Skill Acquisition/Utilization During Treatment for Childhood Behavior Problems

描述（由申请人提供）：目前的提案旨在通过关注治疗过程中学到的特定技能（父母管理技能和认知行为技能）的获得和利用，提高对儿童破坏性行为障碍（对立违抗性障碍和行为障碍）的循证心理社会治疗的反应率。目标1是制定措施和方法，评估技能的获取和技能的使用过程中的治疗，使用性能为基础的评估和生态评估（电子日记）的战略。目的2是评估技能获得和使用的决定因素、相关因素和后遗症。目标3是开发一个试点协议，通过使用交互式健康技术，增强现有的儿童破坏性行为障碍的循证治疗，以提高技能的利用率。当前提案还将允许PI获得以下方面的额外培训：1）基于性能的评估，2）生态评估（电子日志）方法，3）交互式健康技术，以及4）治疗结局研究和相关统计分析的高级培训。这些培训目标以及研究计划的具体目标将有助于PI的长期职业目标，即成为应用临床研究和社区环境中破坏性行为障碍儿童治疗的独立研究者。该提案的研究目标与NIMH战略计划的战略目标3一致，即“为精神障碍制定新的更好的干预措施，纳入精神疾病患者的不同需求和情况。具体而言，NIMH战略计划的战略3.1是“进一步开发创新的干预措施和干预研究的设计。战略3.4是“确定并系统地研究个性化精神卫生保健的要素。“目前的建议符合这两项战略。

DESCRIPTION (provided by applicant): The current proposal seeks to improve rates of response to evidence-based psychosocial treatments for childhood disruptive behavior disorders (Oppositional Defiant Disorder and Conduct Disorder) by focusing on the acquisition and utilization of specific skills (parent-management skills and cognitive-behavioral skills) learned during the course of treatment. Aim 1 is to develop measures and a methodology for assessing skill acquisition and skill utilization during the course of treatment, using performance based assessments and ecological assessment (electronic diary) strategies. Aim 2 is to assess determinates, correlates, and sequelae of skill acquisition and utilization. Aim 3 is to develop a pilot protocol for enhancing skill utilization by augmenting existing evidence-based treatments for childhood disruptive behavior disorders through the use of interactive health technologies. The current proposal will also allow the PI to gain additional training in 1) performance based assessment, 2) ecological assessment (electronic diary) approaches, 3) interactive health technologies, and 4) advanced training in treatment outcome research and related statistical analyses. These training goals, together with the specific aims of the research plan, will contribute to the PI's long-term career goal of becoming an independent investigator in applied clinical research and the treatment of children with disruptive behavior disorders in community settings. The research aims of this proposal are consistent with Strategic Objective 3 of the NIMH Strategic Plan, which is to, "develop new and better interventions for mental disorders that incorporate the diverse needs and circumstances of people with mental illness." Specifically, Strategy 3.1 of the NIMH Strategic Plan is to, "further develop innovative interventions and designs for intervention studies." Strategy 3.4 is to, "identify and systematically study elements of personalized mental health care." The current proposal is consistent with both of these strategies.