Computer-Based Training in Behavioral Activation Treatment for Depressed Adults

基于计算机的抑郁成人行为激活治疗培训

• 批准号: 7920917
• 负责人: Sona Dimidjian
• 金额: $ 41.35万
• 依托单位: BEHAVIORAL TECH RESEARCH, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-10 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7920917
• 关键词: Address; Adult; Adverse effects; Advisory Committees; Behavioral; Businesses; Chronic; Client; Clinical; Clinical Trials; Clinical Trials Design; Communities; Computers; Controlled Study; Data; Depressed mood; Development; Disease; Doctor of Philosophy; Educational process of instructing; Ensure; Evaluation; Evidence based practice; Evidence based treatment; Feedback; Focus Groups; Goals; Hour; Hybrids; Individual; Interview; Job Application; Knowledge; Learning; Life; Light; Major Depressive Disorder; Manuals; Marketing; Mental Depression; Mental Health; Methods; Mission; Names; Occupational; Outcome; Patients; Performance; Pharmaceutical Preparations; Pharmacotherapy; Phase; Pilot Projects; Play; Process; Randomized; Randomized Controlled Trials; Reaction; Recurrence; Reporting; Research; Research Design; Role; Self Efficacy; Senior Scientist; Small Business Innovation Research Grant; Students; Testing; Text; Training; Training Programs; Work; Writing; base; clinical application; clinical practice; direct application; disability; effectiveness trial; evidence base; follow-up; improved; innovation; interest; meetings; physical conditioning; programs; prototype; psychosocial; public health relevance; satisfaction; social; success; tool; uptake; usability

DESCRIPTION (provided by applicant): This is a Phase II Small Business Innovation Research (SBIR) grant application to support the further development of an innovative, online training program to aid in the dissemination of Behavioral Activation (BA), a therapy for depression. The current application represents a continued cooperative partnership between the small business, Behavioral Tech Research, Inc., a company dedicated to disseminating effective psychosocial treatments and Dr. Sona Dimidjian, who with colleagues, developed and evaluated the efficacy of BA. BA is an evidence-based treatment for Major Depressive Disorder, which may have particular transportability advantages compared to other psychosocial treatments with the similar aims. The proposed online training program will substantially aid in the vital training and utilization of this evidence-based practice for both community clinicians and clinical students. The course will be based on our successful Phase I program which was rated highly for usability and content. We plan to substantially expand the content of the training to include all remaining content from the primary BA treatment manual. We will expand the program's interactivities to include highly interactive performance-based learning activities that immerse the user within the treatment context. Ultimately, the aims of this Phase II proposal are to; 1) Determine content for the final program utilizing an advisory board of BA experts; 2) Create the program using an iterative process of development and evaluation; and, 3) Conduct a between-subjects randomized, controlled hybrid efficacy/effectiveness trial (N=240) using an additive research design to evaluate gains in knowledge and application of BA and gains in self-efficacy for conducting BA therapy with patients suffering from major depression. PUBLIC HEALTH RELEVANCE: Major depression is a pervasive and debilitating disorder, for which the majority of individuals receive no or inadequate treatment, despite the fact that efficacious treatments exist. Increasing the availability of such treatments requires widely available and effective training materials that will facilitate the utilization of such approaches by practicing clinicians. Behavioral Activation (BA) is an evidence-based practice for depression that may have important transportability advantages; this project aims to further develop an innovative, interactive online training program teaching the principles of BA, in order to increase the dissemination of this evidence-based treatment and improve clinical outcomes for adults suffering from depression.

描述（由申请人提供）：这是第二阶段小型企业创新研究 (SBIR) 拨款申请，旨在支持进一步开发创新的在线培训计划，以帮助传播行为激活 (BA)（一种抑郁症疗法）。目前的申请代表了小型企业Behavioral Tech Research, Inc.（一家致力于传播有效心理社会治疗方法的公司）与 Sona Dimidjian 博士之间的持续合作伙伴关系，Sona Dimidjian 博士与同事一起开发并评估了 BA 的功效。 BA 是一种针对重度抑郁症的循证治疗方法，与具有类似目标的其他心理社会治疗方法相比，它可能具有特殊的可转移性优势。拟议的在线培训计划将大大有助于社区临床医生和临床学生对这种循证实践的重要培训和利用。该课程将基于我们成功的第一阶段计划，该计划在可用性和内容方面获得了高度评价。我们计划大幅扩展培训内容，以包括初级 BA 治疗手册中的所有剩余内容。我们将扩展该程序的交互性，包括高度互动的基于表演的学习活动，使用户沉浸在治疗环境中。最终，第二阶段提案的目标是： 1) 利用文学学士专家顾问委员会确定最终计划的内容； 2) 使用开发和评估的迭代过程创建程序； 3) 使用附加研究设计进行受试者间随机、对照混合功效/效果试验（N = 240），以评估 BA 知识和应用的收益以及对患有重度抑郁症的患者进行 BA 治疗的自我效能感的收益。公共卫生相关性：重度抑郁症是一种普遍存在且使人衰弱的疾病，尽管存在有效的治疗方法，但大多数人没有接受治疗或治疗不足。提高此类治疗的可用性需要广泛提供且有效的培训材料，以促进执业临床医生利用此类方法。行为激活（BA）是一种基于证据的抑郁症治疗方法，可能具有重要的可移植性优势；该项目旨在进一步开发一个创新的、交互式的在线培训项目，教授 BA 的原理，以增加这种循证治疗的传播，并改善患有抑郁症的成年人的临床结果。