Computer Based Training in DBT-S Behavioral Analysis

骄傲。 物质使用障碍（SUD）与边缘型人格障碍（BPD）并存， 和复杂的公共卫生问题。物质滥用者的辩证行为疗法（DBT-S） 全面的心理社会治疗，对物质依赖者有效， 边缘型人格障碍 在第一阶段，我们开发并评估了一个创新的基于计算机的培训（CBT）原型， DBT-S行为链分析（BCA），用于药物治疗提供者，使用迭代过程， 原型开发我们在一项随机对照试验（RCT）中测试了原型的有效性 在来自常规治疗提供者的样本中比较DBT-S CBT（n=12）与对照CBT（n=13） 药物治疗计划。结果表明，DBT-S CBT在生产中是有效的。 戒毒者的知识获得、课程策略回忆、自我效能感提高 BPD患者，并在随后的几周内促进技能的使用。我们建议大幅扩大 第二阶段的课程内容及其评价。我们将再次使用一个迭代过程， 开发，依赖于广泛的最终用户测试以及来自科学和技术小组的反馈， DBT专家完成后，我们将开始RCT评价（N=120），比较 CBT（n=40）与其他标准培训方法，特别是导师主导的培训（n=40）和文本 （n=40）。除了第一阶段评估的结果变量外，我们还将包括一个性能- 基于临床应用的测试，其中角色扮演将被录像并编码以确保遵守。

PROIDED. Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical BehaviorTherapy for SubstanceAbusers (DBT-S)is a comprehensive psychosocial treatment, efficacious for substance-dependent individuals with borderline personality disorder (BPD). In Phase I, we developed and evaluated an innovative computer-based training (CBT) prototype of DBT-S Behavioral Chain Analysis (BCA) for drug treatment providers using an iterative process of prototype development. We tested the prototype's efficacy in a pilot randomized controlled trial (RCT) comparing DBT-S CBT (n=12) to control CBT (n=13) in a sample of treatment providers from routine drug treatment program. Results demonstrated the DBT-S CBT was efficacious at producing knowledge gains, recall of course strategies,increased self-efficacy among treatingdrug-addicted BPD patients, and promoting skill use in the subsequent weeks. We propose to significantly expand the course content and its evaluation in Phase II. We will again use an iterative process of development, relying on extensive end-user testing as well as feedbackfrom a panel of scientific and DBT experts. Upon completion, we will begin a RCT evaluation (N=120) where we will compare the CBT (n=40) to other standard training methods, specifically instructor-led training (n=40) and text (n=40). In addition to the outcome variables assessed in Phase I, we will include a performance- based test of clinical application where role-plays will be video taped and coded for adherence.