Fundamentals of Interpersonal Therapy

描述(由申请人提供)：人际心理治疗(IPT)是抑郁症最彻底的心理社会治疗方法之一。然而，由于缺乏培训人员和教学材料，IPT的传播受到了阻碍。虽然有几本关于IPT的优秀教科书，但还没有其他标准化的教材或演示特定IPT技术的录像带。以计算机为基础的培训提供了提供这些材料和克服因缺乏因特网技术教育人员而造成的障碍的机会。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，该原型侧重于进行IPT的初始会议，特别强调收集人际清单。第一阶段的原型在可用性和内容方面都得到了非常高的评价。在第二阶段，我们将构建一个基于计算机的培训计划，指导学习者如何进行整个IPT课程。与第一阶段一样，我们将在项目开发的所有阶段，包括项目的设计、教学策略和范例，使用迭代的开发过程，包括心理治疗师的反馈。所有教学材料和基于计算机的培训方案的开发还将包括一些知识产权专家的意见，包括参与知识产权技术开发的顾问、知识产权技术修改研究和知识产权技术培训专家。我们预计，这一开发过程将产生一个原型和最终产品，将在治疗提供者中产生广泛的吸引力。第二阶段已完成的方案将包括多个以案例为基础的方案，以促进学习，并将扩大第一阶段的音频媒体，包括材料的视听演示。我们将加入更多以个案为基础的情景，以确保课程内容适用于患有各种亚型抑郁症(例如，围产期抑郁症、老年性抑郁症和与各种内科疾病相关的抑郁症)的广泛患者。我们将对第二阶段计划进行经验测试，以确定可用性、可接受性和有效性。首先，我们将使用随机对照试验(RCT)设计进行一项可行性研究，以评估在对重度抑郁症患者进行IPT时获得的IPT知识、对IPT组成部分的回忆以及自我效能感。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计算机培训计划将通过促进对治疗师的培训来提供经验性验证的抑郁症治疗，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关于人际心理疗法(IPT)的互动在线培训计划，IPT是一种基于证据的抑郁症心理疗法。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。该项目的直接公共健康益处是，越来越多地传播以证据为基础的做法，如IPT，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.