Computer Adapted Standardized Patient Instrument for MI Skills Assessment

描述（由申请人提供）：非常需要促进成瘾治疗中基于经验的方法的传播。动机性访谈（MI）是米勒和Rollnick（1991，2002）提出的一种有经验支持的治疗方法。尽管对MI培训的需求很高，但缺乏用于评估培训需求和结果的低成本、可靠和生态有效的评估方法（Baer等人，2004年）。在当前的应用中，研究者建议开发和验证一种新的方法，通过创建一个计算机适应的标准化患者工具（CASPI），可以在任何个人计算机环境中使用，来评估临床医生对MI的技能。该产品将提供一个广泛使用和成本效益的替代现有的方法，临床医生心肌梗死技能评估。如果成功的话，CASPI方法可以被开发用于许多经验性的治疗。以适度的成本准确评估临床医生技能的方法应大大促进基于研究的干预措施的传播。在第一阶段，我们开发了一个原型的CASPI，并进行了试点评估的可用性，可靠性和并行效度与23成瘾治疗专业人员。结果表明，CASPI是深受供应商的整体，并具有良好的内部信度和高度令人鼓舞的初步并发效度与其他既定的措施。在第二阶段，我们将开发CASPI的第二种形式，建立计算机辅助评分界面，并对修订后的CASPI进行随机研究，以评估其作为培训成果的指标。此外，结构效度将建立在与标准化的病人遭遇的磁带比较。研究和开发团队拥有丰富的MI经验，并在学术和小型企业环境中进行技术应用培训。公共卫生相关性：为了促进循证医学实践的采用，迫切需要低成本的临床医师技能评估方法。动机性访谈是一种基于经验的、有效的、非常流行的药物滥用治疗方法。本计画将发展一套以电脑为基础之心肌梗塞技能评估工具，以供心肌梗塞训练人员、训练计画、治疗机构及研究人员使用。

DESCRIPTION (provided by applicant): There is a great need to facilitate dissemination of empirically based methods in addiction treatment. Motivational Interviewing (MI) is an empirically supported therapeutic approach developed by Miller and Rollnick (1991, 2002). Although there is high demand for MI training, there is a lack of low-cost, reliable, and ecologically valid assessment methods for evaluating training needs and outcomes (Baer et al., 2004). In the current application, the investigators propose to develop and validate a novel method of assessing clinician skill with MI by creating a Computer-Adapted Standardized Patients Instrument (CASPI) with the potential to be used in any setting with a personal computer. The product would provide a widely accessible and cost- efficient alternative to existing methods of clinician MI skill assessment. If successful, the CASPI methodology could be developed for many empirically derived treatments. Methods to accurately assess clinician skills at modest costs should greatly facilitate dissemination of research-based interventions. In Phase I, we developed a prototype of the CASPI and conducted a pilot evaluation of usability, reliability, and concurrent validity with 23 addictions treatment professionals. Results showed that CASPI was well-received overall by providers, and has excellent internal reliability and highly encouraging preliminary concurrent validity with other established measures. In Phase II, we will develop a second form of the CASPI, build a computer-assisted scoring interface, and conduct a randomized study of the revised CASPI to evaluate it as an index of training outcomes. In addition, construct validity will be established in comparison with tapes of standardized patient encounters. The research and development team has extensive experience with MI and with technology applications for training in academic and small business contexts. PUBLIC HEALTH RELEVANCE: Low cost methods for the assessment of clinician skills are greatly needed to facilitate adoption of evidenced-based practice. Motivational Interviewing (MI) is empirically- based, effective, and a very popular therapeutic modality for substance abuse treatment. This project will develop a computer-based MI skills assessment instrument, which will be useful to MI trainers, training programs, treatment agencies, and researchers.