Computer-Based Training in DBT Validation Strategies

描述（由申请人提供）：传播循证疗法仍然是NIDA的重中之重。许多障碍限制了在常规社区环境中获得这些有效疗法的机会。物质使用障碍（SUD）与边缘型人格障碍（BPD）共存，构成了严重而复杂的公共卫生问题。辩证行为疗法（DBT）是一种有效的药物依赖患者心理社会治疗方法。验证策略是DBT中使用的核心处理策略之一。

DESCRIPTION (provided by applicant): Dissemination of evidence-based therapies remains a high priority at NIDA. A number of barriers limit accessibility to these effective therapies in routine community settings. Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical Behavior Therapy (DBT) is an efficacious psychosocial treatment for drug dependent individuals with BPD. Validation strategies are among the core treatment strategies used in DBT. We propose to develop and evaluate an innovative computer-based training program for drug treatment providers to learn validation strategies. The Phase I prototype will include one case-based scenario to facilitate learning. An iterative process of prototype development will be used where end-user feedback will drive prototype modifications to ensure its usability and acceptability to providers. An advisory board of experts will also be used to ensure that the prototype is scientifically sound and that fidelity to the treatment manual is retained. Feedback will be obtained using individual interviews, focus groups, and from the advisory board. Once prototype usability and acceptability is achieved, we will conduct a randomized controlled pilot test (N=20) to evaluate gains in knowledge of validation and self-efficacy in applying validation strategies.