Fundamentals of Interpersonal Therapy

描述(由申请人提供)：人际心理治疗(IPT)是抑郁症最彻底的心理社会治疗方法之一。然而，由于缺乏培训人员和教学材料，IPT的传播受到了阻碍。虽然有几本关于IPT的优秀教科书[10，24]，但没有其他标准化的教育材料或演示特定IPT技术的录像带。以计算机为基础的培训提供了提供这些材料和克服因缺乏因特网技术教育人员而造成的障碍的机会。该项目的主要目标是通过创建基于计算机的人际治疗基础培训课程，促进向治疗抑郁症患者的心理治疗师传播和实施IPT。我们将在原型开发的所有阶段使用一个迭代的开发过程，包括原型的设计、教学策略和示例，其中包括心理治疗师的反馈。我们将构建和评估一个原型，该原型教导治疗师进行IPT的初始会话，特别强调收集人际关系清单[10，24]。除了提供一种收集心理社会信息的形式外，人际关系问卷对于评估依恋风格和计划后续治疗也是至关重要的。这也是IPT中选择特定人际问题作为治疗重点的方法。人际关系量表也被选为这一试点项目，因为它是IPT所独有的，也是一种将IPT与其他治疗方法区分开来的特定技术。第一阶段的原型将包括一个基于案例的场景，以促进学习。编写教学材料和基于计算机的培训方案还将包括一些专家的意见，包括参与制定知识产权制度的顾问、知识产权制度修改研究和知识产权制度培训专家。我们预计，这一开发过程将产生一个原型和最终产品，将在治疗提供者中产生广泛的吸引力。在该产品可行性的第一阶段测试中，我们将分两个阶段确定可用性和可接受性：(1)由专家咨询小组的意见以及从一系列焦点小组收集的定性和定量数据组成的形成性评估；(2)随机控制的可行性试点测试。这项经验评估将确保该计划是用户友好的，并将提供支持培训有效性的初步数据。随着第一阶段的成功完成，我们将在第二阶段大幅扩展多媒体计划及其评估。第二阶段的扩展将包括所有剩余的关于将IPT应用于抑郁症患者治疗的内容。我们将加入更多以个案为基础的情景，以确保课程内容适用于患有各种亚型抑郁症(例如，围产期抑郁症、老年性抑郁症和与各种内科疾病相关的抑郁症)的广泛患者。

DESCRIPTION (provided by applicant): Interpersonal Psychotherapy (IPT) is 1 of the most thoroughly validated psychosocial treatments for depression. Dissemination of IPT, however, has been hindered by lack of trainers and didactic materials. Though several excellent textbooks regarding IPT are available [10, 24], there are no other standardized educational materials or videotapes demonstrating specific IPT techniques. Computer-based training offers the opportunity to provide these materials and to overcome the barrier presented by the lack of IPT educators. The primary goal of this project is to facilitate the dissemination and implementation of IPT to psychotherapists who treat depressed individuals by creating the Fundamentals of Interpersonal Therapy computer-based training course. We will use an iterative process of development involving feedback from psychotherapists throughout all stages of prototype development, including the prototype's design, instructional strategies, and examples. We will build and evaluate a prototype that teaches therapists to conduct an initial session of IPT with a particular emphasis on collecting an Interpersonal Inventory [10, 24]. In addition to providing a format for collecting psychosocial information, the Interpersonal Inventory is critical for assessing attachment style and for planning subsequent treatment. It is also the method in IPT by which specific interpersonal problems are chosen as foci for treatment. The Interpersonal Inventory has also been selected for this pilot project because it is unique to IPT and a specific technique which distinguishes IPT from other therapeutic approaches. The Phase I prototype will include 1 case-based scenario to facilitate learning. The development of the instructional materials and computer-based training programs will also include input from a number of experts, including consultants involved in the development of IPT, research in modifications of IPT, and experts in IPT training. We anticipate that this developmental process will result in a prototype and eventual product that will have broad appeal among treatment providers. In the Phase I test of this product's feasibility, we will determine usability and acceptability in 2 stages: (1) a formative evaluation consisting of input from an advisory panel of experts as well as qualitative and quantitative data gathered from a series of focus groups; and (2) a randomized controlled feasibility pilot test. This empirical evaluation will ensure that the program is user friendly, and will provide preliminary data supporting the effectiveness of the training. Following the successful completion of Phase I, we will substantially expand the multimedia program and its evaluation in Phase II. The Phase II expansion will include all remaining content regarding the application of IPT to the treatment of depressed individuals. We will include additional case-based scenarios to ensure generalization of course content across a wide range of patients with various subtypes of depression (e.g., perinatal depression, geriatric depression, and depression associated with various medical illnesses).