Skill Acquisition/Utilization During Treatment for Childhood Behavior Problems

描述(由申请人提供)：目前的提案旨在通过关注在治疗过程中学习的特定技能(父母管理技能和认知行为技能)的获得和利用，提高儿童破坏性行为障碍(对立违抗障碍和品行障碍)的循证心理社会治疗的应答率。目标1是利用基于绩效的评估和生态评估(电子日记)战略，制定评估治疗过程中技能获得和技能利用的措施和方法。目标2是评估技能获得和利用的确定性、相关性和后遗症。目标3是制定一项试点方案，通过使用互动卫生技术，加强对儿童破坏性行为障碍的现有循证治疗，从而提高技能利用率。目前的建议还将允许PI在1)基于绩效的评估、2)生态评估(电子日记)方法、3)互动保健技术以及4)治疗结果研究和相关统计分析方面的高级培训方面获得额外培训。这些培训目标，连同研究计划的具体目标，将有助于PI成为应用临床研究和社区环境中患有破坏性行为障碍的儿童的治疗方面的独立调查员的长期职业目标。这项建议的研究目标与NIMH战略计划的战略目标3一致，即“开发新的和更好的精神障碍干预措施，纳入精神疾病患者的不同需求和情况。”具体地说，NIMH战略计划的战略3.1是“进一步发展创新的干预措施和干预研究的设计”。策略3.4是，“确定并系统地研究个性化心理健康护理的要素。”目前的提议与这两种战略都是一致的。

DESCRIPTION (provided by applicant): The current proposal seeks to improve rates of response to evidence-based psychosocial treatments for childhood disruptive behavior disorders (Oppositional Defiant Disorder and Conduct Disorder) by focusing on the acquisition and utilization of specific skills (parent-management skills and cognitive-behavioral skills) learned during the course of treatment. Aim 1 is to develop measures and a methodology for assessing skill acquisition and skill utilization during the course of treatment, using performance based assessments and ecological assessment (electronic diary) strategies. Aim 2 is to assess determinates, correlates, and sequelae of skill acquisition and utilization. Aim 3 is to develop a pilot protocol for enhancing skill utilization by augmenting existing evidence-based treatments for childhood disruptive behavior disorders through the use of interactive health technologies. The current proposal will also allow the PI to gain additional training in 1) performance based assessment, 2) ecological assessment (electronic diary) approaches, 3) interactive health technologies, and 4) advanced training in treatment outcome research and related statistical analyses. These training goals, together with the specific aims of the research plan, will contribute to the PI's long-term career goal of becoming an independent investigator in applied clinical research and the treatment of children with disruptive behavior disorders in community settings. The research aims of this proposal are consistent with Strategic Objective 3 of the NIMH Strategic Plan, which is to, "develop new and better interventions for mental disorders that incorporate the diverse needs and circumstances of people with mental illness." Specifically, Strategy 3.1 of the NIMH Strategic Plan is to, "further develop innovative interventions and designs for intervention studies." Strategy 3.4 is to, "identify and systematically study elements of personalized mental health care." The current proposal is consistent with both of these strategies.