A Multimedia Training Package for Seeking Safety Therapy

描述（由申请人提供）：本项目的重点是开发和评估的多媒体培训包（MTP）的行为治疗“寻求安全”。寻求安全是专为共同发生的物质使用障碍（SUD）和创伤后应激障碍（PTSD）。这种双重诊断在数量和临床严重程度上都非常突出。寻求安全是目前市场的领导者，是这种双重诊断患者最广泛采用的疗法，也是最科学的研究（在七项结果试验中获得了积极的结果）。它在该领域取得了广泛的普及和强烈的兴趣。一本出版的书（Najavits，2002）和文章描述了基于十年开发和测试的疗法。MTP将建立在这项工作的基础上，允许更高水平的质量控制的治疗更大的出口，可能改善这种双重诊断患者的临床治疗，并产生具有巨大市场潜力的产品。中期计划将以DVD为基础，包括视频、音频和书面/互动材料。例如，它将包括实际会话的模型视频、音频“坚韧病例”临床场景和可能的响应、依从性表格和测验。这些材料是基于Najavits博士在治疗中培训临床医生的丰富经验。一项随机对照试验将评估MTP的影响。40名临床医生将接受带有MTP的《寻求安全》书（实验条件）或单独的书（对照），并将进行三次评估（培训材料前、培训材料后和2个月随访时）。关键变量将是知识获取和对治疗和MTP的满意度，MTP的可行性（例如，花了多长时间来审查它），与工作有关的变量（例如，同情心，同情疲劳）和自我报告的治疗实施情况。该提案特别关注数据分析、SBIR项目的可行性、标准化措施和使用专家顾问团队，包括维达健康传播公司。DVD的设计和制作。

DESCRIPTION (provided by applicant): This project focuses on the development and evaluation of a multimedia-training package (MTP) for the behavioral treatment "Seeking Safety". Seeking Safety is designed for co-occurring substance use disorder (SUD) and posttraumatic stress disorder (PTSD). This dual diagnosis is very prominent both in number and clinical severity. Seeking Safety is the current market leader as the most widely adopted therapy for patients with this dual diagnosis, as well as the most scientifically studied (with positive results in seven outcome trials). It has achieved widespread popularity and strong interest in the field. A published book (Najavits, 2002) and articles describe the therapy, based on ten years of development and testing. An MTP would build on this work, allow greater exportability of the therapy with a higher level of quality control, potentially improve clinical treatment of patients with this dual diagnosis, and result in a product with substantial market potential. The MTP would be DVD-based, including video, audio, and written/interactive materials. It would include, for example, a model video of an actual session, audio "tough case" clinical scenarios and possible responses, an adherence form, and quizzes. These materials are based on Dr. Najavits' extensive experience training clinicians in the therapy. A randomized controlled trial would evaluate the impact of the MTP. Forty clinicians would receive either the Seeking Safety book with the MTP (experimental condition) or the book alone (control), and would be assessed at three times (prior to training materials, after, and at 2- month followup). Key variables would be knowledge acquisition and satisfaction with the treatment and MTP, feasibility of the MTP (e.g., how long it took to review it), work-related variables (e.g., empathy, compassion fatigue) and self-reported implementation of the therapy. The proposal pays particular attention to data analysis, feasibility of the SBIR project, standardized measures, and use of a team of expert consultants, including Vida Health Communications, Inc. for the DVD design and production.