Computer Based Training in DBT Behavioral Analysis

基于计算机的 DBT 行为分析培训

• 批准号: 6648267
• 负责人: LINDA A DIMEFF
• 金额: $ 11.63万
• 依托单位: BEHAVIORAL TECH, LLC
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-04-10 至 2003-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6648267
• 关键词: clinical research; cognitive behavior therapy; computer assisted instruction; computer program /software; curriculum; drug abuse therapy; educational resource design /development; health care personnel education; human subject; interactive multimedia; interview; social psychology

DESCRIPTION (provided by applicant): Dissemination of evidence-based therapies remains a high priority in the treatment of substance abuse. A number of barriers limit accessibility to these effective therapies in routine community settings, including lack of basic training in fundamental problem-solving strategies. Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical Behavior Therapy (DBT) is an efficacious psychosocial treatment for drug dependent individuals with BPD. Like other cognitive-behavioral therapies including relapse prevention, DBT requires extensive use of problem-solving strategies, including behavioral analysis. We propose to develop and evaluate an innovative computer-based training program for use by drug treatment providers to learn behavioral analysis (BA), one of the most important and fundamental problem-solving skills in DBT and other behavioral therapies. The Phase I prototype will include one case-based scenario to facilitate learning. An iterative process of prototype development will be used where end-user feedback will drive prototype modifications to ensure its usability and acceptability to providers. An advisory board of DBT and substance abuse treatment experts will also be used to ensure that the prototype is scientifically sound and that fidelity to the treatment manual is retained. Feedback will be obtained using focus groups and from the advisory board. Once prototype usability and acceptability is achieved, we will conduct a randomized controlled pilot test (N=40) to evaluate gains in knowledge of BA application and self-efficacy in conducting a BA.

描述（由申请人提供）：基于证据的疗法的传播仍然是治疗药物滥用的重点。许多障碍限制了对常规社区环境中这些有效疗法的可及性，包括缺乏基本问题解决策略的基本培训。与边界人格障碍（BPD）共同出现的药物使用障碍（SUD）构成了严重而复杂的公共健康问题。辩证行为疗法（DBT）是针对BPD的药物依赖人的有效心理治疗。像其他认知行为疗法（包括预防复发的疗法）一样，DBT需要广泛使用解决问题的策略，包括行为分析。 我们建议开发和评估一项基于计算机的创新培训计划，用于使用药物治疗提供者学习行为分析（BA），这是DBT和其他行为疗法中最重要，最基本的解决问题的技能之一。第一阶段的原型将包括一个基于案例的方案，以促进学习。最终用户反馈将驱动原型修改以确保其可用性和对提供商的可接受性，将使用原型开发的迭代过程。 DBT和药物滥用治疗专家的顾问委员会还将用于确保原型在科学上是合理的，并且保留了对治疗手册的保真度。反馈将使用焦点小组和顾问委员会获得。一旦实现了原型的可用性和可接受性，我们将进行随机对照试验测试（n = 40），以评估进行BA应用的知识和进行BA的自我效能感。