Computer Based Training in DBT Behavioral Analysis

描述(由申请人提供)：传播循证疗法仍然是药物滥用治疗中的一个高度优先事项。许多障碍限制了在常规社区环境中获得这些有效治疗的机会，包括缺乏基本问题解决策略的基本培训。物质使用障碍(SUD)与边缘性人格障碍(BPD)并存，构成严重而复杂的公共卫生问题。辩证行为疗法(DBT)是治疗药物依赖者BPD的一种有效的心理社会治疗方法。与包括复发预防在内的其他认知行为疗法一样，DBT需要广泛使用包括行为分析在内的解决问题的策略。 我们建议开发和评估一个创新的基于计算机的培训计划，供药物治疗提供者学习行为分析(BA)，行为分析是DBT和其他行为疗法中最重要和最基本的解决问题的技能之一。第一阶段的原型将包括一个基于案例的场景，以促进学习。将采用反复开发原型的过程，最终用户的反馈将推动原型的修改，以确保其可用性和提供者的接受性。还将使用由DBT和药物滥用治疗专家组成的咨询委员会，以确保原型在科学上是合理的，并保持对治疗手册的忠诚度。将通过焦点小组和咨询委员会获得反馈。一旦原型的可用性和可接受性达到，我们将进行一项随机对照试点测试(N=40)，以评估在BA应用知识和开展BA的自我效能方面的收获。

DESCRIPTION (provided by applicant): Dissemination of evidence-based therapies remains a high priority in the treatment of substance abuse. A number of barriers limit accessibility to these effective therapies in routine community settings, including lack of basic training in fundamental problem-solving strategies. Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical Behavior Therapy (DBT) is an efficacious psychosocial treatment for drug dependent individuals with BPD. Like other cognitive-behavioral therapies including relapse prevention, DBT requires extensive use of problem-solving strategies, including behavioral analysis. We propose to develop and evaluate an innovative computer-based training program for use by drug treatment providers to learn behavioral analysis (BA), one of the most important and fundamental problem-solving skills in DBT and other behavioral therapies. The Phase I prototype will include one case-based scenario to facilitate learning. An iterative process of prototype development will be used where end-user feedback will drive prototype modifications to ensure its usability and acceptability to providers. An advisory board of DBT and substance abuse treatment experts will also be used to ensure that the prototype is scientifically sound and that fidelity to the treatment manual is retained. Feedback will be obtained using focus groups and from the advisory board. Once prototype usability and acceptability is achieved, we will conduct a randomized controlled pilot test (N=40) to evaluate gains in knowledge of BA application and self-efficacy in conducting a BA.