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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

Example conditional responses from standardized script.
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Figure 7: Example conditional responses from standardized script.

Mentions: To ensure a uniform set of stimulus conditions, a scripted approach to the simulated interviews was developed. Upon initiation of the interview, scripted actor statements were used to orient the participant to the process, and ensure readiness to participate in the interview (e.g., to ensure that the participant had read the patient background material, and was located in a quiet environment with relative protection from interruption). Standardized scripts were also used to open the three segments. In this way, it was possible to convey standard presentations across conditions and actors and provide participants with standardized opportunities to demonstrate appropriate techniques. Because of the potential for variation in participant behavior, conditional responses (Figure 7) were developed to guide actor response after the opening statements. The rules were kept relatively simple in order to avoid overloading the actor with performance demands.


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)

Example conditional responses from standardized script.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 7: Example conditional responses from standardized script.
Mentions: To ensure a uniform set of stimulus conditions, a scripted approach to the simulated interviews was developed. Upon initiation of the interview, scripted actor statements were used to orient the participant to the process, and ensure readiness to participate in the interview (e.g., to ensure that the participant had read the patient background material, and was located in a quiet environment with relative protection from interruption). Standardized scripts were also used to open the three segments. In this way, it was possible to convey standard presentations across conditions and actors and provide participants with standardized opportunities to demonstrate appropriate techniques. Because of the potential for variation in participant behavior, conditional responses (Figure 7) were developed to guide actor response after the opening statements. The rules were kept relatively simple in order to avoid overloading the actor with performance demands.

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