Web Based Therapist Training on Cognitive Behavior Therapy for Anxiety Disorders

基于网络的治疗师焦虑症认知行为治疗培训

基本信息

批准号：
8250996
负责人：
Kenneth A Kobak
金额：
$ 39.63万
依托单位：
CENTER FOR PSYCHOLOGICAL CONSULTATION
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-01 至 2014-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8250996
关键词：
Address Adherence Anxiety Anxiety Disorders Behavior Behavior Therapy Blinded Clinical Clinical Skills Cognitive Therapy Competence Complex Continuing Education Data Discipline Disease Effectiveness Ethics Evaluation Feedback Generalized Anxiety Disorder Goals Health Professional Healthcare Impairment Interview Knowledge Learning Life Marketing Measures Mental Health Mental disorders Methods National Institute of Mental Health Obsessive-Compulsive Disorder Online Systems Panic Disorder Patients Phase Post-Traumatic Stress Disorders Prevalence Productivity Public Health Recruitment Activity Reporting Research Science Services Stress Techniques Technology Testing Text Time Training Training Programs Universities Videoconferences Videoconferencing Wisconsin base blind clinical practice cognitive training cohort design disability economic cost effective intervention effective therapy evidence base follow-up improved meetings mortality new technology productivity loss prototype satisfaction skills social therapeutic development tool user-friendly

项目摘要

DESCRIPTION (provided by APPLICANT): The need for evidence-based mental health treatments i.e., 'treatment based on the best available science or research evidence' 1, has been stressed from scientific, ethical, and marketing perspectives3. While empirical evidence supports both the efficacy and effectiveness of cognitive behavior therapy (CBT) for anxiety disorders4-8, the demand for clinicians trained in these approaches far exceeds the supply. For example, in spite of empirical data supporting the efficacy of these approaches for anxiety disorders, only 11 percent of treated anxiety disorder patients received behavior therapy as their treatment, and only 16 percent of treated patients received cognitive therapy 9. This compares with 40 percent of treated patients receiving dynamic therapy, which has less empirical support for its efficacy in anxiety disorders. A major reason for this is the lack of trained cognitive behavior therapists 10. New technologies provide the opportunity to both facilitate accessibility to this specialized training by mental health professionals and to improve the quality of this training. Recent research has found that training clinicians using these new web-based technologies is highly effective, can significantly improve skills, and has significant advantages over traditional training programs11,12. These tools could be integrated into an applied academic practicum, as well as utilized by clinicians in the field through continuing education. The long term goal of this project is to increase the number of available mental health professionals trained in cognitive behavior therapy for anxiety disorders by developing a set of web-based training tools enabling the widespread dissemination of this training. In Phase I we developed a prototype on- line tutorial covering some core CBT principles and a Social Anxiety Disorder module. We also tested the feasibility of live remote training through videoconferencing. User satisfaction with both the on-line tutorial and the videoconference training was extremely high. Trainees' knowledge of CBT concepts improved significantly pre-to-post tutorial. No technical difficulties were reported with either the tutorial or the videoconference training. In Phase II we will expand the tutorial prototype to include a comprehensive review of CBT principles and techniques and expand modules to include the full spectrum of anxiety disorders (i.e., Obsessive Compulsive Disorder, Panic Disorder, Generalized Anxiety Disorder, Posttraumatic Stress Disorder and Social Anxiety Disorder). We will also evaluate the efficacy of live remote training in improving clinical skills. A cohort of 5 clinicians from diverse educational and professional backgrounds will be recruited. Improvement in trainees' conceptual knowledge will be evaluated pre and post tutorial, and improvement in trainees' clinical skills in applying the CBT concepts will be evaluated by blind ratings of clinicl adherence and competence before and after videoconference training. User satisfaction with both the on-line tutorial and the videoconference training will also be evaluated. PUBLIC HEALTH RELEVANCE: Anxiety disorders are a major public health concern, having a profound impact on functioning, causing significant disability, loss of productivity and suffering. Effective treatments exist for these disorders, but few clinicians are trained in these methods. This project attempts to remedy this shortcoming by using web-based tools to facilitate access to this training, thus increasing the number of available therapists in order to help meet this unmet need.

描述（由申请人提供）：对基于证据的心理健康治疗的需求，即“基于最佳科学或研究证据的治疗” 1，从科学，伦理和营销的角度强调3。尽管经验证据支持认知行为疗法（CBT）对焦虑症的疗效和有效性4-8，但对这些方法培训的临床医生的需求远远超过了供应。例如，尽管有经验数据支持这些方法对焦虑症的功效，但只有11％的焦虑症患者接受了行为疗法作为治疗，而只有16％的治疗患者接受了认知疗法9。与40％的治疗患者相比，接受动态治疗的患者接受了焦虑症的经验疗效较少。造成这种情况的主要原因是缺乏训练有素的认知行为治疗师10。新技术为既促进了精神卫生专业人员的专业培训的可访问性，又为提高培训的质量提供了可访问性。最近的研究发现，使用这些新的基于Web的技术的培训临床医生非常有效，可以显着提高技能，并且比传统培训计划具有显着优势11,12。这些工具可以整合到应用学术实践中，并通过继续教育在现场的临床医生使用。该项目的长期目标是通过开发一套基于网络的培训工具来增加接受焦虑症认知行为疗法的可用心理健康专业人员的数量，从而实现了这种培训的广泛传播。在第一阶段，我们开发了一个原型在线教程，涵盖了一些核心CBT原理和社交焦虑症模块。我们还通过视频会议测试了实时远程培训的可行性。用户对在线教程和视频会议培训的满意度非常高。受训者对CBT概念的了解可显着提高前至第一个教程。教程或视频会议培训均未报告任何技术困难。在第二阶段，我们将扩展教程原型，包括对CBT原则和技术的全面综述，并扩展模块，包括全部焦虑症（即强迫症，恐慌症，普遍焦虑症，后部性应激障碍和社会焦虑症）。我们还将评估实时培训在提高临床技能方面的功效。将招募来自来自不同教育和专业背景的5位临床医生的队列。教程和后教程将评估受训者的概念知识的改善，并通过盲目的诊所依从性和视频会议培训之前和之后的诊所依从性和能力来评估学员在应用CBT概念方面的临床技能的提高。还将评估对在线教程和视频会议培训的用户满意度。公共卫生相关性：焦虑症是一个主要的公共卫生问题，对功能产生深远的影响，造成严重的残疾，生产力丧失和痛苦。这些疾病存在有效的治疗方法，但是很少有临床医生接受这些方法的培训。该项目试图通过使用基于Web的工具来促进该培训的访问来弥补这一缺点，从而增加了可用的治疗师的数量，以帮助满足这种未满足的需求。