Randomized trial comparing Internet-based training in cognitive behavioural therapy theory, assessment and formulation to delayed-training control

Rakovshik, Sarah; McManus, Freda; Westbrook, David A.; Холмогорова, А Б; Гаранян, Н Г; Zvereva, N V; Ougrin, Dennis

doi:10.1016/j.brat.2013.01.009

Cited by 21 publications

(30 citation statements)

References 25 publications

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“…Results indicated that translated and subtitled training was perceived by participants to be feasible and acceptable, and following the training those allocated to Internet-based training scored significantly higher on measures of CBT assessment and formulation skills than those in the controls. The authors argued that considering the limited costs and demonstrated benefits, CBT Internetbased training may be a feasible way to meaningfully contribute to the provision of evidence-based treatments within populations with limited mental health care, such as low-and middle-income countries (Rakovshik et al, 2013).…”

Section: Promising Web-based Cbt Training Programsmentioning

confidence: 99%

Bringing Technology to Training: Web-Based Therapist Training to Promote the Development of Competent Cognitive-Behavioral Therapists

Khanna

Kendall

2015

Cognitive and Behavioral Practice

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Section: Promising Web-based Cbt Training Programsmentioning

confidence: 99%

Bringing Technology to Training: Web-Based Therapist Training to Promote the Development of Competent Cognitive-Behavioral Therapists

Khanna

Kendall

2015

Cognitive and Behavioral Practice

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“…In recent years, multiple trials evaluating different methods of training clinicians to use evidence-based therapies have demonstrated that monitoring and supervision is significantly more effective than workshop-based training alone in a range of therapies (Beidnas & Kendall, 2010; Henggeler, Chapman, Rowland, Sheidow, & Cunningham, 2013; W.R. Miller, Yahne, Moyers, Martinez, & Pirritano, 2004; Schoenwald, Sheidow, & Chapman, 2009), including CBT (Rakovshik, McManus, Vazquez-Montes, Muse, & Ougrin, 2016; Rakovshik et al, 2013; Sholomskas et al, 2005). The lack of supervision and monitoring of clinician implementation of evidence-based treatments in clinical practice suggests that CBT and other EBPs, in practice, may bear little resemblance to the more closely monitored versions of those treatments as implemented in randomized clinical trials demonstrating their efficacy (Martino et al, 2016).…”

Section: Stage 3 and Beyond: Dissemination And Its Challengesmentioning

confidence: 99%

Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again.

Carroll¹,

Kiluk²

2017

Psychology of Addictive Behaviors

163

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Cognitive behavioral therapy (CBT) approaches have among the highest level of empirical support for the treatment of drug and alcohol use disorders. As Psychology of Addictive Behaviors marks its 30th anniversary, we review the evolution of CBT for the addictions through the lens of the Stage Model of Behavioral Therapies Development. The large evidence base from Stage II randomized clinical trials indicates a modest effect size with evidence of relatively durable effects, but limited diffusion in clinical practice, as is the case for most empirically validated approaches for mental health and addictive disorders. Technology may provide a means for CBT interventions to circumvent the ‘implementation cliff’ in Stages 3–5 by offering a flexible, low-cost, standardized means of disseminating CBT in a range of novel settings and populations. Moreover, returning to Stage 1 to reconnect clinical applications of CBT to recent developments in cognitive science and neuroscience holds great promise for accelerating understanding of mechanisms of action. It is critical that CBT not be considered as a static intervention, but rather one that constantly evolves and is refined through the Stage model until the field achieves a maximally powerful intervention that addresses core features of the addictions.

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“…Despite recent improvements in our understanding of the optimal treatment settings (21,22), supervision (23,24), and detection (11), there is no evidence that any given intervention is likely to benefit all young people with self-harm. Moreover, young people with selfharm and borderline personality disorder may be more likely to respond to more intensive interventions, such as DBT and MBT (16, 17, whereas young people with substance misuse, anxiety and depression may be more likely to respond to CBT (18).…”

Section: Introductionmentioning

confidence: 99%

Specialized Therapeutic Assessment-Based Recovery-Focused Treatment for Young People With Self-Harm: Pilot Study

et al. 2019

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Background: Suicide is the second leading cause of death in young people worldwide. Self-harm is the strongest predictor of death by suicide. There is increasing evidence that psychological therapies are efficacious in treating self-harm in adolescents. However, studies so far have predominantly focused on highly selective groups of adolescents and have investigated interventions that require intensive training and considerable expense. Methods: We conducted a pilot study of a novel psychological therapy package, Specialized Therapeutic Assessment-Based Recovery-Focused Treatment (START) that consists of Therapeutic Assessment followed by treatment in one of three modules, depending on adolescents' needs and preferences: Solution Focused Brief Therapy, Cognitive Behavior Therapy (CBT), or Mentalization Based Treatment. Adolescents (12-17) with at least one selfharm episode in the previous 6 months referred for community treatment, who had no intellectual disability, psychosis or autism were eligible for START. The primary outcome measure was the number of self-harm (regardless of suicidal intent) episodes 6 months before and 6 months after commencing START. Secondary outcomes included measures of psychopathology, functional impairment and family satisfaction. Results: Twenty-one consecutively referred adolescents were recruited and 15 received a therapeutic module of START: three received Solution Focused Brief Therapy, nine CBT, and three Mentalization Based Treatment. There was a statistically significant reduction in the number of self-harm episodes from a mean of 7.93 (SD = 12.26) to 1.00 (SD = 1.47), p < 0.02 following START. There was also a significant reduction in self-harm episodes, Revised Children's Anxiety and Depression Scale scores and a statistically significant improvement in Children Global Assessment Scale scores for the CBT group alone. There were no significant differences in any other outcomes. Most families were somewhat or very much satisfied with the intervention. Conclusion: The results show that START was associated with a reduction in self-harm and depression and anxiety symptoms, which could indicate that START should be rigorously studied in a randomized control trial (RCT). However, the model had difficulties

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Randomized trial comparing Internet-based training in cognitive behavioural therapy theory, assessment and formulation to delayed-training control

Cited by 21 publications

References 25 publications

Bringing Technology to Training: Web-Based Therapist Training to Promote the Development of Competent Cognitive-Behavioral Therapists

Bringing Technology to Training: Web-Based Therapist Training to Promote the Development of Competent Cognitive-Behavioral Therapists

Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again.

Specialized Therapeutic Assessment-Based Recovery-Focused Treatment for Young People With Self-Harm: Pilot Study

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