Computer-Based Training in DBT Validation Strategies

基于计算机的 DBT 验证策略培训

• 批准号: 7194253
• 负责人: LINDA A DIMEFF
• 金额: $ 24.28万
• 依托单位: BEHAVIORAL TECH RESEARCH, INC.
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-06-01 至 2009-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7194253
• 关键词: Address; Adherence; Behavior Therapy; Borderline Personality Disorder; Budgets; Businesses; Client; Clinical; Code; Cognitive; Complex; Computers; Controlled Study; Data; Depth; Development; Dialectical behavior therapy; Educational Curriculum; Educational process of instructing; Ensure; Evaluation; Experimental Designs; Feedback; Frequencies; Goals; Health Personnel; Hour; Individual; Interview; Job Application; Journals; Knowledge; Learning; Light; Manuals; Methods; Names; National Institute of Drug Abuse; Needs Assessment; Numbers; Outcome; Paper; Patients; Peer Review; Performance; Pharmaceutical Preparations; Phase; Procedures; Process; Public Health; Randomized; Randomized Controlled Trials; Reaction; Reporting; Research; Research Design; Role playing therapy; Sampling; Science; Self Efficacy; Senior Scientist; Shapes; Source; Standards of Weights and Measures; Statistically Significant; Substance Use Disorder; Surveys; Testing; Text; Therapeutic; Training; Validation; Week; Work; base; case-based; clinical application; day; design; drug addict; follow-up; innovation; instructor; interest; performance tests; pilot trial; programs; prototype; psychosocial; satisfaction; skills; substance abuser; success; symposium; trial comparing; usability

DESCRIPTION (provided by applicant): Dissemination of evidence-based therapies remains a high priority at NIDA. A number of barriers limit accessibility to evidence-based therapies in routine clinical settings. Substance use disorders (SUDs) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical Behavior Therapy for Substance Abusers (DBT-SUD) is a comprehensive psychosocial treatment, efficacious for substance-dependent individuals with BPD. In Phase I, we developed and evaluated an innovative computer-based training (CBT) prototype highlighting DBT-SUD Validation strategies for drug treatment providers using an iterative process of prototype development. Validation strategies are among the core treatment strategies used in DBT-SUD. We tested the prototype's efficacy in a randomized controlled trial (RCT) comparing the DBT-SUD CBT (n = 12) to a control CBT (n = 12) in a sample of treatment providers from routine drug treatment settings. Results demonstrated that the DBT-SUD CBT was efficacious at producing knowledge gains, recall of course strategies, increased self-efficacy in treating drug-addicted BPD patients, and use of skills in therapeutic settings in subsequent weeks. We propose to significantly expand this course content and its evaluation in Phase II. We will again use an iterative process of development, relying on extensive end-user testing and feedback from a panel of scientific advisors and DBT-SUD experts. Upon completion, we will begin a RCT (n = 120) to 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 assessing clinical application of skills for Phase II. In the clinical application test, subjects will take part in a role-play scenario where they will act as DBT-SUD therapist, and a research assistant will act as a fictional 'client'. These role-plays will be video-taped and coded for adherence.

描述（由申请人提供）：基于证据的疗法的传播仍然是NIDA的重点。许多障碍限制了常规临床环境中基于证据的疗法的可及性。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。药物滥用者（DBT-SUD）的辩证行为疗法是一种全面的社会心理治疗，对依赖BPD的物质依赖性个体有效。 在第一阶段，我们开发并评估了一种创新的基于计算机的培训（CBT）的原型，该原型强调了使用原型开发的迭代过程为药物治疗提供商的DBT-SUD验证策略。验证策略是DBT-SUD中使用的核心治疗策略之一。我们在一项随机对照试验（RCT）中测试了该原型的功效，该试验将DBT-SUD CBT（n = 12）与对照CBT（n = 12）进行了比较，从常规药物治疗环境中的治疗提供者样本中。结果表明，DBT-SUD CBT在产生知识增长，回忆策略，在治疗药物吸引的BPD患者方面的自我效能增强以及随后几周内治疗环境中的技能有效。我们建议在II阶段显着扩展此课程内容及其评估。我们将再次依靠一组科学顾问和DBT-SUD专家小组的大量最终用户测试以及反馈。完成后，我们将开始一个RCT（n = 120），将CBT（n = 40）与其他“标准”训练方法进行比较，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，我们还将包括基于性能的测试，评估II期技能的临床应用。在临床应用测试中，受试者将参加角色扮演的情况，在那里他们将担任DBT-SUD治疗师，研究助理将充当虚构的“客户”。这些角色扮演将是视频框架的，并编码以依从性。