The Department of Veteran Affairs (VA) has been a recognized leader in evidence-based psychotherapy (EBP) training, with 15 different EBP training programs that address posttraumatic stress disorder (PTSD), depression, chronic pain, insomnia, substance use, motivation for treatment, relationship distress, serious mental illness, and problem-solving skills. VA has a broad impact on the training of mental health professionals in the United States, training over 11,600 unique mental health staff in 1 or more of these EBPs since 2007. Original EBP training delivery methods relied on in-person workshops, followed by consultation with an EBP expert who provided feedback and ratings of audio-recorded sessions. Restrictions on federal government employee travel, in-person conferences, and budgets led to reductions in the number of mental health providers trained in EBPs during recent fiscal years. As a result, alternative training delivery methods were needed for training VA staff. This article describes the process used to select, develop, and pilot test alternative training delivery methods for EBPs. Surveys of key stakeholders and a literature review led us to retain consultation with review of audio-recorded sessions since evidence suggests this is critical to changing clinician behavior. All VA EBP training programs have begun pilot testing blended learning, regional training, or both, depending on local needs. Early results suggest that regional training (train the trainer method) was equivalent to, while blended learning methods showed mixed results relative to, the traditional training method. These alternative training methods may be more sustainable for training psychotherapists in large health care systems or across distances.

中文翻译：

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开发替代培训提供方法以改善美国退伍军人事务部的心理治疗实施。

退伍军人事务部 (VA) 一直是循证心理治疗 (EBP) 培训的公认领导者，拥有 15 个不同的 EBP 培训计划，这些计划涉及创伤后应激障碍 (PTSD)、抑郁、慢性疼痛、失眠、药物滥用、治疗、人际关系困扰、严重的精神疾病和解决问题的能力。VA 对美国精神卫生专业人员的培训产生了广泛的影响，自 2007 年以来，在这些 EBP 中的一个或多个培训了超过 11,600 名独特的精神卫生人员。原始 EBP 培训交付方法依赖于面对面的研讨会，随后与一位 EBP 专家，提供录音会议的反馈和评级。对联邦政府雇员旅行、面对面会议、和预算导致最近财政年度接受 EBP 培训的心理健康提供者数量减少。因此，需要替代培训交付方法来培训 VA 员工。本文描述了用于为 EBP 选择、开发和试点测试替代培训交付方法的过程。对主要利益相关者的调查和文献综述使我们保留了对录音会议的审查进行咨询，因为有证据表明这对改变临床医生的行为至关重要。所有 VA EBP 培训计划都已开始根据当地需求对混合学习、区域培训或两者进行试点测试。早期结果表明，区域培训（培训培训师方法）相当于传统培训方法，而混合学习方法则显示出混合的结果。