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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.

项目概要/摘要该提案旨在开发和评估案例模拟方法，以培训治疗师提供经过经验验证的行为治疗（EVBT）。建立在亚利桑那州现有的临床科学课程以及从临床试验治疗师培训中汲取的经验教训，我们将使用案例模拟练习来增强与我们的三个相关的三个 EVBT 的教学课程实习顺序：（a）成人抑郁症的认知和行为疗法（CBT 实习），（b）针对青少年药物滥用的家庭治疗（家庭治疗实习），以及（c）成人酗酒动机访谈（MI 实习）。这些 EVBT 中的每一个都非常适合具有相应实习的培养目标，研究生与我们内部心理科诊所的实际患者。模拟练习也将帮助更高级的学生获得培训和监督一线的技能（硕士水平） EVBT 临床医生。对于每个 EVBT（和实习），我们将开发两个案例模拟模块，每个模块都有概念技能（案例阐述）和行为技能（治疗实施）组成部分。案例制定部分将需要对书面案例片段做出回应并建立在 Shoham 和 Rohrbaugh 在当前的 NIDA 中研究治疗师发展的方法 R01项目。对于行为技能部分，我们将采用广泛使用的方法医学教育，其中受训者对特定的与小插曲相关的场景做出反应标准化患者。每个 EVBT 的两个案例模块将按照难度进行分级，其中第一个呈现相当简单的临床情况，第二个呈现更复杂的临床情况（例如抑郁症与同时发生的睡眠障碍）。每个模块还将包括保真度评估概念和行为技能的量表，我们的团队将利用相关的构建这些的手册和已发表的文献。其他具体目标是评估案例模拟方法作为 EVBT 的效用。培训工具并开发适合传播的相关培训材料。此外征求学生的定性和定量反馈，我们将尝试验证通过跟踪治疗师技能的变化并将这些变化关联起来的模拟方法与客户的结果。最后，使用临床患者的标准化结果测量应提供与临床试验基准进行比较的基础。项目叙述尽管存在针对精神和物质使用的科学有效的行为疗法，没有足够的训练有素的治疗师来应用它们。该项目将开发并测试案例模拟方法来教授其中三种治疗方法（认知- 抑郁症的行为疗法、青少年药物滥用的家庭疗法，以及以科学为基础的临床心理学中的酒精问题动机访谈博士课程。所提出的模拟方法将提供前沿培训临床科学家可以向社区环境中的从业者输出经验，产生切实的公共卫生效益。