PE-Web: Online Training for VA Providers in Prolonged Exposure for PTSD

大约八分之一的退伍军人使用VA初级保健诊所符合PTSD的标准。这就强调了 有VA提供者谁是高度熟练的实施最好的PTSD治疗可用。 延长暴露（PE），由Edna Foa博士（该项目的主要研究者）制定的治疗方案， 最近被医学研究所认定为“最佳实践”方法。一项国家倡议正在进行中 培训VA提供者采用这种方法，由VHA中央精神卫生服务办公室资助 办公室因此，为脆弱性和适应提供者提供高质量、低成本的培训工具具有重要意义。 为此，本应用程序描述了一个计划，以开发PE-Web，一个创新的，8-10小时的基于Web的培训 VA供应商的协议，有能力加强供应商为退伍军人提供PE的准备 有创伤后应激障碍的人我们的调查团队有能力开发和评估PE- Web，在开发其他基于Web的临床医生培训协议方面非常成功， 创伤应激人群（TF-CBTWeb、CTGWeb）。TF-CBTWeb于2005年10月启动， 来自所有50个州和88个国家的29，000多名注册学习者。拟议项目，在 除了支持PE-Web的开发外，还将支持用100 VA对其进行初步评估的工作 曾接受过初步体育培训的供应商。我们将使用随机的 控制方法。如果研究结果支持PE-Web作为一种有价值的VA提供者培训工具，那么许多 将探讨向退伍军人事务提供者传播这一低成本资源的途径。

About 1 in 8 veterans using VA primary care clinics meets criteria for PTSD. This underscores the importance of having VA providers who are highly skilled in the implementation of the best PTSD treatments available. Prolonged exposure (PE), a treatment protocol developed by Dr. Edna Foa (a key investigator on this project), was recently identified as a "best practice" approach by the Institute of Medicine. A national initiative is ongoing to train VA providers in this approach, funded by the Office of Mental Health Services in the VHA Central Office. The availability of high-quality, low-cost training tools for VA providers is therefore of high significance. To this end, this application describes a plan to develop PE-Web, an innovative, 8-10 hour Web-based training protocol for VA providers that has the capacity to strengthen providers' preparation to deliver PE to veterans with PTSD with a high level of fidelity. Our investigative team is well positioned to develop and evaluate PE- Web, having been highly successful in development of other Web-based clinician-training protocols relating to traumatic stress populations (TF-CBTWeb, CTGWeb). TF-CBTWeb, launched in October 2005, has already logged over 29,000 registered learners representing all 50 states and 88 countries. The proposed project, in addition to supporting the development of PE-Web, will support efforts to preliminarily evaluate it with 100 VA providers who had previously received initial training in PE. We will evaluate PE-Web using randomized controlled methods. If findings are supportive of PE-Web as a valuable VA provider-training tool, numerous avenues for disseminating this low-cost resource to VA providers will be explored.