“…Clinicians have also expressed satisfaction with DE methods, as they can be completed at the clinician's pace and are an alternative to more expensive training options (Powell, McMillen, Hawley, & Proctor, 2013). Several systematic reviews have been conducted on the effectiveness of DE methods for behavioral health clinicians (Calder, Ainscough, Kimergard, Witton, & Dyer, 2017;Jackson, Quetsch, Brabson, & Herschell, 2018). Together, these reviews concluded that DE methods may be effective in facilitating clinician knowledge and skill under certain circumstances, but the included studies were limited SUSTAINABILITY OF AN EVIDENCE-BASED TREATMENT 10 by numerous methodological concerns making it difficult to draw conclusions (Calder et al, 2017;Jackson et al, 2018).…”