Internet-based Coping Skills Workbook for PTSD

描述(由申请者提供)：在美国，暴露在创伤中是很常见的。这些暴露中的相当大一部分会导致严重的功能障碍，包括创伤后应激障碍(PTSD)。尽管有经验支持的疗法(EST)治疗创伤后应激障碍，但许多人没有得到他们需要的治疗。这笔赠款建议利用互联网为创伤后应激障碍患者提供一本应对技能手册，作为面对面治疗的补充(克服和理解创伤的战略个人资源：萌芽)。这项技术使本工作簿能够以多媒体演示格式(如音频、动画和交互式练习)和定制反馈实现高度交互。Sprout将教授从EST收集的应对技能，并将包括症状识别、放松技能、正念、情感识别和调节以及认知重组方面的培训。每个模块将包括心理教育、在线练习、自我监控作业和个性化反馈。随附的临床医生网站将包括每个患者进展的个性化报告，并就如何促进技能的加强和推广提出建议。在第一阶段，完成了两个试点单元(创伤后应激障碍入门和基本放松技能)以及第三个单元(高级放松)的内容。一项成功的可行性研究中，30名PTSD患者使用了这两个试点模块并进行了评估。这些参与者给这些模块打了很高的分。阶段E将完成十个练习册模块以及患者和陪护临床医生网站(包括患者的讨论板选项)。将在完成的产品上对128名PTSD患者进行随机临床试验，使用6名私人执业临床医生作为研究治疗师。Sprout有望减少创伤后应激障碍症状，提高症状管理自我效能，并提高患者满意度。

DESCRIPTION (provided by applicant): Exposure to trauma is common in the US. A significant proportion of these exposures leads to serious impairment in functioning, including posttraumatic stress disorder (PTSD). Although there are empirically-supported treatments (EST's) for PTSD, many individuals do not get the treatment they need. This grant proposes to use the Internet to deliver a coping skills workbook for PTSD patients as a supplement to face-to-face treatment (Strategic Personal Resources for Overcoming and Understanding Trauma: SPROUT). Technology enables this workbook to be highly interactive with a multimedia presentation format (e.g., audio, animation, and interactive exercises) and customized feedback. SPROUT will teach coping skills gathered from EST's and will include training in symptom identification, relaxation skills, mindfulness, affect identification and regulation, and cognitive restructuring. Each module will include psychoeducation, on-line exercises, self-monitoring assignments, and individualized feedback. An accompanying clinician website will consist of individualized reports of each patient's progress with suggestions about how to facilitate the strengthening and generalization of the skills. In Phase I, two pilot modules were completed (Introduction to PTSD and Basic Relaxation Skills) as well as the content for a third module (Advanced Relaxation). A successful feasibility study was conducted wherein the two pilot modules were used and evaluated by 30 PTSD patients. These participants gave the modules very high ratings. Phase E will complete the ten workbook modules as well as patient and companion clinician websites (including discussion board options for patients). A randomized clinical trial of 128 PTSD patients will be conducted on the completed product using six private practice clinicians as research therapists. SPROUT is expected to reduce PTSD symptoms, increase symptom management self-efficacy, and increase patient satisfaction.