Program of Excellence in Practice and Dissemination of Motivational Interviewing

动机访谈实践和传播卓越计划

基本信息

批准号：
8310240
负责人：
JULIE A SCHUMACHER
金额：
$ 3.02万
依托单位：
UNIVERSITY OF MISSISSIPPI MED CTR
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：
2008-09-15 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8310240
关键词：
Adherence Adoption Alcohols Behavior Therapy Behavioral Clinical Psychology Clinical Services Collaborations Communities Dedications Development Disease Educational Curriculum Educational process of instructing Educational workshop Evaluation Evidence based practice Faculty Feedback Fellowship Program Fostering Health Personnel Individual Inferior Internships Mental Health Mississippi Modeling Online Systems Outcome Patients Philosophy Population Postdoctoral Fellow Productivity Professional Organizations Program Development Provider Psychology Quality of Care Research Research Personnel Review Literature Sampling Services Staging Substance Use Disorder Supervision Surveys System Therapeutic Intervention Training Training Programs Update Ursidae Family Work addiction base career community based service design effectiveness trial efficacy trial evidence base graduate student interest motivational enhancement therapy patient population post-doctoral training pre-doctoral programs skills substance abuse treatment

项目摘要

Dissemination of evidence-based behavioral treatments remains a major challenge for researchers, professional organizations, and federal and state agencies. Research oriented doctoral training programs, internship programs, and postdoctoral fellowship programs in clinical psychology typically provide training and supervision in evidence based behavioral practices sufficient to enable trainees to attain competency in these practices. Unfortunately, faculty in these programs, including our own psychology internship and postdoctoral training program, tend to emphasize research productivity above clinical service provision and tend to attract trainees who are interested in pursuing careers in teaching or research rather than service provision. As a result, although graduates of these programs are competent to provide evidence based practice, very few will devote significant if any effort to direct service provision during their professional careers. The current project focuses on the development and evaluation of a curriculum designed to foster broader dissemination of Motivational Interviewing (MI), an evidence-based practice for alcohol and other substance use disorders, by providing training to pre-doctoral interns and postdoctoral fellows in clinical psychology in both the practice and dissemination of this approach. The aims of this project are: 1) to develop a curriculum to train advanced graduate students and postdoctoral fellows in clinical psychology to competently practice and then disseminate MI for Alcohol and Other Substance Use Disorders to community-based substance abuse treatment providers, and 2) to foster ongoing dissemination of MI in the state of Mississippi and beyond, by a) fully integrating the curriculum into the training program, b) instilling a desire for further dissemination work in trainees, and c) disseminating the curriculum as a model for training. The curriculum will be developed and implemented iteratively over five years using a strategy modeled on the Curriculum Research Framework, a stage model of evidence-based educational curriculum development. In the first year of the proposed project a variety of strategies including a literature review, a web-based survey of MI trainers, a solicitation of sample curricula, syllabi, and workshop agendas, and solicitation of feedback from community providers will be employed to inform the preliminary drafts of the curriculum. At the end of Year 1, a small-scale implementation of the curriculum and preliminary evaluation will be conducted. In Years 2-4, the curriculum will be updated at the beginning of each year followed by full implementation and evaluation of the curriculum. Full implementation includes didactic and supervised practicum training for interns and postdoctoral fellows in MI followed by didactic and supervised practicum training in providing an MI workshop to community providers and supervising their MI practice. In year 5, the curriculum will be disseminated to other clinical psychology training programs. The curriculum developed and disseminated through this project is anticipated to foster greater adoption of evidence based practices. Sluggish dissemination of evidence based behavioral treatments for alcohol and other substance use disorders compromises the quality of care available to patients in many treatment settings. The curriculum proposed in the current project is intended to foster greater collaboration between research-oriented clinical psychology programs, which typically provide thorough training and supervision in evidenced based behavioral treatments, and community providers, who treat the vast majority of patients requiring these treatments, by incorporating training in dissemination and actual dissemination activities into clinical psychology training programs.

对于研究人员来说，基于证据的行为治疗的传播仍然是一个主要挑战专业组织以及联邦和州机构。以研究为导向的博士培训计划，临床心理学的实习计划和博士后奖学金计划通常提供培训和基于证据的行为实践的监督足以使学员能够获得这些能力实践。不幸的是，这些计划的教师，包括我们自己的心理学实习和博士后培训计划倾向于强调研究生产力以外的临床服务提供，并且倾向于吸引有兴趣从事教学或研究而不是服务提供的学员。作为结果，尽管这些计划的毕业生有能力提供基于证据的实践，但很少有在他们的职业生涯期间竭尽全力指导服务提供。当前项目专注于旨在促进更广泛传播的课程的开发和评估动机访谈（MI），一种基于循证的酒精和其他物质使用障碍的实践，在实践和传播这种方法。该项目的目的是：1）开发课程以培训高级临床心理学中的研究生和博士后研究员可以胜任地练习然后进行传播用于酒精的MI和其他物质使用障碍，用于基于社区的药物滥用治疗提供者， 2）通过a）充分整合密西西比州及其他地区的MI的持续传播课程进入培训计划，b）灌输对学员进一步传播工作的渴望，c）将课程传播为培训模型。课程将开发和实施使用在课程研究框架上模拟的策略进行迭代五年，这是一个舞台模型基于证据的教育课程发展。在拟议项目的第一年中包括文献综述，包括基于网络的MI培训师的调查，包括样本课程的策略，教学大纲和研讨会议程，以及对社区提供者的反馈征集将被雇用告知课程的初步草案。在第1年底，小规模实施将进行课程和初步评估。在2 - 4年中，课程将在每年开始，然后全面实施和评估课程。完全实施包括针对实习生和Mi的博士后研究员的教学和监督实践培训教学和监督的实践培训，为社区提供者和监督他们的MI实践。在第五年，课程将被传播到其他临床心理学培训程序。通过该项目开发和传播的课程预计将促进更大的采用基于证据的实践。对酒精和其他基于证据的行为治疗的传播缓慢药物使用障碍损害了许多患者可用的护理质量治疗环境。当前项目中提出的课程旨在促进更大的面向研究的临床心理学计划之间的合作，该计划通常提供对基于证据的行为治疗和社区进行的彻底培训和监督提供者通过合并来治疗绝大多数需要这些治疗的患者在临床心理学培训中进行传播和实际传播活动的培训程序。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Guidance for New Motivational Interviewing Trainers When Training Addiction Professionals: Findings from a Survey of Experienced Trainers.

新动机访谈培训师在培训成瘾专业人员时的指南：对经验丰富的培训师的调查结果。

DOI：
10.5195/mitrip.2012.7
发表时间：
2012
期刊：
Motivational interviewing : training, research, implementation, practice
影响因子：
0
作者：
Schumacher,JulieA;Coffey,ScottF;Walitzer,KimberlyS;Burke,RandyS;Williams,DanielC;Norquist,Grayson;Elkin,TDavid
通讯作者：
Elkin,TDavid

Practice and Dissemination of Motivational Interviewing: A Psychology Internship Curriculum.