Computer-Based Training in DBT Validation Strategies

描述(由申请人提供)：在NIDA，循证疗法的传播仍然是一个高度优先的问题。许多障碍限制了在常规社区环境中获得这些有效疗法的机会。物质使用障碍(SUD)与边缘性人格障碍(BPD)并存，构成严重而复杂的公共卫生问题。辩证行为疗法(DBT)是治疗药物依赖者BPD的一种有效的心理社会治疗方法。验证策略是DBT使用的核心治疗策略之一。 我们建议开发和评估一个创新的基于计算机的培训计划，以供药物治疗提供者学习验证策略。第一阶段的原型将包括一个基于案例的场景，以促进学习。将采用反复开发原型的过程，最终用户的反馈将推动原型的修改，以确保其可用性和提供者的接受性。还将使用一个专家咨询委员会，以确保原型在科学上是合理的，并保持对治疗手册的忠诚度。将通过个人访谈、焦点小组和咨询委员会获得反馈。一旦原型的可用性和可接受性达到，我们将进行随机对照试点测试(N=20)，以评估在验证知识和应用验证策略时的自我效能方面的收获。

DESCRIPTION (provided by applicant): Dissemination of evidence-based therapies remains a high priority at NIDA. A number of barriers limit accessibility to these effective therapies in routine community settings. Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical Behavior Therapy (DBT) is an efficacious psychosocial treatment for drug dependent individuals with BPD. Validation strategies are among the core treatment strategies used in DBT. We propose to develop and evaluate an innovative computer-based training program for drug treatment providers to learn validation strategies. The Phase I prototype will include one case-based scenario to facilitate learning. An iterative process of prototype development will be used where end-user feedback will drive prototype modifications to ensure its usability and acceptability to providers. An advisory board of experts will also be used to ensure that the prototype is scientifically sound and that fidelity to the treatment manual is retained. Feedback will be obtained using individual interviews, focus groups, and from the advisory board. Once prototype usability and acceptability is achieved, we will conduct a randomized controlled pilot test (N=20) to evaluate gains in knowledge of validation and self-efficacy in applying validation strategies.