Computer Based Training in DBT-S Behavioral Analysis

普罗伊德。 物质使用障碍(Sud)与边缘性人格障碍(Bpd)并存，构成严重问题。 和复杂的公共卫生问题。辨证行为疗法治疗精神分裂症(DBT-S) 一种全面的心理社会治疗，对患有 边缘型人格障碍(BPD)。 在第一阶段，我们开发并评估了创新的基于计算机的培训(CBT)原型 使用迭代过程对药物治疗提供者进行DBT-S行为链分析 原型开发。我们在试点随机对照试验(RCT)中测试了原型的有效性 从常规治疗提供者样本中比较DBT-S CBT(n=12)和对照CBT(n=13) 戒毒计划。结果表明，DBT-S CBT在生产中是有效的 在戒毒成瘾患者中获得知识、回忆课程策略、提高自我效能 BPD患者，并在接下来的几周促进技能使用。我们建议大幅扩展 第二阶段的课程内容及其评估。我们将再次使用迭代过程 开发，依靠广泛的最终用户测试以及来自科学和技术小组的反馈 DBT专家。完成后，我们将开始RCT评估(N=120)，在该评估中，我们将比较 CBT(n=40)用于其他标准培训方法，特别是讲师指导培训(n=40)和文本 (n=40)。除了第一阶段评估的结果变量外，我们还将包括一项业绩- 基于临床应用的测试，其中角色扮演将被录像并编码以符合要求。

PROIDED. Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical BehaviorTherapy for SubstanceAbusers (DBT-S)is a comprehensive psychosocial treatment, efficacious for substance-dependent individuals with borderline personality disorder (BPD). In Phase I, we developed and evaluated an innovative computer-based training (CBT) prototype of DBT-S Behavioral Chain Analysis (BCA) for drug treatment providers using an iterative process of prototype development. We tested the prototype's efficacy in a pilot randomized controlled trial (RCT) comparing DBT-S CBT (n=12) to control CBT (n=13) in a sample of treatment providers from routine drug treatment program. Results demonstrated the DBT-S CBT was efficacious at producing knowledge gains, recall of course strategies,increased self-efficacy among treatingdrug-addicted BPD patients, and promoting skill use in the subsequent weeks. We propose to significantly expand the course content and its evaluation in Phase II. We will again use an iterative process of development, relying on extensive end-user testing as well as feedbackfrom a panel of scientific and DBT experts. Upon completion, we will begin a RCT evaluation (N=120) where we will compare the CBT (n=40) to other standard training methods, specifically instructor-led training (n=40) and text (n=40). In addition to the outcome variables assessed in Phase I, we will include a performance- based test of clinical application where role-plays will be video taped and coded for adherence.