments. This study uses the Theory of Planned Behavior to test the dissemination strategy of involving an OL in an educational presentation to increase caregiver demand for CBT for youth anxiety. Method Participants ( N = 262; 92% female; 69% White, 82% non-Hispanic) were caregivers who registered for a virtual presentation on youth anxiety treatment through their child's school. Schools within 1.5-hr drive of Philadelphia, PA were cluster-randomized ( k = 25; two-arm prospective randomization) to the OL condition (presented by a clinical researcher and local caregiver OL; n = 119 participants) or the researcher-only condition ( n = 143 participants). Presentations occurred from May 2021 to May 2022. Measures were completed pre- and post-presentation and at 3-month follow-up. Results Relative to the researcher co-presenter, participants rated the OL as significantly more relatable, familiar, similar, and understanding of their community, but less credible than the researcher co-presenter. In both conditions, there was a significant pre-post increase in participants’ knowledge of, attitudes about, subjective norms related to, and intention of seeking CBT for youth anxiety, but not stigma. Presentation conditions did not differ in change on these measures, or on rates of seeking youth anxiety CBT at follow-up. Conclusions Although involvement of a caregiver OL did not increase caregiver demand for evidence-based treatment for youth anxiety, the outreach presentation was associated with increases in knowledge of, attitudes about, subjective norms related to, and intention to seek CBT for youth anxiety. Involving OLs in researcher-delivered dissemination efforts may not be necessary for all consumer audiences, but may be beneficial for engendering a sense of relatability, similarity, and connection with disseminators.https://doi.org/10.1177/26334895241312406 |
| spellingShingle | Margaret E. Crane Marc S. Atkins Sara J. Becker Jonathan Purtle Gillian C. Dysart Sydney Keller Olivia Brauer Sirina E. Tiwari Thomas M. Olino Lara Baez John Lestino Philip C. Kendall The effect of caregiver opinion leaders to increase demand for evidence-based practices for youth anxiety: A cluster randomized controlled trial Implementation Research and Practice |
| title | The effect of caregiver opinion leaders to increase demand for evidence-based practices for youth anxiety: A cluster randomized controlled trial |
| title_full | The effect of caregiver opinion leaders to increase demand for evidence-based practices for youth anxiety: A cluster randomized controlled trial |
| title_fullStr | The effect of caregiver opinion leaders to increase demand for evidence-based practices for youth anxiety: A cluster randomized controlled trial |
| title_full_unstemmed | The effect of caregiver opinion leaders to increase demand for evidence-based practices for youth anxiety: A cluster randomized controlled trial |
| title_short | The effect of caregiver opinion leaders to increase demand for evidence-based practices for youth anxiety: A cluster randomized controlled trial |
| title_sort | effect of caregiver opinion leaders to increase demand for evidence based practices for youth anxiety a cluster randomized controlled trial |
| url | https://doi.org/10.1177/26334895241312406 |
| work_keys_str_mv | AT margaretecrane theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT marcsatkins theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT sarajbecker theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT jonathanpurtle theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT gilliancdysart theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT sydneykeller theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT oliviabrauer theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT sirinaetiwari theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT thomasmolino theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT larabaez theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT johnlestino theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT philipckendall theeffectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT margaretecrane effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT marcsatkins effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT sarajbecker effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT jonathanpurtle effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT gilliancdysart effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT sydneykeller effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT oliviabrauer effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT sirinaetiwari effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT thomasmolino effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT larabaez effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT johnlestino effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial AT philipckendall effectofcaregiveropinionleaderstoincreasedemandforevidencebasedpracticesforyouthanxietyaclusterrandomizedcontrolledtrial |