DBT Skills Training Central

描述(由申请人提供)：这是一项第一阶段的小型企业创新研究(SBIR)赠款申请，旨在支持为治疗边缘人格障碍和物质依赖(BPD-SUD)个人的辩证行为疗法(DBT)技能提供者开发创新的在线培训辅助工具。DBT技能中心最终产品的主要目的是帮助DBT技能培训人员访问、组织、定制、跟踪和管理DBT技能内容和材料(例如，教学插图、示例、客户讲义、遵守情况核对表、易于阅读的大纲、讲义、作业)。DBT技能中心将为用户提供最先进的教学范例、插图、客户练习和课程大纲。用户可以通过指定技能培训组中客户的人口统计数据(例如，年龄、性别、种族/民族)、治疗环境(例如，门诊、住院、住处/环境)、组成员的主要问题(例如，自杀行为和非自杀自残、滥用药物、愤怒失控等)，轻松地定制他们的搜索以满足他们的特定需求。以及次要问题(例如，抑郁、愤怒、失业、绝望的想法等)，以及DBT技能的高级程度(例如，初级、中级、高级)。DBT技能中心的第二个功能将是为各种客户提供快速、易于找到的DBT技能建模，包括会话练习。此第一阶段提案的初始目标是：1)利用目标最终用户和DBT技能专家顾问确定原型的内容；2)与设计和技术专家合作，使用迭代开发和评估过程创建原型；3)进行随机控制的可行性初步研究，与基于标准文本的材料相比，评估产品的知识、自我效能和总体满意度。如果第一阶段的可行性测试成功，我们将在第二阶段大幅扩大多媒体计划及其评估。公共卫生相关性：辩证行为疗法(DBT)是一种对伴有物质使用障碍(BPD-SUD)的边缘人格障碍(BPD-SUD)个人的有效治疗。技能培训是DBT的重要组成部分，需要提供者进行广泛的准备。我们建议开发和测试一种创新的交互式互联网工具，供DBT治疗提供者访问、组织、定制、跟踪和管理DBT技能内容和材料(例如，教学插图、示例、客户讲义、遵守情况核对表、易于阅读的大纲、讲义、作业)。通过为治疗提供者提供工具，促进他们将DBT技能应用于BPD和SUD患者，我们的目的是简化基本行为程序的培训，进一步促进DBT的成功传播。

DESCRIPTION (provided by applicant): This is a Phase I Small Business Innovation Research (SBIR) grant application to support the development of an innovative, online training aid for Dialectical Behavior Therapy (DBT) skills providers treating borderline personality disorder and substance dependence (BPD-SUD) individuals. The primary purpose of the eventual product, DBT Skills Central, is to help DBT skills trainers access, organize, customize, track and manage DBT skills content and materials (e.g., teaching illustrations, examples, client handouts, adherence checklists, easy-to-read outlines, handouts, homework) commonly required when teaching DBT skills. DBT Skills Central will provide users with state-of-the art teaching examples, illustrations, client exercises, and class outlines at their finger tips. Users will be easily able to customize their search to "fit" their specific needs by specifying the demographics of clients in their skills training group (e.g., age, sex, race/ethnicity), the treatment setting (e.g., outpatient, inpatient, residential/milieu), the group members' primary problems (e.g., suicidal behaviors and non-suicidal self-injury, substance abuse, anger dyscontrol, etc.) as well as secondary problems (e.g., depression, anger, joblessness, hopeless thoughts, etc.), and how advanced the DBT skills is (e.g., beginning, intermediate, advanced). A secondary function of DBT Skills Central will be to provide quick, easy-to-find modeling of DBT Skills, including in-session practice exercises, for a wide variety of clients. The initial aims of this Phase I proposal are to: 1) Determine content for the prototype utilizing target end-users and DBT skills expert advisors; 2) Create the prototype using an iterative process of development and evaluation in collaboration with design and technology experts; 3) Conduct a randomized controlled feasibility pilot study to evaluate knowledge, self-efficacy, and overall satisfaction with the product compared to standard text-based materials. In the event of a successful Phase I test of feasibility, we will substantially expand the multimedia program and its evaluation in Phase II. PUBLIC HEALTH RELEVANCE: Dialectical behavior therapy (DBT) is an efficacious and effective treatment for Borderline Personality Disorders with Substance Use Disorders (BPD-SUD) individuals. Skills Training is an important component of DBT which requires extensive preparation from the provider. We propose to develop and test an innovative, interactive Internet tool for DBT treatment providers to access, organize, customize, track, and manage DBT skills content and materials (e.g., teaching illustrations, examples, client handouts, adherence checklists, easy-to-read outlines, handouts, homework). By providing treatment providers with tools to facilitate their adherent application of DBT skills to their BPD and SUD patients, our intent is to streamline training in an essential behavioral procedure that will further facilitate the successful dissemination of DBT.