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Case Simulation Methods for Teaching Empirically-Validated Behavioral Treatments

用于教学经经验验证的行为治疗的案例模拟方法

基本信息

批准号：
8332323
负责人：
DAVID A SBARRA
金额：
$ 2.99万
依托单位：
UNIVERSITY OF ARIZONA
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-30 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8332323
关键词：
Adult Aftercare Alcohol abuse Anxiety Disorders Arizona Behavior Behavior Therapy Behavioral Benchmarking Client Clinic Clinical Clinical Psychology Clinical Sciences Clinical Trials Cognitive Therapy Complement Correlation Studies Development Dimensions Disease Drug Formulations Educational Curriculum Educational process of instructing Evaluation Exercise Faculty Family Family psychotherapy Feedback Goals Health Benefit Housing Instruction Intercept Jordan Learning Life Literature Manuals Measurement Measures Medical Medical Education Mental Depression Methodology Methods National Institute of Drug Abuse Nursing Faculty Outcome Patients Perception Performance Procedures Psyche structure Psychologist Psychology Public Health Publishing Reporting Research Role Science Scientist Series Sleep Disorders Staging Students Suggestion Supervision System Teaching Method Testing Time Training Treatment outcome Universities Video Recording Work Writing abstracting adolescent drug abuse base community setting design experience foot graduate student improved instructor member motivational enhancement therapy parental alcoholism programs prototype simulation skills tool

项目摘要

Project Summary/Abstract This proposal aims to develop and evaluate case-simulation methods for training therapists to provide empirically-validated behavioral treatments (EVBTs). Building on Arizona's existing clinical-science curriculum and lessons learned from therapist training in clinical trials, we will use case-simulation exercises to augment the teaching of three EVBTs relevant to our three- course practicum sequence: (a) cognitive and behavioral therapy for adult depression (CBT practicum), (b) family therapy for adolescent drug abuse (family therapy practicum), and (c) motivational interviewing for adult alcohol abuse (MI practicum). Each of these EVBTs fits well with the training objectives of the corresponding practicum, where graduate students work with actual patients in our in-house Psychology Department Clinic. The simulation exercises also will help more advanced students acquire skills in training and supervising front-line (masters level) EVBT clinicians. For each EVBT (and practicum) we will develop two case-simulation modules, each with conceptual-skill (case formulation) and behavioral-skill (treatment implementation) components. The case-formulation components will entail responding to written case vignettes and build on a methodology Shoham and Rohrbaugh use to study therapist development in their current NIDA R01 project. For behavioral-skill components we will then adapt a methodology widely used in medical education, wherein trainees respond to specific vignette-related scenarios enacted by standardized patients. The two case modules for each EVBT will be graded in difficulty, with the first presenting a fairly straight-forward clinical situation and the second a more complicated one (e.g. depression with a co-occurring sleep disorder). Each module also will include fidelity scales for rating both conceptual and behavioral skills, and our team will draw on relevant manuals and published literature in constructing these. Other specific aims are to evaluate the utility of case-simulation methodology as an EVBT- training tool and to develop relevant training materials suitable for dissemination. In addition to soliciting students' qualitative and quantitative feedback, we will attempt to validate the simulation methodology by tracking changes in therapist skills and correlating these changes with client outcomes. Finally, using standardized outcome measurements for Clinic patients should provide a basis for comparison with benchmarks from clinical trials. Project Narrative Although scientifically-valid behavioral treatments for mental and substance-use exist, there are not enough well-trained therapists to apply them. This project will develop and test a case-simulation approach to teaching three of these treatments (cognitive- behavioral therapy for depression, family therapy for adolescent drug abuse, and motivational interviewing for alcohol problems) in a science-based clinical psychology doctoral program. The proposed simulation methods will provide cutting-edge training experiences that clinical scientists can export to practitioners in community settings, yielding tangible public-health benefits.

项目总结/文摘