Training Clinicians in Empirically Based Family Therapy

对临床医生进行经验性家庭治疗培训

• 批准号: 7125192
• 负责人: Howard Arthur Liddle
• 金额: $ 36.98万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7125192
• 关键词: DVD /CD ROM; adolescence (12-20); behavioral /social science research tag; clinical research; community mental health services; drug abuse therapy; education evaluation /planning; educational resource design /development; family therapy; handbook; health care personnel education; human subject; human therapy evaluation; interactive multimedia; outcomes research; patient oriented research; questionnaires; substance abuse related behavior; training; workshop

DESCRIPTION (provided by applicant): Emerging technology transfer research in drug abuse treatment and related fields suggests that the adoption of empirically supported treatments in community programs may be greatly facilitated with the creation of more innovative, multidimensional training systems that address the many barriers to learning that have been noted in practice settings. This proposed 4-year study, submitted in response to NIDA RFA DA-03-005, aims to develop a theory-based, multicomponent community therapist training system (CTTS) that will teach and foster competence among community drug treatment providers in the application of MDFT, a manualized, empirically-supported therapy designed for drug abusing adolescents. The proposed study will pilot test the feasibility, acceptability and impact of the CTTS in changing provider practices and client outcomes. An innovative aspect of the project is the plan to use new technologies (CD-ROM and PDA) to supplement existing training methods in order to facilitate the learning, mastery, and continued use of the manualized treatment following training. A total of 40 community therapists and 10 program directors from 10 drug abuse treatment sites, as well as 140 adolescent clients and their parents, will constitute the study sample. Using an interrupted time series design, with multiple measures pre- and post-training, we will examine changes in therapist practice patterns and client outcomes over time, in relation to training by means of the CTTS. The study has 4 aims: 1) Develop a theory-based, manual-guided training system (CTTS) with 4 basic components (workshop, treatment manual, case consultation reviews, and multimedia technology tools) for teaching community clinicians an empirically-supported family-based adolescent drug abuse therapy (MDFT); 2) Experimentally investigate therapists' satisfaction with the CTTS and its effectiveness in changing providers' practices in line with MDFT protocols; 3) Examine predictors of training outcome; and 4) Examine the impact of MDFT training on adolescent drug use and associated behavioral outcomes. In Phase I (Start-up: 6 months and Baseline: 12 months), we propose to develop the training system, conduct a pre-pilot test of the training modules and collect baseline data on clinicians' practice patterns and case outcomes. The experimental training intervention (CTTS) will be implemented with community providers in Phase 2 (Training: 6 months). We will evaluate the feasibility and acceptability of the CTTS with therapists and program directors during the Training phase and into Phase 3 (Implementation: 12 months). In the Implementation phase, training will end and providers' practices and their case outcomes will continue to be tracked to evaluate the impact of training effects after MDFT experts withdraw. During the final phase of the study (.Phase 4:12 months), investigators will analyze study results and revise the CTTS accordingly. The study has potential to reduce the research-practice gap by creating a transferable and effective training system that can be used in community agencies with existing resources to train front line providers in an effective family-based treatment for drug abusing adolescents.

描述(由申请人提供)： 药物滥用治疗和相关领域的新兴技术转让研究表明，通过创建更具创新性的多维培训系统，可以极大地促进在社区项目中采用经验性支持的治疗方法，以解决在实践环境中已经注意到的许多学习障碍。这项针对NIDA RFA DA-03-005提交的为期4年的拟议研究旨在开发一个以理论为基础的多成分社区治疗师培训系统(CTTS)，该系统将在社区药物治疗提供者中教授和培养应用MDFT的能力，MDFT是一种为滥用药物的青少年设计的手册和经验支持的疗法。拟议的研究将试行测试CTTS在改变提供者做法和客户结果方面的可行性、可接受性和影响。该项目的一个创新方面是计划使用新技术(光盘和个人数字助理)来补充现有的培训方法，以促进学习、掌握和继续使用培训后的手工治疗。来自10个药物滥用治疗站点的40名社区治疗师和10名项目主任，以及140名青少年客户及其父母将构成研究样本。使用中断的时间序列设计，在培训前和培训后进行多项测量，我们将检查与CTTS培训相关的治疗师实践模式和客户结果随时间的变化。这项研究有4个目标：1)开发一个以理论为基础的、手动指导的培训系统(CTTS)，包括4个基本组成部分(研讨会、治疗手册、病例咨询回顾和多媒体技术工具)，用于向社区临床医生传授基于经验支持的家庭青少年药物滥用疗法(MDFT)；2)实验调查治疗师对CTTS的满意度及其根据MDFT协议改变提供者做法的有效性；3)检查培训结果的预测因素；以及4)研究MDFT培训对青少年药物使用和相关行为结果的影响。在第一阶段(启动：6个月和基线：12个月)，我们建议开发培训系统，对培训模块进行试点前测试，并收集关于临床医生执业模式和病例结果的基线数据。试验性培训干预(CTTS)将在第二阶段(培训：6个月)与社区提供者一起实施。我们将在培训阶段和第三阶段(实施：12个月)与治疗师和项目主管一起评估CTTS的可行性和可接受性。在实施阶段，培训将结束，将继续跟踪提供者的做法及其案例结果，以评估MDFT专家退出后培训效果的影响。在研究的最后阶段(阶段4：12个月)，调查人员将分析研究结果并相应修订CTTS。这项研究有可能缩小研究与实践之间的差距，因为它建立了一个可转移的有效培训系统，可用于现有资源的社区机构，以培训一线提供者有效地以家庭为基础治疗滥用药物的青少年。