Computer Training in DBT-S Skills for BPD Drug Abusers

描述（由申请人提供）：物质滥用者辩证行为疗法（DBT-S）是一种综合性的心理社会治疗，对边缘型人格障碍（BPD）的物质依赖者有效。在第一阶段，我们开发和评估了一个创新的基于计算机的培训（CBT）原型的一个子集的DBT-S技能的药物治疗提供者使用原型开发的迭代过程。我们在一项试点随机对照试验（RCT）中测试了原型的有效性。第一阶段的所有目标均已超额完成。在随机对照试验中，在所有主要结果变量上观察到有利于DBT的统计学显著结果，包括技能知识获得、技能回忆、自我效能和治疗BPD客户的动机。在第二阶段，我们建议扩大DBT-S技能CBT课程，包括两个额外的模块-正念和人际效能。我们将再次使用迭代的开发过程，从专家和最终用户那里寻求反馈。我们建议进行随机对照试验（N=75）比较三组：DBT CBT，一个可比的基于文本的课程（团队训练），和CBT控制。主要的结果变量将包括DBT-S技能知识，回忆，自我效能，治疗药物依赖BPD客户的动机，以及两个临床应用措施：基于性能的评估和临床应用测试。此外，我们建议进行为期3个月的随访，以评估随着时间的推移技能的使用和保留。

DESCRIPTION (provided by applicant): Dialectical Behavior Therapy for Substance Abusers (DBT-S) is a comprehensive psychosocial treatment, efficacious for substance-dependent individuals with borderline personality disorder (BPD). In Phase I, we developed and evaluated an innovative computer-based training (CBT) prototype of a subset of DBT-S skills for drug treatment providers using an iterative process of prototype development. We tested the prototype's efficacy in a pilot randomized controlled trial (RCT). All Phase I aims were exceeded. In the RCT, statistically significant results favoring DBT were observed on all major outcome variables, including skills knowledge gains, skills recollection, self-efficacy, and motivation to treat BPD clients. In Phase II, we propose to expand the DBT-S skills CBT curricula to include two additional modules - mindfulness and interpersonal effectiveness. We will again use an iterative process of development, seeking feedback from experts and end-users. We propose to conduct a RCT (N=75) comparing three groups: the DBT CBT, a comparable text-based curriculum (Team Training), and a CBT control. Major outcome variables will include DBT-S skills knowledge, recall, self-efficacy, motivation to treat substance-dependent BPD clients, and two clinical application measures: a performance-based assessment and clinical application test. Additionally, we propose a 3-month follow-up period to assess skills use and retention over time.