Fundamentals of Interpersonal Therapy

描述（由申请人提供）：人际心理治疗（IPT）是最彻底验证的抑郁症心理社会治疗方法之一。然而，由于缺乏培训人员和教材，IPT的传播受到阻碍。虽然有几本关于IPT的优秀教科书[10，24]，但没有其他标准化的教育材料或录像带展示特定的IPT技术。基于计算机的培训提供了提供这些材料的机会，并克服了缺乏IPT教育工作者所带来的障碍。该项目的主要目标是通过创建基于计算机的人际治疗基础培训课程，促进向治疗抑郁症患者的心理治疗师传播和实施IPT。我们将使用一个迭代的开发过程，在原型开发的所有阶段，包括原型的设计，教学策略和例子，都涉及到心理治疗师的反馈。我们将建立和评估一个原型，教治疗师进行IPT的初始会话，特别强调收集人际关系清单[10，24]。除了提供一个收集心理社会信息的格式，人际关系量表是评估依恋风格和规划后续治疗的关键。这也是IPT中选择特定人际问题作为治疗焦点的方法。人际关系量表也被选为这个试点项目，因为它是独特的IPT和一个特定的技术，从其他治疗方法的IPT区别。第一阶段原型将包括一个基于案例的情景，以促进学习。教材和计算机培训方案的开发还将包括一些专家的投入，包括参与开发IPT的顾问、IPT修改研究和IPT培训专家。我们预计，这一发展过程将导致一个原型和最终的产品，将有广泛的吸引力之间的治疗提供者。在本产品可行性的I期试验中，我们将分2个阶段确定可用性和可接受性：（1）形成性评价，包括专家咨询小组的输入以及从一系列焦点小组收集的定性和定量数据;（2）随机对照可行性试点试验。这一经验性评价将确保该方案对用户友好，并将提供初步数据，证明培训的有效性。在第一阶段成功完成后，我们将在第二阶段大幅扩大多媒体计划及其评估。第二阶段的扩展将包括所有剩余的内容，关于应用IPT治疗抑郁症的个人。我们将包括额外的基于病例的场景，以确保课程内容在各种抑郁症亚型患者中的普遍化（例如，围产期抑郁症、老年抑郁症和与各种医学疾病相关的抑郁症）。

DESCRIPTION (provided by applicant): Interpersonal Psychotherapy (IPT) is 1 of the most thoroughly validated psychosocial treatments for depression. Dissemination of IPT, however, has been hindered by lack of trainers and didactic materials. Though several excellent textbooks regarding IPT are available [10, 24], there are no other standardized educational materials or videotapes demonstrating specific IPT techniques. Computer-based training offers the opportunity to provide these materials and to overcome the barrier presented by the lack of IPT educators. The primary goal of this project is to facilitate the dissemination and implementation of IPT to psychotherapists who treat depressed individuals by creating the Fundamentals of Interpersonal Therapy computer-based training course. We will use an iterative process of development involving feedback from psychotherapists throughout all stages of prototype development, including the prototype's design, instructional strategies, and examples. We will build and evaluate a prototype that teaches therapists to conduct an initial session of IPT with a particular emphasis on collecting an Interpersonal Inventory [10, 24]. In addition to providing a format for collecting psychosocial information, the Interpersonal Inventory is critical for assessing attachment style and for planning subsequent treatment. It is also the method in IPT by which specific interpersonal problems are chosen as foci for treatment. The Interpersonal Inventory has also been selected for this pilot project because it is unique to IPT and a specific technique which distinguishes IPT from other therapeutic approaches. The Phase I prototype will include 1 case-based scenario to facilitate learning. The development of the instructional materials and computer-based training programs will also include input from a number of experts, including consultants involved in the development of IPT, research in modifications of IPT, and experts in IPT training. We anticipate that this developmental process will result in a prototype and eventual product that will have broad appeal among treatment providers. In the Phase I test of this product's feasibility, we will determine usability and acceptability in 2 stages: (1) a formative evaluation consisting of input from an advisory panel of experts as well as qualitative and quantitative data gathered from a series of focus groups; and (2) a randomized controlled feasibility pilot test. This empirical evaluation will ensure that the program is user friendly, and will provide preliminary data supporting the effectiveness of the training. Following the successful completion of Phase I, we will substantially expand the multimedia program and its evaluation in Phase II. The Phase II expansion will include all remaining content regarding the application of IPT to the treatment of depressed individuals. We will include additional case-based scenarios to ensure generalization of course content across a wide range of patients with various subtypes of depression (e.g., perinatal depression, geriatric depression, and depression associated with various medical illnesses).