DBT Skills Computer Training for Routine CMH Providers

描述（由申请人提供）：辩证行为疗法（DBT）是一种对边缘型人格障碍（BPD）有效的综合心理社会治疗方法。在第一阶段，我们利用原型开发的迭代过程，开发并评估了一种创新的基于计算机的培训（CBT）原型，用于心理健康提供者的DBT技能子集，并在一项随机对照试验（RCT）中测试了该原型的有效性。第一阶段的所有目标都达到并超过了目标。在RCT中，在所有主要结果变量上，包括技能知识获得，回忆技能的能力，以及自我效能感和治疗BPD患者的动机，都观察到统计学上显著的结果。在第二阶段，我们建议扩展DBT技能CBT课程，包括两个额外的模块-正念和情绪调节。我们将再次使用从专家和最终用户那里寻求反馈的迭代开发过程。我们建议进行一项随机对照试验（N=75），比较三组：DBT CBT组、类似的基于文本的课程（指导性自学）组和CBT对照组。主要结果变量包括DBT技能知识、回忆、自我效能、治疗BPD患者的动机，以及两项临床应用测量：基于绩效的评估和临床应用测试。此外，我们建议进行为期3个月的随访，以评估技能的使用和保留情况。

DESCRIPTION (provided by applicant): Dialectical Behavior Therapy (DBT) is a comprehensive psychosocial treatment that is efficacious for borderline personality disorder (BPD). In Phase I, we developed and evaluated an innovative computer-based training (CBT) prototype of a subset of DBT skills for mental health providers using an iterative process of prototype development, and tested the prototype's efficacy in a pilot randomized controlled trial (RCT). All Phase I aims were met and exceeded. In the RCT, statistically significant results favoring DBT were observed on all major outcome variables, including skills knowledge gains, ability to recall skills, as well as self-efficacy and motivation to treat BPD clients. In Phase II, we propose to expand the DBT skills CBT curricula to include two additional modules - mindfulness and emotion regulation. We will again use an iterative process of development seeking feedback from experts and end-users. We propose to conduct a RCT (N=75) comparing three groups: the DBT CBT, a comparable text-based curriculum (Guided Self-Study), and a CBT control. Major outcome variables will include DBT skills knowledge, recall, self-efficacy, motivation to treat BPD clients, as well as two clinical application measures: a performance-based assessment and a clinical application test. In addition, we propose a 3-month follow-up period to assess skills use and retention over time.