Dissemination of empirically-supported psychotherapies

描述(由申请人提供)：申请者要求通过导师研究科学家发展奖(K01)计划提供五年的资金，以增强她在社区心理治疗，特别是创伤后应激障碍(PTSD)治疗中关于经验支持治疗(EST)的方法和实质性技能的传播和实施(DI)研究。最终目标是拥有专业知识，就如何克服障碍在社区实现有效治疗提供经验支持的建议，并将此类方案应用于大规模服务有效性研究。一个重点是了解影响临床医生/患者治疗态度和偏好的方法(营销)，同时同样专注于重新设计干预措施以及实施这些干预措施的策略，以适应临床医生/患者的需求和偏好(文化敏感性)。申请者在临床精神病理学及其治疗方面的研究和临床培训的深厚背景为这项工作提供了良好的基础。宾夕法尼亚大学和一个国家专家咨询小组提供了一个出色的研究环境，帮助申请者完成拟议的培训目标，包括获得定性研究技术和信息技术(如产品设计和营销)方面的增强技能。该奖项的研究计划分为三项研究，对拟议的教育活动序列进行补充，并提出旨在发展申请者测试和完善影响EST依赖的从业者、客户和系统特征模型的能力的活动。在第一项研究中，将进行一项深入的案例研究，内容是关于一种创新的、非常受欢迎的心理疗法在退伍军人管理局(VA)环境下的表面上的成功的DI，尽管其经验地位存在争议。第二项研究将涉及一项关于实践者改变实践的态度和意图、他们对EST的感知属性以及他们的同伴网络影响的混合方法研究。第三项是一项评估创伤患者治疗偏好的小型混合方法研究。这些研究将对两种传播理论模型进行初步测试，并指导R01现场实验的发展，旨在促进本K01最后一节概述的创伤幸存者ESTS的实施。

DESCRIPTION (provided by applicant): The applicant is requesting five years of funding through the Mentored Research Scientist Development Award (K01) program to enhance her methodological and substantive skills for dissemination and implementation (DI) research concerning empirically-supported treatments (ESTs) in the community practice of psychotherapy, in particular treatments for Post-Traumatic Stress Disorder (PTSD). The ultimate goal is to have expertise to offer empirically-supported recommendations on how to overcome the barriers to achieving effective treatments in the community and to apply such protocols in large scale services effectiveness research. One focus is on understanding means of influencing clinician/patient treatment attitudes and preferences (marketing) with an equal concentration on re-designing the intervention and the strategies to implement them to fit the needs and preferences of clinicians/patients (cultural sensitivity). The applicant's strong background of research and clinical training in clinical psychopathology and its treatments provide an excellent foundation for this work. The University of Pennsylvania as well as a national Expert Advisory Panel offer an outstanding research environment to help the applicant accomplish the proposed training goals, including obtaining enhanced skills in qualitative research techniques and information technology such as product design and marketing. The research plan for this award is divided into three studies which complement the proposed sequences of educational activities and propose activities aimed at developing the applicant's ability to test and refine models of practitioner, client and system characteristics that affect the DI of ESTs. In the first study, an in-depth case study will be conducted concerning the apparent successful DI of an innovative and extremely popular psychotherapy in a Veteran's Administration (VA) setting, despite controversies about its empirical status. The second will involve a mixed-methods study on practitioners' attitudes and intentions to change practice, their perceived attributes of ESTs and their peer-network influences. The third is a small mixed-method study assessing trauma patients' treatment preferences. These studies will provide a preliminary test of two theoretical models of dissemination and guide the development of an R01 field experiment aimed at promoting implementation of ESTs for trauma survivors, sketched out in final section of this K01.