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One small step for manuals: Computer-assisted training in twelve-step facilitation.

Diane E Sholomskas1, Kathleen M Carroll

  • 1Applied Behavioral Research, New Haven, Connecticut, USA.

Journal of Studies on Alcohol
|October 25, 2006
PubMed
Summary

Computer-assisted training effectively taught clinicians Twelve-Step Facilitation (TSF) skills, improving adherence and knowledge compared to manual-only training. This approach offers a practical solution for disseminating evidence-based therapies.

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Area of Science:

  • Addiction treatment
  • Clinical psychology
  • Health professions education

Background:

  • Empirically validated therapies for substance use disorders are increasing.
  • Effective and scalable methods for clinician training in these therapies are needed.
  • Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity) developed the Twelve-Step Facilitation (TSF) manual.

Purpose of the Study:

  • To evaluate an interactive, computer-assisted training program designed to teach TSF skills.
  • To compare the effectiveness of computer-assisted training versus manual-only training for clinicians.

Main Methods:

  • Twenty-five clinicians were randomized into two groups: computer-assisted training plus manual, or manual only.
  • The primary outcome was the change in clinicians' ability to demonstrate key TSF skills from pre- to post-training.

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  • Independent ratings assessed adherence and skill in TSF interventions.

    • Main Results:

    • Clinicians using computer-assisted training showed significantly higher TSF skill implementation.
    • Independent ratings indicated greater adherence and skill in the computer-assisted group.
    • The computer-assisted group also achieved higher scores on a TSF knowledge test.

    Conclusions:

    • Computer-based training is a feasible and effective method for teaching manual-guided therapies.
    • This approach can facilitate the dissemination of empirically supported treatments to a larger number of clinicians.
    • Interactive training programs can enhance clinician competency in evidence-based practices.