Substance Abuse Diagnostic Clinical Interview Simulation

描述（由申请人提供）：对心理健康学科的临床医生和学生进行药物滥用评估培训的传统方法仅限于角色扮演、模拟访谈、教科书课程和视频教学。所有这些工具在传授真实世界经验方面都有局限性。具体来说，传统的教学方法不包括病人和实习医生之间的现实互动，从而使学生没有得到适当的现实世界的训练。为了克服当前临床教学的局限性，我们建议开发一种基于计算机的交互式临床评估访谈培训系统，该系统结合了真实的患者访谈以及实时的指导反馈和指导。在这个第一阶段的应用中，将开发一个原型诊断面谈系统，重点是甲基苯丙胺使用和/或依赖的初步诊断。在之前成功开发的面谈技巧教学模拟的基础上，我们建议开发一个初始原型系统，用于教学DSM-IV-TR（美国精神病学协会，2000）对甲基苯丙胺滥用和/或依赖的诊断评估。具体来说，第一阶段的初始原型将侧重于甲基苯丙胺的诊断标准。该系统将使用交互式模拟患者和语音识别来创建一个身临其境、逼真的双向临床评估访谈，不仅可以教授正确的评估技能，还可以反映真实临床环境中面临的挑战。将在目标最终用户群体中进行试点测试，以评估原型模拟并确定其在诊断临床访谈技能方面提供有意义培训的可行性。据推测，与传统的训练方法相比，学生将认为模拟是真实的、引人入胜的，并对其进行评价。第一阶段的可行性论证将为原型模拟扩展为全长多媒体训练模拟提供基础，能够为学习者提供现实的临床经验，使他们能够练习和完善临床访谈和诊断技能，以便在该领域使用。公共卫生相关性：拟议的项目将解决临床指导在医患互动领域的局限性，这是许多培训项目中明显缺乏的领域。如果成功，它将提供一种工具，使学生能够学习关键技能，帮助他们以更准确和有效的方式与患者互动和诊断。

DESCRIPTION (provided by applicant): Traditional methods for training clinicians and students in mental health disciplines in substance abuse assessment have been restricted to role-playing, mock interviews, textbook lessons, and video instruction. All of these tools have limitations for imparting real world experiences. Specifically, traditional methods of instruction do not include realistic interactions between the patient and the student clinicians, thus leaving students without proper real world training. To overcome current clinical instruction limitations, we propose to develop a computer based interactive clinical assessment interview training system with voice recognition that combines realistic patient interviews coupled with guided feedback and instruction in real-time. In this Phase I application, a prototype diagnostic interview system will be developed focused on the preliminary diagnosis of methamphetamine use and/or dependence. Building on the successful development of previous simulations for teaching interview skills, we propose to develop an initial prototype system for teaching DSM-IV-TR (American Psychiatric Association, 2000) diagnostic assessment for methamphetamine abuse and/or dependence. Specifically, the initial prototype in Phase I will focus on the methamphetamine diagnostic criteria. The system will use interactive simulated patients and voice recognition to create an immersive, realistic, two-way clinical assessment interview, which not only teaches proper assessment skills, but also mirrors challenges faced in real clinical settings. A pilot test will be conducted with the target end-user population to evaluate the prototype simulation and determine its feasibility for providing meaningful training in diagnostic clinical interviewing skills. It is hypothesized that students will asses the simulation as realistic and engaging and rate it favorably as compared with more traditional training methods. Demonstration of feasibility in Phase I will provide the basis for expansion of the prototype simulation into a full-length multimedia training simulation capable of providing learners with realistic clinical experiences in which they can practice and refine clinical interviewing and diagnostic skills for use in the field. Public Health Relevance: The proposed project will address clinical instruction limitations in the area of clinician-patient interactions, an area that is significantly lacking in many training programs. If successful, it will provide a tool to enable students to learn critical skills that will help them interact with and diagnose patients in a more accurate and efficient manner.