Fundamentals of Interpersonal Therapy

描述（由申请人提供）：人际心理治疗（IPT）是最彻底验证的抑郁症心理社会治疗方法之一。然而，由于缺乏培训人员和教材，IPT的传播受到阻碍。虽然有几本关于IPT的优秀教科书，但没有其他标准化的教育材料或录像带展示具体的IPT技术。基于计算机的培训提供了提供这些材料的机会，并克服了缺乏IPT教育工作者所带来的障碍。该项目的主要目标是通过创建基于计算机的人际治疗基础培训课程，促进向治疗抑郁症患者的心理治疗师传播和实施IPT。本课程将基于我们非常成功的第一阶段原型，重点是进行IPT的初始会话，特别强调收集人际关系清单。第一阶段的原型在可用性和内容方面得到了很高的评价。在第二阶段，我们将建立一个基于计算机的培训计划，指导学习者如何进行一个完整的过程中的IPT。与第一阶段一样，我们将使用一个迭代的开发过程，在整个项目开发的所有阶段，包括项目的设计、教学策略和实例，都涉及到心理治疗师的反馈。所有教学材料和基于计算机的培训计划的开发还将包括来自一些IPT专家的投入，包括参与IPT开发的顾问，IPT修改研究和IPT培训专家。我们预计，这一发展过程将导致一个原型和最终的产品，将有广泛的吸引力之间的治疗提供者。第二阶段完成的计划将包括多个基于案例的场景，以促进学习，并将扩大第一阶段的音频媒体，包括视听材料的介绍。我们将包括额外的基于病例的场景，以确保课程内容在各种抑郁症亚型患者中的普遍化（例如，围产期抑郁症、老年抑郁症和与各种医学疾病相关的抑郁症）。我们将对第二阶段计划进行经验性测试，以确定可用性、可接受性和有效性。首先，我们将进行一项可行性研究，采用随机对照试验（RCT）设计，以评估增益知识的IPT，回忆IPT组件，自我效能进行IPT与抑郁症患者。其次，我们将进行一项随机对照试验，比较使用在线培训课程、教师指导的面对面培训或使用IPT手册进行自我指导的IPT培训的有效性。即将开发的IPT基于计算机的培训计划将通过促进治疗师的培训来提供经临床验证的抑郁症治疗，从而对公共卫生产生深远的影响。公共卫生相关性：在这个项目中，我们的目标是开发一个互动的在线培训计划，在人际心理治疗（IPT），抑郁症的循证心理治疗。此外，我们计划测试培训的有效性，以确保临床医生学习，保留和实施IPT。该项目的直接公共卫生效益是，越来越多地传播IPT等循证实践将增加有效治疗的可及性，并为抑郁症患者带来更好的结果。

DESCRIPTION (provided by applicant): Interpersonal Psychotherapy (IPT) is one of the most thoroughly validated psychosocial treatments for depression. Dissemination of IPT, however, has been hindered by lack of trainers and didactic materials. Though several excellent textbooks regarding IPT are available, there are no other standardized educational materials or videotapes demonstrating specific IPT techniques. Computer-based training offers the opportunity to provide these materials and to overcome the barrier presented by the lack of IPT educators. The primary goal of this project is to facilitate the dissemination and implementation of IPT to psychotherapists who treat depressed individuals by creating the Fundamentals of Interpersonal Therapy computer-based training course. This course will be based on our highly successful Phase I prototype, which focuses on conducting an initial session of IPT with a particular emphasis on collecting an Interpersonal Inventory. The Phase I prototype was very highly rated for usability and for content. In Phase II, we will construct a computer-based training program to instruct learners how to conduct an entire course of IPT. As in Phase I, we will use an iterative process of development involving feedback from psychotherapists throughout all stages of program development, including the program's design, instructional strategies, and examples. The development of all instructional materials and the computer-based training program will also include input from a number of IPT experts, including consultants involved in the development of IPT, research in modifications of IPT, and experts in IPT training. We anticipate that this developmental process will result in a prototype and eventual product that will have broad appeal among treatment providers. The Phase II completed program will include multiple case-based scenarios to facilitate learning, and will extend the audio media in Phase I to include audio-visual presentation of material. We will include additional case-based scenarios to ensure generalization of course content across a wide range of patients with various subtypes of depression (e.g., perinatal depression, geriatric depression, and depression associated with various medical illnesses). We will empirically test the Phase II program to determine usability and acceptability and effectiveness. First, we will conduct a feasibility study using a randomized controlled trial (RCT) design to evaluate gains in knowledge of IPT, recall of IPT components, and self-efficacy in conducting IPT with a patient with major depression. Second, we will conduct a randomized controlled trial to compare the effectiveness of training in IPT using the On-line training course, instructor-led in-person training, or self-instruction using the IPT manual. The IPT computer-based training program to be developed will have far reaching public health impact by facilitating the training of therapists to deliver an empirically-validated treatment for depression. PUBLIC HEALTH RELEVANCE: In this project, we aim to develop an interactive online training program in Interpersonal Psychotherapy (IPT), an evidence-based psychotherapy for depression. In addition, we plan to test the effectiveness of the training in order to ensure that clinicians learn, retain, and implement IPT. The direct public health benefit of the project is that increasing dissemination of evidence-based practices like IPT will increase accessibility of efficacious treatment and lead to better outcomes for patients with depression.