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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
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.
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.
- 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.
