Impact of Intensive Dialectical Behavior Therapy Training on Therapist Behavior

描述(申请人提供)：虽然心理治疗研究领域取得了很大进展，各种治疗方法已被确定为有效和有效的，但几乎没有关于经验支持治疗(EST)的传播和实施的有效性的研究。目前正在花费大量的金钱、时间和精力来培训从业者如何实施EST，几乎没有研究证明这些培训是否对从业者或消费者产生了预期的效果。辩证行为疗法(DBT)是目前正在推广的一种治疗方法，它提供了一个检查培训效果的机会。本研究的目的是对DBT培训对治疗师会话中行为的影响进行初步调查。治疗师在会议期间的行为S是实施和传播研究中需要考察的重要组成部分，因为更高的治疗师对治疗的忠诚度与改善消费者结果有关。这项研究将作为测量治疗师依从性和会话中行为的可行性研究，以便进行更大规模的研究。这项研究与国家精神卫生研究所的使命相关，该使命是通过对精神、大脑和行为的研究来减轻精神疾病和行为障碍的负担，并规定优先事项是为精神卫生保健和服务努力创造更好的科学快速传播途径。这项研究将使用多基线单一受试者设计，20名硕士或博士水平的治疗师参加DBT强化培训课程。治疗师将每周提交2名客户的心理治疗磁带，每周随机选择一盘磁带进行DBT依从性编码，以评估培训对治疗师会话期间行为的影响。磁带收集将在强化培训课程之前开始，每周持续一次，直到完成后四个月。除了依从性评级外，还将收集客户结果数据、治疗师DBT知识数据和计划结构数据。关于心理治疗培训的研究与公共卫生非常相关，原因如下：(1)各种心理健康问题都有有效和有效的治疗方法，(2)心理健康消费者有权获得有效的适当治疗，(3)目前正在花费金钱、时间和精力培训从业者，(4)很少有研究表明，这些培训对从业者或消费者的结果具有预期的效果，从而证明支出是合理的。

DESCRIPTION (provided by applicant): While the field of psychotherapy research has advanced greatly and various treatments have been determined to be efficacious and effective, there exists almost no research on the effectiveness of the dissemination and implementation of empirically supported treatments (ESTs). A great deal of money, time, and effort is currently being expended training practitioners how to implement ESTs and there is little research to demonstrate whether these trainings are having the intended effect on either practitioner or consumer. Dialectical Behavior Therapy (DBT) is a treatment currently being disseminated and offers an opportunity to examine the effects of training. The purpose of this study is to conduct a preliminary investigation of the impact of DBT training on therapists' in-session behavior. Therapist in-session behavior s an important component to examine in implementation and dissemination research, as higher therapist fidelity to treatment has been linked to improved consumer outcomes. This study will serve as a feasibility study of measuring therapist adherence and in-session behavior in order to conduct a larger scale study. This research is relevant to the mission of the National Institute of Mental Health to reduce the burden of mental illness and behavioral disorders through research on mind, brain, and behavior and a stated priority to create improved pathways for rapid dissemination of science to mental health care and service efforts. The study will use a multiple baseline single subject design with 20 master or doctoral level therapists who enroll in a DBT Intensive Training Course. The therapists will submit weekly psychotherapy tapes of 2 clients and one tape will be randomly selected each week for DBT adherence coding to assess impact of training on therapist in-session behavior. Tape collection will begin prior to the Intensive Training Course and continue weekly until four months post completion. In addition to adherence ratings, client outcome data, therapist DBT knowledge data, and program structure data will be collected. Research on psychotherapy training is very relevant to public health given the following, (1) effective and efficacious treatments exists for a variety of mental health problems, (2) mental health consumers have a right to the appropriate treatment done effectively, (3) money, time, and effort is currently being expended on training practitioners, and (4) little research demonstrates that these trainings are having the intended effect on either practitioner or consumer outcomes to justify the expenditures.