Computer-Based Training of Dialectical Behavior Therapy

描述（由申请人提供）：边缘型人格障碍（BPD）仍然是一个严重的公共卫生问题。辩证行为疗法（DBT）是一种对BPD有效的综合心理治疗方法。在第一阶段，我们将开发和评估一种创新的基于计算机的培训（CBT）原型，用于心理健康提供者的DBT技能子集。CBT将包括探索和模拟环境，以促进知识转移。原型开发的所有阶段都将采用迭代过程，依赖于精神卫生专业临床医生的广泛协作和内容整合。在形成性评估期间，将从一个由行为治疗和DBT专家组成的咨询委员会以及由心理健康提供者组成的四个焦点小组获得反馈。然后进行一项随机对照可行性试点研究（N=40），以确定原型在提高DBT技能子集的知识和应用以及学习者自我效能感、可接受性和满意度方面的功效。在第二阶段，我们将开发Linehan手册中描述的所有剩余模块，并扩展评估组件，包括在自然环境中测试其使用情况。

DESCRIPTION (provided by applicant): Borderline personality disorder (BPD) remains a serious public health problem. Dialectical Behavior Therapy (DBT) is a comprehensive psychosocial treatment that is efficacious for BPD. In Phase I, we will develop and evaluate an innovative computer-based training (CBT) prototype of a subset of DBT skills for mental health providers. The CBT will include exploration and simulation environments to facilitate knowledge transfer. An iterative process will be used throughout all phases of prototype development that relies on extensive collaboration and integration of content from mental health professional clinicians. Feedback during this formative evaluation will be obtained from an advisory board comprised of behavior therapy and DBT experts, and through a series of four focus groups with mental health providers. A randomized controlled feasibility Pilot study (N=40) will then be conducted to determine the prototype's efficacy at improving knowledge and application of the DBT skills subset, as well as learner self-efficacy, acceptability, and satisfaction. In Phase II, we will develop all remaining modules described in Linehan's manual and expand the evaluation component to include testing its use within naturalistic settings.