Virtual Role-Plays to Train Cognitive-Behavioral Treatment (CBT) for Addictions

 描述(由申请人提供)：这个第一阶段/第二阶段快速通道应用程序的目标是开发和评估一种基于模拟的产品，用于培训学生和临床医生发展有效应用认知行为治疗(CBT)对物质使用障碍(SUDS)患者所需的技能。CBT是治疗肥皂症最常见和最有效的方法之一；然而，CBT需要各种各样的细微差别的技能，需要练习才能掌握。SIMmersion，LLC与Nadine Mstroleo博士、Peter Monti博士、Molly Magill博士和Michael Fleming博士合作，提议开发一种具有角色扮演模拟的基于计算机的培训系统，该系统将为医疗保健提供者提供机会，通过在安全的环境中通过反馈反复练习来磨练这些技能。预计最终产品将包括5小时的互动电子学习内容，以提供获取知识的机会，以及24小时或更长时间的角色扮演练习，涉及六项关键的CBT技能(即信息收集、识别诱因、应对技能、拒绝吸毒、紧急情况规划和看似不相干的决定)。将使用随机对照试验来测试培训方案的疗效。在罗德岛地区注册了咨询硕士课程的100名研究生将被招募参加。50名参与者将被随机分配到试验组，并将获得培训计划；50名参与者将被随机分配到控制组，并将获得一份标准化的CBT培训手册。所有参与者将进行基线和干预后标准化患者访谈；研究的主要结果将衡量参与者提供CBT技能的增加。最终，该产品的开发和成功测试将为美国医疗保健系统提供一项新技术，为数十万为受肥胖症影响的患者提供咨询的学生和临床医生扩大CBT培训。培训卫生保健提供者更有效地利用CBT将对患者产生直接影响。

 DESCRIPTION (provided by applicant): The goal of this Phase I/Phase II fast-track application is to develop and evaluate a simulation-based product for training students and clinicians to develop the skills necessary to effectively apply Cognitive-Behavioral Treatment (CBT) with patients with substance use disorders (SUDs). CBT is one of the most common and effective treatments for SUDs; however, CBT requires a wide variety of nuanced skills requiring practice to master. SIMmersion, LLC, in collaboration with Drs. Nadine Mastroleo, Peter Monti, Molly Magill, and Michael Fleming, is proposing to develop a computer-based training system with role-play simulations that will provide opportunities for healthcare providers to hone these skills through repeated practice with feedback in a safe environment. It is anticipated that the final product will include five hours of interactive e-learning content to provide opportunities fo knowledge acquisition and twenty-four or more hours of role-play practice across six key CBT skills (i.e., information gathering, identifying triggers, coping-skills, drug-refusal, planning fo emergencies, and seemingly irrelevant decisions). A randomized controlled trial will be used to test the efficacy of the training package. One hundred (100) graduate students enrolled in the Master of Counseling programs in the Rhode Island area will be recruited to participate. Fifty participants will be randomly assigned to the experimental group and will receive access to the training program; fifty participants will be randomly assigned to the control group and will receiv a standardized training manual for CBT. All participants will conduct baseline and post-intervention standardized patient interviews; primary outcomes of the study will measure increases in participant delivery of CBT skills. Ultimately, the development and successful testing of this product would provide the US health care system with a novel technology to scale up CBT training for the hundreds of thousand students and clinicians counseling people affected by SUDs. Training health care providers to more effectively utilize CBT would have a direct patient impact.