Dbt Skills Group Curriculum
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Interventions: Core content of the curriculum included: (1) reviewing theory and concepts of DBT, (2) practicing skills related to self-harm behaviors, and (3) discussing clinical cases of individuals with BPD, along with DBT principles and concepts.
Conclusions: This curriculum was feasible to implement and a good match for residents with varying levels of clinical experience. The curriculum improved residents' knowledge of DBT, enhanced their confidence in DBT, and increased their willingness to treat individuals with BPD.
Main outcome measures: At the end of the curriculum, residents' knowledge of DBT was measured using a 7-item quiz. At the end of the curriculum and 6 months later, residents' confidence in using DBT to treat self-harm behaviors was measured using a 10-item survey. At the end of the curriculum, residents' willingness to treat individuals with BPD was measured using a 13-item survey. The shorter surveys were not retested to avoid survey fatigue.
Setting and participants: The curriculum was developed at the Massachusetts General Hospital Psychiatry Residency Program. From July 2013 to June 2014, the curriculum was offered to all psychiatry residents (n = 30). New residents were targeted for the curriculum. At the beginning and end of the curriculum, 9 residents were asked to complete a questionnaire to evaluate the curriculum. At the end of the curriculum, residents were also asked to complete a short survey assessing confidence with various psychiatric presentations and willingness to treat individuals with BPD. The questionnaire survey was completed by 27 residents (90% response rate).
Results: At the end of the curriculum, residents scored an average of 80% (range 50%-100%). At 6 months later, residents' scores on the questionnaire improved to 93% (range 75%-100%). At the end of the curriculum, residents were more confident in their ability to treat self-harm behaviors (mean 4.1/10, range 1-5, p 827ec27edc