Computer-Adapted Standardized Patients Instrument

描述(由申请人提供)：在成瘾治疗中，非常需要促进基于经验的方法的传播。动机访谈(Ml)是Miller和Rollnick开发的一种经验支持的治疗方法，对培训的需求很高。然而，缺乏可靠的和生态上有效的评估方法来评估ML培训需求和结果。在当前的应用中，研究人员建议开发和验证一种新的方法来评估临床医生的ML技能，方法是创建一种可以在任何情况下使用个人计算机的DVD-ROM格式的计算机适配标准化患者仪器(Caspi)。该产品将为临床医生ML技能评估的现有方法提供一种可广泛使用且成本效益高的替代方法。如果成功，Caspi方法可以开发用于许多经验性派生的治疗。以适度的成本准确评估临床医生技能的方法应该极大地促进以研究为基础的干预措施的传播。在第一阶段的工作中，将包括开发Caspi的原型，并与一小部分成瘾治疗专业人员进行可用性、可靠性和同时效度的试点评估。在第二阶段，将对修订后的Caspi进行更大规模的随机研究，以评估与实际标准化患者会面和成瘾治疗中患者会话的录像带的结构效度，并评估Caspi作为培训结果的指数。研究和开发团队在学习管理和在学术和小企业背景下培训的技术应用方面拥有丰富的经验。

DESCRIPTION (provided by applicant): There is a great need to facilitate dissemination of empirically based methods in addiction treatment. Motivational Interviewing (Ml) is an empirically supported therapeutic approach developed by Miller and Rollnick and is in high demand for training. Yet, there is a lack of reliable and ecologically valid assessment methods for evaluating Ml training needs and outcomes. In the current application, the investigators propose to develop and validate a novel method of assessing clinician skill with Ml by creating a Computer-Adapted Standardized Patients Instrument (CASPI) deliverable in DVD-ROM format with the potential to be used in any setting with a personal computer. The product would provide a widely accessible and cost-efficient alternative to existing methods of clinician Ml skill assessment. If successful, the CASPI methodology could be developed for many empirically derived treatments. Methods to accurately assess clinician skills at modest costs should greatly facilitate dissemination of research-based interventions. In Phase I work will include developing a prototype of the CASPI and conducting a pilot evaluation of usability, reliability, and concurrent validity with a small sample of addictions treatment professionals. In Phase II, a larger randomized study of the revised CASPI will be conducted to evaluate construct validity in comparison with tapes of actual standardized patient encounters and sessions with patients in addiction treatment, as well as evaluate the CASPI as an index of training outcomes. The research and development team has extensive experience with Ml and with technology applications for training in academic and small business contexts.