Department of Psychology, University of California, Los Angeles, CA 90095-1563, USA.
Gen Hosp Psychiatry. 2011 Jul-Aug;33(4):336-42. doi: 10.1016/j.genhosppsych.2011.04.011. Epub 2011 Jun 8.
This paper describes the training approach used with primary care staff to deliver an evidence-based computer-assisted cognitive-behavioral therapy (CBT) program for anxiety disorders within a collaborative care treatment delivery model.
We describe the training and proficiency evaluation procedures utilized in the Coordinated Anxiety Learning and Management (CALM) study, a large multisite study of collaborative care for anxiety disorders in primary care. Training incorporated readings, didactic presentations, video demonstrations of CBT skills, role-plays, computer-assisted practice, CBT training cases and ongoing group supervision provided by study psychologists.
Proficiency training case data from 15 clinicians are presented. The anxiety clinical specialists (ACSs) were highly proficient at delivering the CBT component of the CALM intervention. The ACSs also provided Likert-scale ratings and open-ended responses about their experiences with the training. Overall, the training was rated very positively and was described as very thorough, indicating a high level of acceptability to clinicians. Recommendations for future training are described.
Primary care staff with none or minimal prior CBT experience can be trained to deliver a computer-assisted, evidence-based treatment for anxiety disorders. The implications for dissemination and transportability of evidenced-based interventions are discussed.
本文描述了在协作式护理治疗模式下，为初级保健人员提供基于证据的计算机辅助认知行为疗法（CBT）治疗焦虑障碍的培训方法。
我们描述了在 Coordinated Anxiety Learning and Management（CALM）研究中使用的培训和熟练程度评估程序，该研究是一项针对初级保健中焦虑障碍的协作式护理的大型多站点研究。培训包括阅读、讲座、CBT 技能的视频演示、角色扮演、计算机辅助实践、CBT 培训案例以及由研究心理学家提供的持续小组监督。
呈现了来自 15 名临床医生的熟练程度培训案例数据。焦虑临床专家（ACS）非常熟练地提供了 CALM 干预措施中的 CBT 部分。ACS 还对他们的培训经历进行了李克特量表评分和开放性回答。总体而言，培训得到了非常积极的评价，被描述为非常全面，表明临床医生的接受程度很高。描述了对未来培训的建议。
没有或仅有很少 CBT 经验的初级保健人员可以接受培训，以提供基于计算机的、基于证据的焦虑障碍治疗方法。讨论了对基于证据的干预措施的传播和可转移性的影响。
