Internet-based Coping Skills Workbook for PTSD

基于互联网的 PTSD 应对技巧手册

• 批准号: 6992647
• 负责人: KELLY M CARPENTER
• 金额: $ 48.45万
• 依托单位: TALARIA, INC.
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-01 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6992647
• 关键词: Internet; behavioral /social science research tag; clinical research; clinical trials; computer assisted instruction; coping; education evaluation /planning; educational resource design /development; human subject; human therapy evaluation; interactive multimedia; mental health education; patient oriented research; posttraumatic stress disorder; self help; trauma

DESCRIPTION (provided by applicant): Exposure to trauma is common in the US. A significant proportion of these exposures leads to serious impairment in functioning, including posttraumatic stress disorder (PTSD). Although there are empirically-supported treatments (EST's) for PTSD, many individuals do not get the treatment they need. This grant proposes to use the Internet to deliver a coping skills workbook for PTSD patients as a supplement to face-to-face treatment (Strategic Personal Resources for Overcoming and Understanding Trauma: SPROUT). Technology enables this workbook to be highly interactive with a multimedia presentation format (e.g., audio, animation, and interactive exercises) and customized feedback. SPROUT will teach coping skills gathered from EST's and will include training in symptom identification, relaxation skills, mindfulness, affect identification and regulation, and cognitive restructuring. Each module will include psychoeducation, on-line exercises, self-monitoring assignments, and individualized feedback. An accompanying clinician website will consist of individualized reports of each patient's progress with suggestions about how to facilitate the strengthening and generalization of the skills. In Phase I, two pilot modules were completed (Introduction to PTSD and Basic Relaxation Skills) as well as the content for a third module (Advanced Relaxation). A successful feasibility study was conducted wherein the two pilot modules were used and evaluated by 30 PTSD patients. These participants gave the modules very high ratings. Phase E will complete the ten workbook modules as well as patient and companion clinician websites (including discussion board options for patients). A randomized clinical trial of 128 PTSD patients will be conducted on the completed product using six private practice clinicians as research therapists. SPROUT is expected to reduce PTSD symptoms, increase symptom management self-efficacy, and increase patient satisfaction.

描述（由申请人提供）：暴露于创伤在美国很常见。这些接触中有很大一部分导致严重的功能障碍，包括创伤后应激障碍。虽然有创伤后应激障碍的辅助治疗（EST），但许多人没有得到他们需要的治疗。该补助金建议使用互联网为PTSD患者提供应对技能手册，作为面对面治疗的补充（克服和理解创伤的战略个人资源：SPROUT）。技术使得该工作簿能够与多媒体呈现格式（例如，音频、动画和交互式练习）和定制反馈。SPROUT将教授从EST中收集的应对技能，包括症状识别、放松技能、正念、情感识别和调节以及认知重建方面的培训。每个模块将包括心理教育，在线练习，自我监控任务，和个性化的反馈。一个附带的临床医生网站将包括每个病人的进展与建议，如何促进加强和推广的技能个性化的报告。在第一阶段，完成了两个试点模块（介绍创伤后应激障碍和基本放松技巧）以及第三个模块（高级放松）的内容。一个成功的可行性研究进行，其中两个试点模块使用和评估的30名创伤后应激障碍患者。这些参与者对这些单元给予了很高的评价。阶段E将完成10个工作手册模块以及患者和陪伴临床医生网站（包括患者的讨论板选项）。将对128名创伤后应激障碍患者进行随机临床试验，使用6名私人执业临床医生作为研究治疗师。SPROUT有望减少PTSD症状，提高症状管理自我效能，并提高患者满意度。