Case Simulation Methods for Teaching Empirically-Validated Behavioral Treatments

用于教学经经验验证的行为治疗的案例模拟方法

基本信息

批准号：
8332323
负责人：
DAVID A SBARRA
金额：
$ 2.99万
依托单位：
UNIVERSITY OF ARIZONA
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-30 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8332323
关键词：
Adult Aftercare Alcohol abuse Anxiety Disorders Arizona Behavior Behavior Therapy Behavioral Benchmarking Client Clinic Clinical Clinical Psychology Clinical Sciences Clinical Trials Cognitive Therapy Complement Correlation Studies Development Dimensions Disease Drug Formulations Educational Curriculum Educational process of instructing Evaluation Exercise Faculty Family Family psychotherapy Feedback Goals Health Benefit Housing Instruction Intercept Jordan Learning Life Literature Manuals Measurement Measures Medical Medical Education Mental Depression Methodology Methods National Institute of Drug Abuse Nursing Faculty Outcome Patients Perception Performance Procedures Psyche structure Psychologist Psychology Public Health Publishing Reporting Research Role Science Scientist Series Sleep Disorders Staging Students Suggestion Supervision System Teaching Method Testing Time Training Treatment outcome Universities Video Recording Work Writing abstracting adolescent drug abuse base community setting design experience foot graduate student improved instructor member motivational enhancement therapy parental alcoholism programs prototype simulation skills tool

项目摘要

Project Summary/Abstract This proposal aims to develop and evaluate case-simulation methods for training therapists to provide empirically-validated behavioral treatments (EVBTs). Building on Arizona's existing clinical-science curriculum and lessons learned from therapist training in clinical trials, we will use case-simulation exercises to augment the teaching of three EVBTs relevant to our three- course practicum sequence: (a) cognitive and behavioral therapy for adult depression (CBT practicum), (b) family therapy for adolescent drug abuse (family therapy practicum), and (c) motivational interviewing for adult alcohol abuse (MI practicum). Each of these EVBTs fits well with the training objectives of the corresponding practicum, where graduate students work with actual patients in our in-house Psychology Department Clinic. The simulation exercises also will help more advanced students acquire skills in training and supervising front-line (masters level) EVBT clinicians. For each EVBT (and practicum) we will develop two case-simulation modules, each with conceptual-skill (case formulation) and behavioral-skill (treatment implementation) components. The case-formulation components will entail responding to written case vignettes and build on a methodology Shoham and Rohrbaugh use to study therapist development in their current NIDA R01 project. For behavioral-skill components we will then adapt a methodology widely used in medical education, wherein trainees respond to specific vignette-related scenarios enacted by standardized patients. The two case modules for each EVBT will be graded in difficulty, with the first presenting a fairly straight-forward clinical situation and the second a more complicated one (e.g. depression with a co-occurring sleep disorder). Each module also will include fidelity scales for rating both conceptual and behavioral skills, and our team will draw on relevant manuals and published literature in constructing these. Other specific aims are to evaluate the utility of case-simulation methodology as an EVBT- training tool and to develop relevant training materials suitable for dissemination. In addition to soliciting students' qualitative and quantitative feedback, we will attempt to validate the simulation methodology by tracking changes in therapist skills and correlating these changes with client outcomes. Finally, using standardized outcome measurements for Clinic patients should provide a basis for comparison with benchmarks from clinical trials. Project Narrative Although scientifically-valid behavioral treatments for mental and substance-use exist, there are not enough well-trained therapists to apply them. This project will develop and test a case-simulation approach to teaching three of these treatments (cognitive- behavioral therapy for depression, family therapy for adolescent drug abuse, and motivational interviewing for alcohol problems) in a science-based clinical psychology doctoral program. The proposed simulation methods will provide cutting-edge training experiences that clinical scientists can export to practitioners in community settings, yielding tangible public-health benefits.

项目摘要/摘要该建议旨在开发和评估培训治疗师的病例模拟方法提供经验验证的行为治疗（EVBT）。基于亚利桑那州的现有临床科学课程和从临床试验中的治疗师培训中学到的经验教训，我们将用例消除练习，以增加与我们的三个相关的三个EVBT的教学课程实践序列：（a）成人抑郁症的认知和行为疗法（CBT 实践），（b）青少年药物滥用（家庭疗法实践）的家庭疗法和（c）成人酗酒的动机访谈（MI实践）。这些EVBT中的每一个都非常适合通过相应实践的培训目标，研究生与我们内部心理学系诊所的实际患者。模拟练习也将帮助更多高级学生获得培训和监督一线培训的技能（硕士级别） EVBT临床医生。对于每个EVBT（和实践），我们将开发两个情况模拟模块，每个模块概念技能（案例制定）和行为技能（治疗实施）组成部分。案例制定组件将需要对书面案例小插曲做出响应，并在方法论Shoham和Rohrbaugh用于研究当前NIDA的治疗师的发展 R01项目。对于行为技能组件，我们将适应广泛使用的方法医学教育，学员对特定的小插图相关方案做出反应标准化患者。每个EVBT的两个情况模块将在困难中分级，首先提出相当简单的临床情况，第二种情况更复杂（例如，患有同时发生睡眠障碍的抑郁症）。每个模块还将包括保真度评估概念和行为技能的尺度，我们的团队将借鉴相关手册和出版的文献构建这些文献。其他具体目的是评估案例模拟方法作为EVBT-的实用性培训工具并开发适合传播的相关培训材料。此外征求学生的定性和定量反馈，我们将尝试验证通过跟踪治疗师技能的变化并关联这些变化来模拟方法论与客户结果。最后，使用临床患者的标准化结果测量应为与临床试验的基准进行比较提供基础。项目叙述尽管存在针对精神和物质使用的科学性val行为治疗，但没有足够的训练有素的治疗师来应用它们。这个项目将开发并测试一种案例模拟方法来教授其中三种治疗方法（认知 - 抑郁症的行为疗法，青少年药物滥用的家庭疗法和在基于科学的临床心理学中，对酒精问题的动机访谈博士课程。提出的仿真方法将提供最先进的培训临床科学家可以在社区环境中向从业人员出口的经验，产生切实的公共卫生益处。