Modernizing Training in Psychotherapy Competencies With Adaptive Learning Systems: Proof of Concept

Purpose: This proof-of-concept study assessed the feasibility, acceptability, and effectiveness of an intelligent tutoring system (ITS) as a classroom adjunct to improve training bachelor of social work (BSW) students in client engagement strategies. Methods: We codeveloped the ITS with 11 undergraduate students and pilot tested it with six BSW students enrolled in a class on telephone-based cognitive behavioral therapy (tCBT). Student competencies in tCBT were assessed by expert review of role-plays. We also examined time spent using ITS and relation with competency. Results: The majority of students (81.8%) in Wave 1 and all of the students who submitted role-plays in Wave 2 passed the clinical skills role-play. Students advancing through the ITS more quickly had better tCBT competency ratings than those progressing more slowly. Discussion: One of the most challenging aspects of training is how to competently deliver evidence-based practices. ITS has the potential to streamline and scale such training.

[1]  M. Hegel,et al.  Effect of Telehealth Treatment by Lay Counselors vs by Clinicians on Depressive Symptoms Among Older Adults Who Are Homebound , 2020, JAMA network open.

[2]  S. Neely-Barnes,et al.  Training Second-Year MSW Students to Improve Cultural and Linguistic Competence , 2020, Research on Social Work Practice.

[3]  Andrea K. Chomistek,et al.  The association of depression stigma with barriers to seeking mental health care: a cross-sectional analysis , 2020, Journal of mental health.

[4]  J. Russo,et al.  Acceptability of a lay-delivered intervention for depression in senior centers , 2019, Aging & mental health.

[5]  M. Bruce,et al.  Lay‐delivered behavioral activation for depressed senior center clients: Pilot RCT , 2019, International journal of geriatric psychiatry.

[6]  Samprit Banerjee,et al.  Effectiveness of Shared Decision-Making for Elderly Depressed Minority Primary Care Patients. , 2019, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[7]  B. Löwe,et al.  Management of comorbid mental and somatic disorders in stepped care approaches in primary care: a systematic review , 2018, Family practice.

[8]  Melinda K. Gushwa,et al.  Paddling Against the Tide: Contemporary Challenges in Field Education , 2018, Clinical Social Work Journal.

[9]  H. de Vries,et al.  The Effectiveness of a Computer-Tailored E-Learning Program for Practice Nurses to Improve Their Adherence to Smoking Cessation Counseling Guidelines: Randomized Controlled Trial , 2018, Journal of medical Internet research.

[10]  Laura Ting,et al.  The role of empathy in training social work students in motivational interviewing , 2017 .

[11]  Torrey A. Creed,et al.  In-Session Stuck Points and Pitfalls of Community Clinicians Learning CBT: Qualitative Investigation , 2017 .

[12]  Jason M. Lang,et al.  Costs to Community Mental Health Agencies to Sustain an Evidence-Based Practice. , 2017, Psychiatric services.

[13]  Mark W Scerbo,et al.  Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial. , 2017, Patient education and counseling.

[14]  Diane D. Chapman,et al.  Automating Individualized Formative Feedback in Large Classes Based on a Directed Concept Graph , 2017, Front. Psychol..

[15]  Gary L. Kreps.  Stigma and the Reluctance to Address Mental Health Issues in Minority Communities , 2017, Journal of Family Strengths.

[16]  R. Rossom,et al.  Understanding the experience of care managers and relationship with patient outcomes: the COMPASS initiative. , 2017, General hospital psychiatry.

[17]  S. Hollon,et al.  Cost and Outcome of Behavioural Activation versus Cognitive Behavioural Therapy for Depression (COBRA): a randomised, controlled, non-inferiority trial , 2016, The Lancet.

[18]  C. Tanner,et al.  Pursuing Improvement in Clinical Reasoning: Development of the Clinical Coaching Interactions Inventory. , 2016, The Journal of nursing education.

[19]  W. Miller,et al.  Asking better questions about clinical skills training. , 2016, Addiction.

[20]  Michael E. Miller,et al.  Barriers to Mental Health Treatment in Rural Older Adults. , 2015, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[21]  Adrienne Stith Butler,et al.  Psychosocial Interventions for Mental and Substance Use Disorders: A Framework for Establishing Evidence-Based Standards , 2015 .

[22]  E. Latimer,et al.  Implementing Suicide Prevention Programs: Costs and Potential Life Years Saved in Canada. , 2015, The journal of mental health policy and economics.

[23]  S. Sansgiry,et al.  Psychotherapy Utilization Among Rural and Urban Veterans From 2007 to 2010. , 2015, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[24]  Yun-En Liu,et al.  Large-Scale Educational Campaigns , 2015, ACM Trans. Comput. Hum. Interact..

[25]  Catherine E. Bowen,et al.  Attitudes towards seeking mental health services among older adults: personal and contextual correlates , 2015, Aging & mental health.

[26]  Denise L Hopkins-Chadwick,et al.  Achieving army nursing evidence-based practice competencies through a civilian-military nurse partnership. , 2014, U.S. Army Medical Department journal.

[27]  Anthony R. Pisani,et al.  Measuring trainer fidelity in the transfer of suicide prevention training. , 2014, Crisis.

[28]  P. Skorga,et al.  Collaborative care for depression and anxiety problems , 2013 .

[29]  E. Heisler.  The Mental Health Workforce: A Primer , 2013 .

[30]  J. Chow,et al.  Examining cultural competence in health care: implications for social workers. , 2013, Health & social work.

[31]  M. Otto,et al.  Patient preference for psychological vs pharmacologic treatment of psychiatric disorders: a meta-analytic review. , 2013, The Journal of clinical psychiatry.

[32]  N. Greenberg,et al.  Clinical supervision in a UK military Department of Community Mental Health , 2013, Journal of the Royal Army Medical Corps.

[33]  J. Hay,et al.  Depression treatment preferences of older white and Mexican origin men. , 2013, General hospital psychiatry.

[34]  J. Mohlman.  A community based survey of older adults' preferences for treatment of anxiety. , 2012, Psychology and aging.

[35]  E. Ludman,et al.  Building a Community-Academic Partnership: Implementing a Community-Based Trial of Telephone Cognitive Behavioral Therapy for Rural Latinos , 2012, Depression research and treatment.

[36]  Bernd Blobel,et al.  Adaptive Intelligent Systems for pHealth - An Architectural Approach , 2012, pHealth.

[37]  John C. Fortney,et al.  A Re-conceptualization of Access for 21st Century Healthcare , 2011, Journal of General Internal Medicine.

[38]  E. Ludman,et al.  Telephone-based cognitive-behavioral therapy for Latino patients living in rural areas: a randomized pilot study. , 2011, Psychiatric services.

[39]  D. Clark,et al.  Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience , 2011, International review of psychiatry.

[40]  B. Meyers,et al.  Preferences for depression treatment among elderly home health care patients. , 2011, Psychiatric services.

[41]  Catherine Cerulli,et al.  Predicting Dissemination of a Disaster Mental Health “Train-the-Trainer” Program , 2010, Disaster Medicine and Public Health Preparedness.

[42]  W. Cross,et al.  Clinical supervision of general nurses in a busy medical ward of a teaching hospital , 2010, Contemporary nurse.

[43]  B. Hayes-Roth,et al.  Automating Individualized Coaching and Authentic Role-play Practice for Brief Intervention Training , 2010, Methods of Information in Medicine.

[44]  Richard Layard,et al.  Improving access to psychological therapy: Initial evaluation of two UK demonstration sites , 2009, Behaviour research and therapy.

[45]  Alan R. Ellis,et al.  County-level estimates of mental health professional shortage in the United States. , 2009, Psychiatric services.

[46]  D. Segal,et al.  Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults , 2009, Aging & mental health.

[47]  Alan R. Ellis,et al.  County-level estimates of mental health professional supply in the United States. , 2009, Psychiatric services.

[48]  M. Matthieu,et al.  Proximate outcomes of gatekeeper training for suicide prevention in the workplace. , 2007, Suicide & life-threatening behavior.

[49]  D. Ford,et al.  Ethnicity and preferences for depression treatment. , 2007, General hospital psychiatry.

[50]  V. Braun,et al.  Using thematic analysis in psychology , 2006 .

[51]  P. Wyman,et al.  Training and Motivational Factors as Predictors of Job Satisfaction and Anticipated Job Retention among Implementers of a School-Based Prevention Program , 2006, Journal of Primary Prevention.

[52]  A. Vijayan,et al.  An intelligent tutoring system for trauma management (Trauma-Teach): a preliminary report. , 2005, Annals of the Academy of Medicine, Singapore.

[53]  Margarita Sordo,et al.  Feasibility of an Intelligent Tutoring System for Laboratory Medicine , 2005, AMIA.

[54]  Rebecca S. Crowley,et al.  ReportTutor - An Intelligent Tutoring System that Uses a Natural Language Interface , 2005, AMIA.

[55]  J. Hay,et al.  Using conjoint analysis to assess depression treatment preferences among low-income Latinos. , 2004, Psychiatric services.

[56]  H. McCallion,et al.  Clinical supervision , 1996, Nursing management.

[57]  Jakob Nielsen,et al.  A mathematical model of the finding of usability problems , 1993, INTERCHI.

[58]  L. Barry.  Social workers. , 1968, The New Zealand medical journal.