Web Based Therapist Training on Interpersonal Psychotherapy

 描述（由申请人提供）：来自科学、伦理和经济角度的专家1强调了循证心理健康治疗的必要性，即，“基于最佳科学或研究证据的治疗。 虽然已经开发了几种循证治疗方法，但在这些方法方面训练有素的临床医生严重短缺。NIMH已将传播和实施循证干预措施确定为最优先事项。最好的研究基于证据的心理治疗之一是人际心理治疗（IPT）。几十年的临床试验已经证明了IPT在多种精神健康疾病中的疗效，并证明了将IPT教授给来自各种背景的治疗师的可行性。不幸的是，接受过IPT培训的临床医生相对较少;因此，很少有患者从这种治疗中受益。该项目的长期目标是通过开发一套互联网培训工具，促进这种培训的广泛传播，从而有意义地增加接受IPT培训的精神卫生专业人员的数量。与其他基于证据的疗法（例如，认知行为疗法），对于该疗法，新的训练技术现在已经被广泛研究，迄今为止传播IPT的有限努力依赖于传统方法（例如，讲习班），这些活动既不具有成本效益，也不容易获得。在第一阶段，我们将开发一个原型IPT培训计划，并测试其可行性和有效性。培训将包括三个部分：a）在线、互动、多媒体教程，介绍IPT的原理、阶段和技术，B）使用视频会议进行现场应用临床培训，以磨练和评估受训者在IPT方面的临床技能，以及c）在线门户（IPT病例跟踪器），以帮助治疗师保持依从性，并促进将IPT整合到其正在进行的临床实践中。 实践将招募24名来自不同精神卫生学科的临床医生，他们事先没有接受过IPT培训。学员将在完成教程之前和之后测试他们的IPT概念知识。完成教程后，学员将进行IPT课程 与标准化的病人，同时由培训师使用视频会议进行真实的实时观察，以便将知识转化为应用技能。完成培训后，学员将利用互联网门户网站四个月，以帮助将IPT纳入他们的临床实践。互动门户将在IPT课程开始前向学员发出简短提醒，并将管理一份会后清单，以帮助维持和监测对IPT的持续遵守。将对教程、现场培训和互联网门户的可行性和用户满意度进行评估。

 DESCRIPTION (provided by applicant): Experts from scientific, ethical, and economic perspectives1 have stressed the need for evidence-based mental health treatments, i.e., 'treatment based on the best available science or research evidence. While several evidence-based treatments have been developed; there is a critical shortage of clinicians trained in these approaches. NIMH has identified the dissemination and implementation of evidence-based interventions as a top priority. One of the best studied evidence-based psychological treatments is interpersonal psychotherapy (IPT). Several decades of clinical trials have documented the efficacy of IPT across a diversity of mental health disorders and demonstrated the feasibility of teaching IPT to therapists from a range of backgrounds. Unfortunately, relatively few clinicians have been trained in IPT; as a result, few patients benefit from this treatment. The long term objective of this project is to meaningfully increase the number of mental health professionals trained in IPT by developing a set of internet training tools which will facilitate widespread dissemination of this training. In contrast to other evidence based therapies (e.g., cognitive behavior therapy), for which new training technologies have now been extensively studied, limited efforts to disseminate IPT to date have relied on traditional approaches (e.g., workshops), which are not cost-effective or easily accessible. In phase we will develop a prototype IPT training program and test its feasibility and efficacy. The training will comprise three components: a) An on-line, interactive, multi-media tutorial presenting the principles, stages, and techniques of IPT, b) Live, applied clinical training using videoconferencing in order to hone and evaluate trainees' clinical skills in IPT, and c) An on-line portal (IPT Case Tracker) to help therapists maintain adherence and facilitate integration of IPT into their ongoing clinical practice. Twenty-four clinicians from various mental health disciplines without prior IPT training will be recruited. Trainees will be tested on their knowledge of IPT concepts before and after completing the tutorial. Following completion of the tutorial, trainees will conduct an IPT session with a standardized patient while being observed by the trainer in real time using videoconferencing, in order to transfer knowledge into applied skills. After completing training, trainees will utilize the internet portal for four months to help incorporate IPT into their clinicl practice. The interactive portal will prompt trainees with brief reminders before IPT sessions and will administer a post-session checklist to help maintain and to monitor ongoing adherence to IPT. Feasibility and user satisfaction for the tutorial, live training and internet portal will be evaluated.