Psychotherapy Training Pediatric Bipolar Disorder

描述(申请人提供)：儿童双相情感障碍(BPD)的循证治疗严重缺乏。虽然药理学仍然是一线治疗，但心理社会干预被认为是全面护理的关键。目前还没有发表大规模的、随机的针对儿童BPD进行心理社会干预的临床试验；然而，1项已接近完成。PI已经在几个随机临床试验中测试了多家庭心理教育小组(MFPG)对8-12岁患有主要情绪障碍的儿童的疗效。结果表明，MFPG显著降低了BPD儿童的情绪严重程度，包括愤怒行为，降低了自杀风险，并改善了家庭互动。因此，有必要：1)开发基于MFP模式的治疗师培训材料；2)测试他们成功培训临床医生的能力；3)如果步骤1和2有效，则传播这些培训材料。这个第一阶段的申请建议确定完成这三个步骤的技术优点和可行性。预计稍后的第二阶段提交将完成培训材料的开发并测试其功能。预计最终产品将有一个商业门店。在第一阶段，将开发5个产品：1)治疗师手册；2)面对面研讨会培训计划的大纲和样本部分；3)DVD培训计划的大纲和样本部分；4)培训前和培训后的问卷；以及5)用于营销/传播的样本网站。培训产品将由PI与MFP的其他工作人员以及一名远程学习专家和一名视听顾问共同开发。PI将与一名网页设计师一起完成第五个产品。培训产品将由一个由8名专家组成的小组进行双重Beta测试，每个专家小组代表4种专业知识：1)心理治疗传播研究；2)治疗师培训网站；3)专门研究儿童BPD的心理治疗师；以及4)专门研究儿童BPD的精神药理学家。其中2名专家(来自治疗师培训现场)预计将参与第二阶段测试。预计将有一个商业渠道购买和销售治疗师培训手册和培训DVD；该网站将在第二阶段扩大，将用于协助营销工作。

DESCRIPTION (provided by applicant): Evidence-based treatment for pediatric bipolar disorder (BPD) is sorely lacking. While pharmacology remains the first-line treatment, psychosocial interventions are considered essential for comprehensive care. Currently there are no published large-scale, randomized clinical trials of psychosocial intervention for pediatric BPD; however, 1 is nearing completion. The PI has tested the efficacy of Multi-Family Psychoeducation Groups (MFPG) for children aged 8-12 with major mood disorders in several randomized clinical trials. Results indicate MFPG significantly decreases mood severity, including rage behavior, lowers suicidal risk, and improves family interactions for children with BPD. Thus, there is a need to: 1) develop therapist training materials based on the MFPG model; 2) test their ability to successfully train clinicians; and 3) if steps 1 and 2 are effective, disseminate these training materials. This Phase I application proposes to establish the technical merit and feasability of accomplishing these 3 steps. A later Phase II submission is anticipated that will complete development of the training materials and test their functionality. A commercial outlet is anticipated for the final products. In Phase I, 5 products will be developed: 1) a therapist manual; 2) the outline for and sample section of a face-to-face workshop training program; 3) the outline for and sample section of a DVD training program; 4) pre-and post-training questionnaires; and 5) a sample website to be used for marketing/dissemination. The training products will be developed by the PI, along with other MFPG staff, in conjunction with a distance-learning expert and an audio-visual consultant. The PI, in conjunction with a web-designer, will complete the fifth product. The training products will be double beta-tested by a panel of 8 experts, 2 each representing 4 types of expertise: 1) psychotherapy dissemination research; 2) therapist training sites; 3) psychotherapists specializing in pediatric BPD; and 4) psychopharmacologists specializing in pediatric BPD. 2 of these experts (from the therapist training sites) are anticipated to be involved with Phase II testing. A commercial outlet is anticipated to purchase and market the therapist training manual and training DVD; the website, which will be expanded during Phase II, will be used to aid marketing efforts.