Training models for implementing evidence-based psychological treatment for college mental health: A cluster randomized trial study protocol.
Training models for implementing evidence-based psychological treatment for college mental health: A cluster randomized trial study protocol.
复制标题
为大学心理健康实施循证心理治疗的培训模型：集群随机试验研究方案。
DOI：
10.1016/j.cct.2018.07.002
复制
发表时间：
2018
影响因子：
2.2
通讯作者：
Agras,WStewart
中科院分区：
文献类型：
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作者：
Wilfley,DeniseE;Fitzsimmons-Craft,EllenE;Eichen,DawnM;VanBuren,DorothyJ;Welch,RRobinson;Robinson,AthenaH;Jo,Booil;Raghavan,Ramesh;Proctor,EnolaK;Wilson,GTerence;Agras,WStewart
精神障碍通常出现在青春期和青年期，这些疾病可能对学生的健康，社会功能和教育产生持久的影响。虽然已经为许多精神障碍建立了循证治疗，但很少有社区治疗师使用这种治疗方法。我们需要的是一个实际的，经济上可行的手段，培训临床医生实施循证治疗适合广泛使用。本随机分组试验将26所大学咨询中心随机分配到两种实施策略之一，培训咨询师使用人际心理治疗（IPT），一种基于证据的抑郁症和饮食障碍治疗方法：1）外部专家咨询模式，包括研讨会，治疗手册和专家随访咨询（n= 13）;或2）培训者培训模式，其中辅导中心的工作人员被辅导以培训其他工作人员实施IPT（n= 13）。主要结果是治疗师对IPT的依从性，次要结果是治疗师在IPT中的能力以及抑郁症和饮食失调的客户结果。治疗师和组织的特点将探讨作为潜在的主持人和调解人的实施结果。还将评估每种培训方法的执行费用。本研究涉及与大学咨询中心合作，以确定在这些环境中实施IPT治疗抑郁症和饮食失调的最有效方法。本研究的结果将告知未来的大规模传播的临床干预精神卫生服务提供者的培训方法的选择时，一个机构选择采用新的干预措施提供证据。
Mental disorders often emerge in adolescence and young adulthood, and these disorders can have lasting effects on students' health, social functioning, and education. Although evidence-based treatments have been established for many mental disorders, few community therapists use such treatments. What is needed is a practical, economically feasible means of training clinicians to implement evidence-based treatments suitable for widespread use. This cluster randomized trial will randomize 26 college counseling centers to one of two implementation strategies for training counselors to use interpersonal psychotherapy (IPT), an evidence-based treatment for depression and eating disorders: 1) an external expert consultation model comprising a workshop, therapy manual, and expert follow-up consultation (n= 13); or 2) a train-the-trainer model in which a staff member from the counseling center is coached to train other staff members to implement IPT (n= 13). The primary outcome is therapist adherence to IPT, with secondary outcomes of therapist competence in IPT and client outcomes for depression and eating disorders. Therapist and organizational characteristics will be explored as potential moderators and mediators of implementation outcomes. Implementation costs for each of the training methods will also be assessed. The present study involves partnering with college counseling centers to determine the most effective method to implement IPT for depression and eating disorders in these settings. The results of this study will inform future large-scale dissemination of clinical interventions to mental health service providers by providing evidence for the selection of training methods when an agency chooses to adopt new interventions.