DBT Skills Training Central

描述（由申请人提供）：这是第一阶段小企业创新研究（SBIR）拨款申请，用于支持辩证行为疗法（DBT）技能提供者治疗边缘型人格障碍和物质依赖（BPD-SUD）个体的创新在线培训援助的开发。最终产品DBT Skills Central的主要目的是帮助DBT技能培训师访问、组织、定制、跟踪和管理DBT技能内容和材料（例如，教学插图、示例、客户讲义、遵守检查表、易于阅读的大纲、讲义、家庭作业），这些都是教授DBT技能时通常需要的。DBT技能中心将为用户提供最先进的教学示例、插图、客户练习和课堂大纲。用户可以很容易地定制他们的搜索，以“符合”他们的特定需求，通过指定客户在他们的技能训练组的人口统计数据（例如，年龄，性别，种族/民族），治疗环境（例如，门诊，住院，居住/环境），小组成员的主要问题（例如，自杀行为和非自杀自残，药物滥用，愤怒控制障碍等）以及次要问题（例如，抑郁，愤怒，失业，绝望的想法等）。以及DBT技能的高级程度（例如，初级、中级、高级）。DBT Skills Central的第二个功能是为各种各样的客户提供快速、易于查找的DBT技能建模，包括会话练习。第一阶段提案的最初目标是：1)利用目标最终用户和DBT技能专家顾问确定原型的内容；2)与设计和技术专家合作，使用开发和评估的迭代过程创建原型；3)进行随机对照可行性试点研究，与标准文本材料比较，评估知识、自我效能和对产品的整体满意度。如果第一阶段的可行性测试成功，我们将在第二阶段大幅扩展多媒体计划及其评估。与公共卫生相关：辩证行为疗法（DBT）是一种治疗边缘型人格障碍伴物质使用障碍（BPD-SUD）的有效方法。技能培训是DBT的重要组成部分，它需要提供者进行大量准备。我们建议开发和测试一种创新的交互式互联网工具，供DBT治疗提供者访问、组织、定制、跟踪和管理DBT技能内容和材料（例如，教学插图、示例、客户讲义、依从性检查表、易于阅读的大纲、讲义、作业）。通过为治疗提供者提供工具，帮助他们将DBT技能应用于BPD和SUD患者，我们的目的是简化基本行为程序的培训，进一步促进DBT的成功传播。

DESCRIPTION (provided by applicant): This is a Phase I Small Business Innovation Research (SBIR) grant application to support the development of an innovative, online training aid for Dialectical Behavior Therapy (DBT) skills providers treating borderline personality disorder and substance dependence (BPD-SUD) individuals. The primary purpose of the eventual product, DBT Skills Central, is to help DBT skills trainers access, organize, customize, track and manage DBT skills content and materials (e.g., teaching illustrations, examples, client handouts, adherence checklists, easy-to-read outlines, handouts, homework) commonly required when teaching DBT skills. DBT Skills Central will provide users with state-of-the art teaching examples, illustrations, client exercises, and class outlines at their finger tips. Users will be easily able to customize their search to "fit" their specific needs by specifying the demographics of clients in their skills training group (e.g., age, sex, race/ethnicity), the treatment setting (e.g., outpatient, inpatient, residential/milieu), the group members' primary problems (e.g., suicidal behaviors and non-suicidal self-injury, substance abuse, anger dyscontrol, etc.) as well as secondary problems (e.g., depression, anger, joblessness, hopeless thoughts, etc.), and how advanced the DBT skills is (e.g., beginning, intermediate, advanced). A secondary function of DBT Skills Central will be to provide quick, easy-to-find modeling of DBT Skills, including in-session practice exercises, for a wide variety of clients. The initial aims of this Phase I proposal are to: 1) Determine content for the prototype utilizing target end-users and DBT skills expert advisors; 2) Create the prototype using an iterative process of development and evaluation in collaboration with design and technology experts; 3) Conduct a randomized controlled feasibility pilot study to evaluate knowledge, self-efficacy, and overall satisfaction with the product compared to standard text-based materials. In the event of a successful Phase I test of feasibility, we will substantially expand the multimedia program and its evaluation in Phase II. PUBLIC HEALTH RELEVANCE: Dialectical behavior therapy (DBT) is an efficacious and effective treatment for Borderline Personality Disorders with Substance Use Disorders (BPD-SUD) individuals. Skills Training is an important component of DBT which requires extensive preparation from the provider. We propose to develop and test an innovative, interactive Internet tool for DBT treatment providers to access, organize, customize, track, and manage DBT skills content and materials (e.g., teaching illustrations, examples, client handouts, adherence checklists, easy-to-read outlines, handouts, homework). By providing treatment providers with tools to facilitate their adherent application of DBT skills to their BPD and SUD patients, our intent is to streamline training in an essential behavioral procedure that will further facilitate the successful dissemination of DBT.