Balancing effectiveness with responsiveness: Therapist satisfaction across different treatment designs in the Child STEPs randomized effectiveness trial.

Chorpita, Bruce F.; Park, Alayna L.; Tsai, Katherine; Korathu-Larson, Priya; Higa-McMillan, Charmaine K.; Nakamura, Brad J.; Weisz, John R.; Krull, Jennifer L.

doi:10.1037/a0039301

Cited by 77 publications

(40 citation statements)

References 40 publications

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“…Past studies have suggested that therapists prefer modular EBPs that offer flexibility in delivering session content, as opposed to standard manualized treatments (Borntrager et al, 2009; Chorpita at el., 2015). In qualitative analyses for this study, although flexibility emerged as an appealing characteristic for one modular EBP, this characteristic was discussed by therapists less frequently and for fewer EBPs than structure.…”

Section: Discussionmentioning

confidence: 99%

How Intervention and Implementation Characteristics Relate to Community Therapists’ Attitudes Toward Evidence-Based Practices: A Mixed Methods Study

Barnett

Brookman‐Frazee

Regan

et al. 2017

Adm Policy Ment Health

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Therapists’ perceptions toward evidence-based practices (EBPs) are important in implementation efforts, however little is known about characteristics of EBPs associated with more positive attitudes. This mixed-methods study examined how intervention and implementation characteristics of six EBPs related to therapist attitudes. Quantitative analysis of 793 cross-sectional surveys revealed that therapists endorsed more positive attitudes toward EBPs with 1) prescribed session content and order and 2) required consultation. Associations between these intervention and implementation characteristics and attitudes were not moderated by therapist experience or emotional exhaustion. Qualitative analyses complemented quantitative findings, indicating that “structure” was appealing for interventions and that therapists felt supported by consultation.

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Section: Discussionmentioning

confidence: 99%

How Intervention and Implementation Characteristics Relate to Community Therapists’ Attitudes Toward Evidence-Based Practices: A Mixed Methods Study

Barnett

Brookman‐Frazee

Regan

et al. 2017

Adm Policy Ment Health

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“…Such approaches also include training in cross-cutting Cognitive Behavioral Therapy (CBT) techniques (e.g., using standardized assessment, CBT model explanation, assigning/reviewing homework; Sburlati, Schiering, Lyneham, & Rapee, 2011) that support treatment delivery (e.g., Weisz et al, 2012). Common elements approaches allow for the aggregation and dissemination of research knowledge, facilitate more flexible training and implementation, offer greater coverage for youth, and seem to have greater appeal among community providers (Bernstein, Chorpita, Daleiden, Ebesutani, & Rosenblatt, 2015; Chorpita & Daleiden, 2009; Chorpita, et al, 2005; Chorpita et al, 2015). …”

Section: Common Elements Approachesmentioning

confidence: 99%

Behavioral Rehearsal for Analogue Fidelity: Feasibility in a State-Funded Children’s Mental Health Initiative

Dorsey

Lyon

Pullmann

et al. 2016

Adm Policy Ment Health

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A substantial number of evidence-based treatments (EBTs) are available, but are delivered infrequently in public mental health. To improve the quality of care, some states and systems have focused on EBT training; however, these efforts have rarely included objective measurement of clinician fidelity because of feasibility issues. The primary goal of the current study was evaluating the feasibility of the Behavioral Rehearsal (BR) method to assess “analogue fidelity” in a children’s mental health quality improvement initiative. Results indicated low—but representative—clinician participation. Participants demonstrated greatest improvement at post-training with maintenance or decreases at 6-months post-consultation. Implications for future use of BR are discussed.

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“…Despite the existence of evidence-based practices (EBPs) for a range of behavioral health concerns and populations (Butler, Chapman, Forman, & Beck, 2006; Chorpita et al, 2011a), uptake in practice contexts has been slower than anticipated (President's New Freedom Commission on Mental Health, 2003; Chorpita et al, 2015). Although policy makers have issued mandates, provided incentives, and devoted billions of dollars to bring EBPs to community behavioral health (CBH) in the United States (Institute of Medicine, 2001; McHugh & Barlow, 2010) and around the world (Clark, 2011; Layard, 2006), the majority of CBH services continue to have little or no relation to practices supported by empirical evidence (Zima et al, 2005; Creed, Stirman, Evans, & Beck, 2014a).…”

Section: Introductionmentioning

confidence: 99%

Implementation of transdiagnostic cognitive therapy in community behavioral health: The Beck Community Initiative.

Creed

Frankel

German

et al. 2016

Journal of Consulting and Clinical Psychology

103

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Objective Progress bringing evidence-based practice (EBP) to community behavioral health (CBH) has been slow. This study investigated feasibility, acceptability, and fidelity outcomes of a program to implement transdiagnostic cognitive therapy (CT) across diverse CBH settings, in response to a policy shift toward EBP. Method Clinicians (n = 348) from 30 CBH programs participated in workshops and 6 months of consultation. Clinician retention was examined to assess feasibility, and clinician feedback and attitudes were evaluated to assess implementation acceptability. Experts rated clinicians’ work samples at baseline, mid-, and end-of-consultation with the Cognitive Therapy Rating Scale (CTRS) to assess fidelity. Results Feasibility was demonstrated through high program retention (i.e., only 4.9% of clinicians withdrew). Turnover of clinicians who participated was low (13.5%) compared to typical CBH turnover rates, even during the high-demand training period. Clinicians reported high acceptability of EBP and CT, and self-reported comfort using CT improved significantly over time. Most clinicians (79.6%) reached established benchmarks of CT competency by the final assessment point. Mixed-effects hierarchical linear models indicated that CTRS scores increased significantly from baseline to the competency assessment (p < .001), on average by 18.65 points. Outcomes did not vary significantly between settings (i.e., outpatient vs. other). Conclusions Even clinicians motivated by policy-change rather than self-nomination may feasibly be trained to deliver a case-conceptualization driven EBP with high levels of competency and acceptability. Public Health Significance Access to EBPs in community settings has been a long-sought but slow process, and the Beck Community Initiative suggests a practical model for EBP increasing access in a large CBH network.

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Balancing effectiveness with responsiveness: Therapist satisfaction across different treatment designs in the Child STEPs randomized effectiveness trial.

Cited by 77 publications

References 40 publications

How Intervention and Implementation Characteristics Relate to Community Therapists’ Attitudes Toward Evidence-Based Practices: A Mixed Methods Study

How Intervention and Implementation Characteristics Relate to Community Therapists’ Attitudes Toward Evidence-Based Practices: A Mixed Methods Study

Behavioral Rehearsal for Analogue Fidelity: Feasibility in a State-Funded Children’s Mental Health Initiative

Implementation of transdiagnostic cognitive therapy in community behavioral health: The Beck Community Initiative.

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