Dissemination of empirically-supported psychotherapies

传播有经验支持的心理疗法

• 批准号: 6757678
• 负责人: Joan M Cook
• 金额: $ 16.53万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-09 至 2005-08-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6757678
• 关键词: attitude; clinical research; human subject; human therapy evaluation; patient oriented research; peer group; posttraumatic stress disorder; preference; psychotherapy; questionnaires; trauma

DESCRIPTION (provided by applicant): The applicant is requesting five years of funding through the Mentored Research Scientist Development Award (K01) program to enhance her methodological and substantive skills for dissemination and implementation (DI) research concerning empirically-supported treatments (ESTs) in the community practice of psychotherapy, in particular treatments for Post-Traumatic Stress Disorder (PTSD). The ultimate goal is to have expertise to offer empirically-supported recommendations on how to overcome the barriers to achieving effective treatments in the community and to apply such protocols in large scale services effectiveness research. One focus is on understanding means of influencing clinician/patient treatment attitudes and preferences (marketing) with an equal concentration on re-designing the intervention and the strategies to implement them to fit the needs and preferences of clinicians/patients (cultural sensitivity). The applicant's strong background of research and clinical training in clinical psychopathology and its treatments provide an excellent foundation for this work. The University of Pennsylvania as well as a national Expert Advisory Panel offer an outstanding research environment to help the applicant accomplish the proposed training goals, including obtaining enhanced skills in qualitative research techniques and information technology such as product design and marketing. The research plan for this award is divided into three studies which complement the proposed sequences of educational activities and propose activities aimed at developing the applicant's ability to test and refine models of practitioner, client and system characteristics that affect the DI of ESTs. In the first study, an in-depth case study will be conducted concerning the apparent successful DI of an innovative and extremely popular psychotherapy in a Veteran's Administration (VA) setting, despite controversies about its empirical status. The second will involve a mixed-methods study on practitioners' attitudes and intentions to change practice, their perceived attributes of ESTs and their peer-network influences. The third is a small mixed-method study assessing trauma patients' treatment preferences. These studies will provide a preliminary test of two theoretical models of dissemination and guide the development of an R01 field experiment aimed at promoting implementation of ESTs for trauma survivors, sketched out in final section of this K01.

申请人要求通过指导研究科学家发展奖（K 01）计划提供五年的资金，以提高她在传播和实施（DI）研究方面的方法和实质性技能，这些研究涉及社区心理治疗实践中的精神支持治疗（EST），特别是创伤后应激障碍（PTSD）的治疗。 最终目标是拥有专业知识，就如何克服社区实现有效治疗的障碍提供医学支持的建议，并将此类协议应用于大规模服务有效性研究。 一个重点是了解影响临床医生/患者治疗态度和偏好（营销）的手段，同时重新设计干预措施和实施策略，以适应临床医生/患者的需求和偏好（文化敏感性）。 申请人在临床精神病理学及其治疗方面的强大研究和临床培训背景为这项工作提供了良好的基础。 宾夕法尼亚大学以及国家专家咨询小组提供了一个出色的研究环境，以帮助申请人实现拟议的培训目标，包括获得增强的定性研究技术和信息技术技能，如产品设计和营销。 该奖项的研究计划分为三项研究，补充了拟议的教育活动序列，并提出了旨在发展申请人的能力，以测试和完善影响无害环境技术的直接投资的从业者，客户和系统特征的模型的活动。 在第一项研究中，将进行深入的案例研究，关于一个创新的和非常流行的心理治疗在退伍军人管理局（VA）设置明显成功的DI，尽管其经验地位的争议。 第二部分将采用混合方法研究实践者改变实践的态度和意图、他们对无害环境技术的感知属性以及他们的同行网络影响。 第三个是评估创伤患者治疗偏好的小型混合方法研究。 这些研究将提供一个初步的测试传播的两个理论模型，并指导R 01现场实验的发展，旨在促进实施ESTs的创伤幸存者，在本K 01的最后一节概述。