DBT Skills Computer Training for BPD Substance Abuse

描述（由申请人提供）：物质使用障碍（SUD）与边缘型人格障碍（BPD）共同发生，造成严重和复杂的公共卫生问题。 物质滥用者的辩证行为疗法（DBT）是一种有效的药物依赖BPD个体的心理社会治疗。 循证疗法的传播仍然是NIDA的高度优先事项。 我们建议开发和评估一种创新的基于计算机的模块化培训（CBMT）程序，供药物治疗提供者学习DBT。 该CBMT将专注于DBT技能的教学。 第一阶段的原型将仅限于教授Linehan（1993）的“边缘型人格障碍技能训练”中的一套“危机生存”技能。 第一阶段开发的DBT危机生存CBMT将包括探索和模拟环境，以促进知识转移。 将采用一个反复的原型开发过程，最终用户的反馈将推动原型的修改，以确保其可用性和供应商的可接受性。 一个由DBT和行为治疗专家组成的咨询委员会也将被用来确保原型在科学上是合理的，并保留对治疗手册的忠实性。 将通过焦点小组和与从业人员的个别访谈以及咨询委员会获得反馈。 一旦原型的可用性和可接受性，我们将进行随机对照试验（N=40），以评估增益DBT技能知识，应用和回忆的技能，并在应用DBT危机生存技能的自我效能。

DESCRIPTION (provided by applicant): Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical Behavior Therapy for Substance Abusers (DBT) is an efficacious psychosocial treatment for drug dependent individuals with BPD. Dissemination of evidence-based therapies is remains a high priority at NIDA. We propose to develop and evaluate an innovative computer-based modular training (CBMT) program for use by drug treatment providers to learn DBT. This CBMT will focus exclusively on teaching DBT skills. The Phase I prototype will be limited to teaching a set of "crisis survival" skills from Linehan's (1993) Skills Training for Borderline Personality Disorder. The DBT crisis survival CBMT developed in Phase I will include exploration and simulation environments to facilitate knowledge transfer. An iterative process of prototype development will be used where end-user feedback will drive prototype modifications to ensure its usability and acceptability to providers. An advisory board of DBT and behavior therapy experts will also be used to ensure that the prototype is scientifically sound and fidelity to the treatment manual is retained. Feedback will be obtained using focus groups and individual interviews with practitioners, and from the advisory board. Once prototype usability and acceptability is achieved, we will then conduct a randomized controlled trial (N=40) to evaluate gains in DBT skills knowledge, application and recollection of skills, and self-efficacy in applying DBT crisis survival skills.