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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

Web-based research measures.
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Figure 6: Web-based research measures.

Mentions: Assessment of effectiveness of online training is intrinsically challenging. Assessment methods in large healthcare systems must be easily implemented, relatively brief in duration, and scalable at modest cost to reach large numbers of geographically-distributed providers. In the current study, online self-report questionnaire methodology provided a relatively simple way of assessing results of training for a large number of mental health providers. Three core domains of outcome were measured: knowledge assessed through multiple-choice tests; self-reports of perceived self-efficacy in technique application; and to assess implementation of CBT techniques, self-reported frequency of application with PTSD patients. The content of web-based data collection and the assessment time points are shown in Figure 6.


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)

Web-based research measures.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 6: Web-based research measures.
Mentions: Assessment of effectiveness of online training is intrinsically challenging. Assessment methods in large healthcare systems must be easily implemented, relatively brief in duration, and scalable at modest cost to reach large numbers of geographically-distributed providers. In the current study, online self-report questionnaire methodology provided a relatively simple way of assessing results of training for a large number of mental health providers. Three core domains of outcome were measured: knowledge assessed through multiple-choice tests; self-reports of perceived self-efficacy in technique application; and to assess implementation of CBT techniques, self-reported frequency of application with PTSD patients. The content of web-based data collection and the assessment time points are shown in Figure 6.

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