Computer Based Training in DBT-S Behavioral Analysis

基于计算机的 DBT-S 行为分析培训

• 批准号: 6934062
• 负责人: LINDA A DIMEFF
• 金额: $ 49.23万
• 依托单位: BEHAVIORAL TECH RESEARCH, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6934062
• 关键词: behavioral /social science research tag; clinical research; cognitive behavior therapy; computer assisted instruction; curriculum; drug abuse; education evaluation /planning; educational resource design /development; health care personnel education; human subject; interview; longitudinal human study; personality disorders; problem solving; training

DESCRIPTION (provided by applicant): Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical Behavior Therapy for Substance Abusers (DBT-S) is a comprehensive psychosocial treatment, efficacious for substance-dependent individuals with borderline personality disorder (BPD). In Phase I, we developed and evaluated an innovative computer-based training (CBT) prototype of DBT-S Behavioral Chain Analysis (BCA) for drug treatment providers using an iterative process of prototype development. We tested the prototype's efficacy in a pilot randomized controlled trial (RCT) comparing DBT-S CBT (n=12) to control CBT (n=13) in a sample of treatment providers from routine drug treatment program. Results demonstrated the DBT-S CBT was efficacious at producing knowledge gains, recall of course strategies, increased self-efficacy among treating drug-addicted BPD patients, and promoting skill use in the subsequent weeks. We propose to significantly expand the course content and its evaluation in Phase II. We will again use an iterative process of development, relying on extensive end-user testing as well as feedback from a panel of scientific and DBT experts. Upon completion, we will begin a RCT evaluation (N=120) where we will compare the CBT (n=40) to other standard training methods, specifically instructor-led training (n=40) and text (n=40). In addition to the outcome variables assessed in Phase I, we will include a performance-based test of clinical application where role-plays will be video taped and coded for adherence.

描述（由申请人提供）：物质使用障碍（SUD）与边缘人格障碍（BPD）共同出现，构成了严重而复杂的公共健康问题。药物滥用者（DBT-S）的辩证行为疗法是一种全面的社会心理治疗，对依赖物质人格障碍（BPD）的物质依赖性个体有效。 在第一阶段，我们使用原型开发的迭代过程开发并评估了DBT-S行为链分析（BCA）的创新基于计算机的培训（CBT）原型。我们在一个比较DBT-S CBT（n = 12）的试验随机对照试验（RCT）中测试了原型的功效，并在常规药物治疗计划中的治疗提供者样本中控制了CBT（n = 13）。结果表明，DBT-S CBT在产生知识增长，回忆策略，提高治疗药物吸引的BPD患者的自我效能以及在随后几周内促进技能使用方面有效。我们建议在第二阶段显着扩展课程内容及其评估。我们将再次使用迭代的开发过程，依靠广泛的最终用户测试以及科学和DBT专家小组的反馈。完成后，我们将开始进行RCT评估（n = 120），在该评估中，我们将将CBT（n = 40）与其他标准培训方法进行比较，特别是讲师主导的培训（n = 40）和文本（n = 40）。除了在第一阶段评估的结果变量外，我们还将包括基于绩效的临床应用测试，其中将在其中录制并编码依从性。