A Multimedia Training Package for Seeking Safety Therapy

项目描述（由申请人提供）：本项目主要针对“寻求安全”行为治疗的多媒体培训包（MTP）的开发和评估。寻求安全是专为共同发生的物质使用障碍（SUD）和创伤后应激障碍（PTSD）。这种双重诊断在数量和临床严重程度上都非常突出。seek Safety是目前市场上的领导者，是这种双重诊断患者最广泛采用的治疗方法，也是最科学的研究（在七项结果试验中取得了积极的结果）。它在该领域获得了广泛的普及和浓厚的兴趣。一本出版的书（Najavits, 2002）和一些文章描述了这种基于十年发展和测试的疗法。MTP将建立在这项工作的基础上，允许该疗法在更高水平的质量控制下更好地出口，有可能改善双重诊断患者的临床治疗，并产生具有巨大市场潜力的产品。MTP将以dvd为基础，包括视频、音频和书面/互动材料。例如，它将包括一个实际会话的模型视频，音频“疑难病例”临床场景和可能的反应，遵守表格和测验。这些材料是基于纳贾维茨博士在治疗方面培训临床医生的丰富经验。一项随机对照试验将评估MTP的影响。40名临床医生将收到与MTP一起的《寻求安全》（实验条件）或单独的《寻求安全》（对照），并将进行三次评估（培训材料之前，之后和2个月的随访）。关键变量是对治疗和MTP的知识获取和满意度，MTP的可行性（例如，回顾MTP需要多长时间），与工作相关的变量（例如，共情，同情疲劳）和自我报告的治疗实施情况。该提案特别关注数据分析、SBIR项目的可行性、标准化措施以及使用包括Vida健康通信公司在内的专家顾问团队进行DVD设计和制作。

DESCRIPTION (provided by applicant): This project focuses on the development and evaluation of a multimedia-training package (MTP) for the behavioral treatment "Seeking Safety". Seeking Safety is designed for co-occurring substance use disorder (SUD) and posttraumatic stress disorder (PTSD). This dual diagnosis is very prominent both in number and clinical severity. Seeking Safety is the current market leader as the most widely adopted therapy for patients with this dual diagnosis, as well as the most scientifically studied (with positive results in seven outcome trials). It has achieved widespread popularity and strong interest in the field. A published book (Najavits, 2002) and articles describe the therapy, based on ten years of development and testing. An MTP would build on this work, allow greater exportability of the therapy with a higher level of quality control, potentially improve clinical treatment of patients with this dual diagnosis, and result in a product with substantial market potential. The MTP would be DVD-based, including video, audio, and written/interactive materials. It would include, for example, a model video of an actual session, audio "tough case" clinical scenarios and possible responses, an adherence form, and quizzes. These materials are based on Dr. Najavits' extensive experience training clinicians in the therapy. A randomized controlled trial would evaluate the impact of the MTP. Forty clinicians would receive either the Seeking Safety book with the MTP (experimental condition) or the book alone (control), and would be assessed at three times (prior to training materials, after, and at 2- month followup). Key variables would be knowledge acquisition and satisfaction with the treatment and MTP, feasibility of the MTP (e.g., how long it took to review it), work-related variables (e.g., empathy, compassion fatigue) and self-reported implementation of the therapy. The proposal pays particular attention to data analysis, feasibility of the SBIR project, standardized measures, and use of a team of expert consultants, including Vida Health Communications, Inc. for the DVD design and production.