Computer-Based Training in Behavioral Activation Treatment for Depressed Adults

描述（由申请人提供）：这是小企业技术转移研究（STTR）的第一阶段拨款申请，旨在支持一个创新的在线培训项目的发展，以帮助传播行为激活疗法，一种治疗抑郁症（BA）的方法。目前的申请代表了PI和同事之间的合作伙伴关系，他们与同事一起开发和评估了BA的疗效，而小型企业行为技术研究公司则致力于传播有效的心理社会治疗方法。BA是一种基于证据的治疗重度抑郁症的方法，它可能具有特殊的可移植性优势。拟议的在线培训计划将极大地帮助社区临床医生和临床学生利用这一循证实践的重要培训。具体来说，第一阶段提案的初始目标是：1)利用BA专家顾问委员会确定原型的内容；2)使用开发和评估的迭代过程创建原型；3)采用随机对照试验进行可行性试点研究（n=30），评估在对重度抑郁症患者进行前两次治疗时，BA知识的增加、BA成分的回忆以及自我效能感的提高。如果第一阶段的可行性测试成功，我们将在第二阶段大幅扩展多媒体计划及其评估。重度抑郁症是一种普遍的、使人衰弱的疾病，尽管存在有效的治疗方法，但大多数人没有得到或没有得到充分的治疗。增加这种治疗方法的可用性需要广泛提供有效的培训材料，以促进执业临床医生使用这种方法。行为激活（BA）是一种基于证据的抑郁症治疗方法，可能具有重要的可移植性优势；该项目旨在开发创新的互动在线文学学士培训，以增加以证据为基础的实践的传播，并改善成人抑郁症患者的临床结果。

DESCRIPTION (provided by applicant): This is a Phase I Small Business Technology Transfer Research (STTR) grant application to support the development of an innovative, online training program to aid in the dissemination of Behavioral Activation, a therapy for depression (BA). The current application represents a cooperative partnership between the PI, who with colleagues, developed and evaluated the efficacy of BA, and the small business, Behavioral Tech Research, Inc., a company dedicated to disseminating effective psychosocial treatments. BA is an evidence-based practice for major depressive disorder, which may have particular transportability advantages. The proposed online training program will substantially aid in the vital training of both community clinicians and clinical students the utilization of this evidence-based practice. Specifically, the initial aims of this Phase I proposal are to: 1) Determine content for the prototype utilizing an advisory board of BA experts; 2) Create the prototype using an iterative process of development and evaluation; and, 3) Conduct a feasibility pilot study (n=30) using a randomized controlled trial to evaluate gains in knowledge of BA, recall of BA components, and self-efficacy in conducting the initial two sessions with patients with major depression. In the event of a successful Phase I test of feasibility, we will substantially expand the multimedia program and its evaluation in Phase II. Major depression is a pervasive and debilitating disorder, for which the majority of individuals receive no or inadequate treatment, despite the fact that efficacious treatments exist. Increasing the availability of such treatments requires widely available and effective training materials that will facilitate the utilization of such approaches by practicing clinicians. Behavioral activation (BA) is an evidence-based practice for depression that may have important transportability advantages; this project aims to develop innovative interactive online training in BA, in order to increase dissemination of evidence-based practices and improve clinical outcomes for adults suffering from depression.