Impact of Intensive Dialectical Behavior Therapy Training on Therapist Behavior

描述（由申请人提供）：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，但几乎没有关于经验支持治疗（ESTs）的传播和实施有效性的研究。目前正在花费大量的金钱、时间和精力来培训从业人员如何实现无害环境技术，并且很少有研究表明这些培训是否对从业人员或消费者产生了预期的效果。辩证行为疗法（DBT）是一种目前正在传播的治疗方法，它提供了一个检验训练效果的机会。本研究旨在初步探讨行为行为训练对治疗师在诊行为的影响。在实施和传播研究中，治疗师在治疗过程中的行为是一个重要的组成部分，因为更高的治疗师对治疗的忠诚与改善的消费者结果有关。本研究将作为测量治疗师依从性和治疗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有关，即通过对精神、大脑和行为的研究来减轻精神疾病和行为障碍的负担，并明确优先创造改进的途径，以便快速传播科学到精神卫生保健和服务工作中。该研究将采用多基线单受试者设计，包括20名参加DBT强化培训课程的硕士或博士水平的治疗师。治疗师每周将提交2个客户的心理治疗磁带每周将随机选择一盘磁带用于DBT依从性编码以评估培训对治疗师在治疗过程中的行为的影响。磁带收集将在强化培训课程开始前开始，每周收集一次，直到课程结束后四个月。除了依从性评分外，还将收集客户结果数据、治疗师DBT知识数据和项目结构数据。鉴于以下原因，心理治疗培训的研究与公共卫生非常相关：(1)对各种心理健康问题存在有效和有效的治疗方法，(2)心理健康消费者有权得到有效的适当治疗，(3)目前在培训从业人员上花费了金钱、时间和精力。(4)很少有研究表明这些培训对从业者或消费者的结果有预期的影响，以证明支出是合理的。

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.