Dissemination of empirically-supported psychotherapies

描述（由申请人提供）：申请人要求通过指导研究科学家发展奖（K01）项目获得五年的资助，以提高她在社区心理治疗实践中关于经验支持治疗（ESTs）的传播和实施（DI）研究的方法和实质性技能，特别是创伤后应激障碍（PTSD）的治疗。最终目标是拥有专门知识，就如何克服在社区中实现有效治疗的障碍并将此类协议应用于大规模服务有效性研究提供经验支持的建议。一个重点是了解影响临床医生/患者治疗态度和偏好的方法（市场营销），同时同样注重重新设计干预措施和实施策略，以适应临床医生/患者的需求和偏好（文化敏感性）。申请人在临床精神病理学及其治疗方面的研究和临床训练背景为本工作提供了良好的基础。宾夕法尼亚大学和一个国家专家顾问小组提供了一个优秀的研究环境，帮助申请人完成拟议的培训目标，包括提高定性研究技术和信息技术的技能，如产品设计和营销。该奖项的研究计划分为三项研究，以补充拟议的教育活动序列，并提出旨在发展申请人测试和改进影响无害环境技术发展的从业者、客户和系统特征模型的能力的活动。在第一项研究中，将对退伍军人管理局（VA）环境中一种创新且极受欢迎的心理治疗的明显成功的DI进行深入的案例研究，尽管其实证地位存在争议。第二项研究将涉及从业者改变实践的态度和意图，他们对无害环境技术的感知属性及其同伴网络影响的混合方法研究。第三个是评估创伤患者治疗偏好的小型混合方法研究。这些研究将为两种传播理论模型提供初步测试，并指导R01现场实验的发展，旨在促进创伤幸存者实施无害环境技术，这将在本K01的最后一节中概述。

DESCRIPTION (provided by applicant): The applicant is requesting five years of funding through the Mentored Research Scientist Development Award (K01) program to enhance her methodological and substantive skills for dissemination and implementation (DI) research concerning empirically-supported treatments (ESTs) in the community practice of psychotherapy, in particular treatments for Post-Traumatic Stress Disorder (PTSD). The ultimate goal is to have expertise to offer empirically-supported recommendations on how to overcome the barriers to achieving effective treatments in the community and to apply such protocols in large scale services effectiveness research. One focus is on understanding means of influencing clinician/patient treatment attitudes and preferences (marketing) with an equal concentration on re-designing the intervention and the strategies to implement them to fit the needs and preferences of clinicians/patients (cultural sensitivity). The applicant's strong background of research and clinical training in clinical psychopathology and its treatments provide an excellent foundation for this work. The University of Pennsylvania as well as a national Expert Advisory Panel offer an outstanding research environment to help the applicant accomplish the proposed training goals, including obtaining enhanced skills in qualitative research techniques and information technology such as product design and marketing. The research plan for this award is divided into three studies which complement the proposed sequences of educational activities and propose activities aimed at developing the applicant's ability to test and refine models of practitioner, client and system characteristics that affect the DI of ESTs. In the first study, an in-depth case study will be conducted concerning the apparent successful DI of an innovative and extremely popular psychotherapy in a Veteran's Administration (VA) setting, despite controversies about its empirical status. The second will involve a mixed-methods study on practitioners' attitudes and intentions to change practice, their perceived attributes of ESTs and their peer-network influences. The third is a small mixed-method study assessing trauma patients' treatment preferences. These studies will provide a preliminary test of two theoretical models of dissemination and guide the development of an R01 field experiment aimed at promoting implementation of ESTs for trauma survivors, sketched out in final section of this K01.