Substance use disorders (SUD) co-occurring with borderline personality disorder (BPD) pose serious and complex public health problems. Dialectical Behavior Therapy for Substance Abusers (DBT-S) is a comprehensive psychosocial treatment, efficacious for substance-dependent individuals with borderline personality disorder (BPD). ? ? In Phase I, we developed and evaluated an innovative computer-based training (CBT) prototype of DBT-S Behavioral Chain Analysis (BCA) for drug treatment providers using an iterative process of prototype development. We tested the prototype's efficacy in a pilot randomized controlled trial (RCT) comparing DBT-S CBT (n=12) to control CBT (n=13) in a sample of treatment providers from routine drug treatment program. Results demonstrated the DBT-S CBT was efficacious at producing knowledge gains, recall of course strategies, increased self-efficacy among treating drug-addicted BPD patients, and promoting skill use in the subsequent weeks. We propose to significantly expand the course content and its evaluation in Phase II. We will again use an iterative process of development, relying on extensive end-user testing as well as feedback from a panel of scientific and DBT experts. Upon completion, we will begin a RCT evaluation (N=120) where we will compare the CBT (n=40) to other standard training methods, specifically instructor-led training (n=40) and text (n=40). In addition to the outcome variables assessed in Phase I, we will include a performance-based test of clinical application where role-plays will be video taped and coded for adherence. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Small Business Innovation Research Grants (SBIR) - Phase II (R44)
Project #
5R44DA016493-04
Application #
7119673
Study Section
Special Emphasis Panel (ZRG1-BBBP-D (11))
Program Officer
Mcnamara-Spitznas, Cecilia M
Project Start
2005-09-15
Project End
2009-12-31
Budget Start
2006-09-01
Budget End
2009-12-31
Support Year
4
Fiscal Year
2006
Total Cost
$306,893
Indirect Cost
Name
Behavioral Tech Research, Inc.
Department
Type
DUNS #
611659215
City
Seattle
State
WA
Country
United States
Zip Code
98105
Dimeff, Linda A; Harned, Melanie S; Woodcock, Eric A et al. (2015) Investigating bang for your training buck: a randomized controlled trial comparing three methods of training clinicians in two core strategies of dialectical behavior therapy. Behav Ther 46:283-95
Dimeff, Linda A; Linehan, Marsha M (2008) Dialectical behavior therapy for substance abusers. Addict Sci Clin Pract 4:39-47