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Online self-administered training for post-traumatic stress disorder treatment providers: design and methods for a randomized, prospective intervention study.

Ruzek JI, Rosen RC, Marceau L, Larson MJ, Garvert DW, Smith L, Stoddard A - Implement Sci (2012)

Bottom Line: Web-based training may be a practical and cost-effective way to address the need for large-scale mental health training in evidence-based practice; however, there is a dearth of well-controlled outcome studies of these approaches.Eligible participants were all actively involved in mental health treatment of veterans with PTSD.Study methodology illustrates ways of developing training content, recruiting participants, and assessing knowledge, perceived self-efficacy, and competency-based outcomes, and demonstrates the feasibility of conducting prospective studies of training efficacy or effectiveness in large healthcare systems.

View Article: PubMed Central - HTML - PubMed

Affiliation: National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025, USA. Josef.Ruzek@va.gov

ABSTRACT
This paper presents the rationale and methods for a randomized controlled evaluation of web-based training in motivational interviewing, goal setting, and behavioral task assignment. Web-based training may be a practical and cost-effective way to address the need for large-scale mental health training in evidence-based practice; however, there is a dearth of well-controlled outcome studies of these approaches. For the current trial, 168 mental health providers treating post-traumatic stress disorder (PTSD) were assigned to web-based training plus supervision, web-based training, or training-as-usual (control). A novel standardized patient (SP) assessment was developed and implemented for objective measurement of changes in clinical skills, while on-line self-report measures were used for assessing changes in knowledge, perceived self-efficacy, and practice related to cognitive behavioral therapy (CBT) techniques. Eligible participants were all actively involved in mental health treatment of veterans with PTSD. Study methodology illustrates ways of developing training content, recruiting participants, and assessing knowledge, perceived self-efficacy, and competency-based outcomes, and demonstrates the feasibility of conducting prospective studies of training efficacy or effectiveness in large healthcare systems.

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Related in: MedlinePlus

Recruitment postcard.
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Related In: Results  -  Collection

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Figure 3: Recruitment postcard.

Mentions: Because of restrictions on participant compensation, there was an initial concern that, for busy providers, recruitment might be challenging. Thus, careful attention was paid to recruitment activities and the opportunity to participate in the research project was announced in several forums. Study fliers (Figure 3) were produced and distributed at two VHA mental health conferences and at several training events (e.g., National Center for PTSD Clinical Training Program). Four email lists of mental health providers across the country were compiled and sorted randomly to avoid any potential biases. To minimize selection bias, during each week of the recruitment phase, approximately 50 providers per week were contacted from the four lists equally, and invited to participate. Providers responding to the announcements accessed the study website, where they were introduced to the study process, completed brief online questions that screened for eligibility, and if eligible, completed an online consent process.


Online self-administered training for post-traumatic stress disorder treatment providers: design and methods for a randomized, prospective intervention study.

Ruzek JI, Rosen RC, Marceau L, Larson MJ, Garvert DW, Smith L, Stoddard A - Implement Sci (2012)

Recruitment postcard.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3405469&req=5

Figure 3: Recruitment postcard.
Mentions: Because of restrictions on participant compensation, there was an initial concern that, for busy providers, recruitment might be challenging. Thus, careful attention was paid to recruitment activities and the opportunity to participate in the research project was announced in several forums. Study fliers (Figure 3) were produced and distributed at two VHA mental health conferences and at several training events (e.g., National Center for PTSD Clinical Training Program). Four email lists of mental health providers across the country were compiled and sorted randomly to avoid any potential biases. To minimize selection bias, during each week of the recruitment phase, approximately 50 providers per week were contacted from the four lists equally, and invited to participate. Providers responding to the announcements accessed the study website, where they were introduced to the study process, completed brief online questions that screened for eligibility, and if eligible, completed an online consent process.

Bottom Line: Web-based training may be a practical and cost-effective way to address the need for large-scale mental health training in evidence-based practice; however, there is a dearth of well-controlled outcome studies of these approaches.Eligible participants were all actively involved in mental health treatment of veterans with PTSD.Study methodology illustrates ways of developing training content, recruiting participants, and assessing knowledge, perceived self-efficacy, and competency-based outcomes, and demonstrates the feasibility of conducting prospective studies of training efficacy or effectiveness in large healthcare systems.

View Article: PubMed Central - HTML - PubMed

Affiliation: National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025, USA. Josef.Ruzek@va.gov

ABSTRACT
This paper presents the rationale and methods for a randomized controlled evaluation of web-based training in motivational interviewing, goal setting, and behavioral task assignment. Web-based training may be a practical and cost-effective way to address the need for large-scale mental health training in evidence-based practice; however, there is a dearth of well-controlled outcome studies of these approaches. For the current trial, 168 mental health providers treating post-traumatic stress disorder (PTSD) were assigned to web-based training plus supervision, web-based training, or training-as-usual (control). A novel standardized patient (SP) assessment was developed and implemented for objective measurement of changes in clinical skills, while on-line self-report measures were used for assessing changes in knowledge, perceived self-efficacy, and practice related to cognitive behavioral therapy (CBT) techniques. Eligible participants were all actively involved in mental health treatment of veterans with PTSD. Study methodology illustrates ways of developing training content, recruiting participants, and assessing knowledge, perceived self-efficacy, and competency-based outcomes, and demonstrates the feasibility of conducting prospective studies of training efficacy or effectiveness in large healthcare systems.

Show MeSH
Related in: MedlinePlus