Objectives
This paper describes the training model used with primary care staff to deliver an evidence-based computer-assisted cognitive-behavioral therapy (CBT) program for anxiety disorders within a collaborative care treatment delivery model.
Methods
We describe the training and proficiency evaluation procedures utilized in the CALM study, a large multi-site study of collaborative care for anxiety disorders in primary care. Training incorporated readings, didactic presentations, video demonstrations of CBT skills, role-plays, computer-assisted practice, CBT training cases, and ongoing group supervision provided by study psychologists.
Results
Proficiency training case data from 15 clinicians are presented. The anxiety clinical specialists (ACS) were highly proficient at delivering the CBT component of the CALM intervention. ACS also provided Likert-scale ratings and open-ended responses about their experiences with the training. Overall, the training was rated very positively, and was described as very thorough, indicating a high level of acceptability to clinicians. Recommendations for future training are described.
Conclusions
Primary care staff with none or minimal prior CBT experience can be trained to deliver a computer-assisted, evidence-based treatment for anxiety disorders. The implications for dissemination and transportability of evidenced-based interventions are discussed.