Development and Evaluation of Context Tailored Training

描述（由申请人提供）： 药物滥用障碍的药物支持治疗的发展，虽然在过去的二十年中富有成效，但并没有伴随着同样的努力，转移或传播这种方法的标准做法。如果不作出具体努力，包括对专业人员进行新技术培训，似乎不可能进行传播。然而，对于具有不同临床技能和经验的药物滥用治疗专业人员，什么类型的培训工作对不同类型的干预措施有效却知之甚少。为了响应PA-03-126，NIDA行为治疗发展计划，拟议的第三阶段研究将开发和评估一个创新的模式，用于培训在提供药物滥用治疗的机构工作的咨询师。基于技术转让的概念，实践行为的变化被认为更有可能响应根据个人专业需求量身定制的培训，并伴随着提醒、加强和支持临床实践变化的背景过程。培训还必须包括与提供药物滥用服务的机构合作进行评估和协商。将为动机性面试（MI）技能开发一个“情境定制”培训模式，这是一种具有强有力经验支持的临床方法，经常要求进行培训。该模式将在两个机构进行试点测试。修订后，培训模式将与传统的CPE研讨会进行比较，在一个小的随机试验与六个额外的机构。新的，基于上下文的模型，预计将实现更大的收购，维护和推广特定的MI技能相比，传统的CPE车间，在实践中与实际患者进行评估。拟议的研究旨在提供标准化和初步的基于数据的支持，为上下文量身定制的培训。如果成功的话，随后提出的更大规模的研究建议可以在广泛的机构、人员和主题上测试培训的有效性。

DESCRIPTION (provided by applicant): The development of empirically-supported treatments for substance abuse disorders, although productive over the past twenty years, has not been accompanied by an equal effort in the transfer, or dissemination of such approaches to standard practice. Dissemination appears unlikely to occur without specific efforts, including the training of professional staff in new techniques. Yet little is known about what types of training efforts are effective for different types of interventions for substance abuse treatment professionals with varying clinical skills and experience. In response to PA-03-126, NIDA Behavioral Therapy Development Program, the proposed Phase III research will develop and evaluate an innovative model for the training of counselors working in agencies providing substance abuse treatment. Based on concepts of technology transfer, change in practice behavior is seen as more likely in response to training that is tailored to the individual's professional needs and accompanied by contextual processes that remind, reinforce, and support changes in clinical practice. Training must also involve assessment and consultation in partnership with agencies providing substance abuse services. A "Context Tailored" training model will be developed for skills in Motivational Interviewing (MI), a clinical approach that has strong empirical support and for which training is often requested. The model will be pilot tested in two agencies. After revision, the training model will then be compared to a traditional CPE workshop in a small randomized trial with six additional agencies. The new, context based model is expected to achieve greater acquisition, maintenance and generalization of specific MI skills compared to a traditional CPE workshop, as assessed in practice with actual patients. The proposed research is designed to provide standardization and preliminary data-based support for context-tailored training. If successful, subsequent proposals for research on a much larger scale can test training effectiveness across a broad range of agencies, personnel, and topics.