Training Clinicians in Empirically Based Family Therapy

对临床医生进行经验性家庭治疗培训

• 批准号: 7125192
• 负责人: Howard Arthur Liddle
• 金额: $ 36.98万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7125192
• 关键词: DVD /CD ROM; adolescence (12-20); behavioral /social science research tag; clinical research; community mental health services; drug abuse therapy; education evaluation /planning; educational resource design /development; family therapy; handbook; health care personnel education; human subject; human therapy evaluation; interactive multimedia; outcomes research; patient oriented research; questionnaires; substance abuse related behavior; training; workshop

DESCRIPTION (provided by applicant): Emerging technology transfer research in drug abuse treatment and related fields suggests that the adoption of empirically supported treatments in community programs may be greatly facilitated with the creation of more innovative, multidimensional training systems that address the many barriers to learning that have been noted in practice settings. This proposed 4-year study, submitted in response to NIDA RFA DA-03-005, aims to develop a theory-based, multicomponent community therapist training system (CTTS) that will teach and foster competence among community drug treatment providers in the application of MDFT, a manualized, empirically-supported therapy designed for drug abusing adolescents. The proposed study will pilot test the feasibility, acceptability and impact of the CTTS in changing provider practices and client outcomes. An innovative aspect of the project is the plan to use new technologies (CD-ROM and PDA) to supplement existing training methods in order to facilitate the learning, mastery, and continued use of the manualized treatment following training. A total of 40 community therapists and 10 program directors from 10 drug abuse treatment sites, as well as 140 adolescent clients and their parents, will constitute the study sample. Using an interrupted time series design, with multiple measures pre- and post-training, we will examine changes in therapist practice patterns and client outcomes over time, in relation to training by means of the CTTS. The study has 4 aims: 1) Develop a theory-based, manual-guided training system (CTTS) with 4 basic components (workshop, treatment manual, case consultation reviews, and multimedia technology tools) for teaching community clinicians an empirically-supported family-based adolescent drug abuse therapy (MDFT); 2) Experimentally investigate therapists' satisfaction with the CTTS and its effectiveness in changing providers' practices in line with MDFT protocols; 3) Examine predictors of training outcome; and 4) Examine the impact of MDFT training on adolescent drug use and associated behavioral outcomes. In Phase I (Start-up: 6 months and Baseline: 12 months), we propose to develop the training system, conduct a pre-pilot test of the training modules and collect baseline data on clinicians' practice patterns and case outcomes. The experimental training intervention (CTTS) will be implemented with community providers in Phase 2 (Training: 6 months). We will evaluate the feasibility and acceptability of the CTTS with therapists and program directors during the Training phase and into Phase 3 (Implementation: 12 months). In the Implementation phase, training will end and providers' practices and their case outcomes will continue to be tracked to evaluate the impact of training effects after MDFT experts withdraw. During the final phase of the study (.Phase 4:12 months), investigators will analyze study results and revise the CTTS accordingly. The study has potential to reduce the research-practice gap by creating a transferable and effective training system that can be used in community agencies with existing resources to train front line providers in an effective family-based treatment for drug abusing adolescents.

描述（由申请人提供）： 新兴的技术转移研究中的药物滥用治疗和相关领域的研究表明，通过创建更具创新性的多维培训系统，可以极大地促进社区计划中经验支持的治疗方法，以解决在实践环境中已指出的许多学习障碍。这项针对NIDA RFA DA-03-005提出的这项为期4年的研究旨在开发一种基于理论的，多组分的社区治疗师培训系统（CTTS），该系统将教授和促进社区药物治疗提供者之间在MDFT的应用中的能力，这是一种手动化的，经验化的，凭经验培训的治疗疗法，为药物侵犯毒品侵害了毒品。拟议的研究将试行测试CTT在改变提供商实践和客户结果方面的可行性，可接受性和影响。该项目的一个创新方面是使用新技术（CD-ROM和PDA）来补充现有的培训方法，以促进培​​训后的学习，掌握，并继续使用手动治疗。来自10个药物滥用治疗地点的40名社区治疗师和10名计划主管以及140名青少年客户及其父母将构成研究样本。使用中断的时间序列设计，并采用多种措施进行培训前后，我们将随着时间的流逝研究治疗师练习模式和客户结果的变化，与CTTS有关培训。该研究的目的是：1）开发一种基于理论的，手动指导的培训系统（CTTS），其中有4个基本组件（研讨会，治疗手册，案例咨询评论和多媒体技术工具），用于教授社区临床医生一位经验上支持家庭基于家庭的青少年药物滥用治疗（MDFT）； 2）实验研究治疗师对CTT的满意度及其在更改提供商实践方面的有效性，该实践符合MDFT方案； 3）检查训练结果的预测因素； 4）检查MDFT培训对青少年药物使用和相关行为结果的影响。在第一阶段（初创企业：6个月和基线：12个月）中，我们建议开发训练系统，对训练模块进行训练前测试，并收集有关临床医生实践模式和病例结果的基线数据。实验培训干预措施（CTTS）将在第2阶段（培训：6个月）的社区提供者中实施。我们将在培训阶段和第3阶段（实施：12个月）中评估CTT与治疗师和计划主管的可行性和可接受性。在实施阶段，培训将结束，提供者的做法及其案例结果将继续进行跟踪，以评估MDFT专家退出后培训效果的影响。在研究的最后阶段（第4:12个月），研究人员将相应地分析研究结果并进行修改。这项研究有可能通过创建可转移有效的培训系统来减少研究实践差距，该系统可用于具有现有资源的社区机构，以在有效的基于家庭的滥用毒品滥用青少年的家庭治疗中培训前线提供商。