Training primary care physicians in cognitive behavioral therapy: A review of the literature

Dorflinger, Lindsey; Fortin, Auguste H.; Foran-Tuller, Kelly A.

doi:10.1016/j.pec.2016.02.014

Cited by 10 publications

(18 citation statements)

References 36 publications

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“…These findings are in line with previous research on barriers to implementing CBT in routine general practice (Aschim et al, ). Previous training programmes, however, have been rather short and with no precise description of the version of CBT that was trained (Dorflinger et al, ). In the present study, the training was longer, at least two years, and the GPs were trained in an original version of CBT through regular supervision by the CMs and a psychiatrist.…”

Section: Discussionmentioning

confidence: 99%

“…The CMs, however, were trained in the original version of CBT and could not give supervision in other versions. It is difficult to assess which specific forms of CBT were used in the previous studies of training GPs in CBT, which have not shown convincing results (Dorflinger et al, ; Huibers et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Few studies have investigated the effects of training GPs to deliver CBT. A literature review of CBT training programmes for GPs described content and outcomes (Dorflinger, Fortin, & Foran‐Tuller, ). Training periods varied between 3.5 hr and 8 days.…”

Section: Introductionmentioning

confidence: 99%

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The feasibility of training general practitioners to do cognitive behavioural therapy in routine practice—A qualitative study

Davidsen

Overbeck

Kousgaard

2019

Couns and Psychother Res

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Objective In a collaborative care model in Denmark, general practitioners (GPs) were trained in cognitive behavioural therapy (CBT) of their patients with common mental disorders through supervision by psychiatric nurses and a psychiatrist. We explored the feasibility of implementing CBT as a treatment into routine general practice through this supervision. Design A qualitative interview study as part of a larger implementation study of collaborative care between general practice and psychiatry in Denmark. Method Interviews with all three professional groups involved in the intervention were analysed using interpretative phenomenological analysis. Results The participants experienced several cultural and organizational challenges with implementing CBT in general practice. The GPs were used to carrying out talking therapy with methods integrated into the treatment culture in general practice, and it was difficult for them to supplant existing therapeutic skills and approaches. The specific CBT approach was not compatible with the work conditions and work culture in general practice regarding patient relations, time frames and workload; and the inter‐professional training relations between GPs and psychiatric nurses were often challenging. There was an overall agreement among the professionals that general practice of talking therapy could not be changed in the image of psychiatry. Conclusion The results suggest that wide‐scale implementation of CBT delivered by GPs to patients with common mental disorders is not feasible. Nevertheless, there are many psychotherapeutic elements in routine consultations in general practice, and GPs could possibly gain from improving their ways of questioning, and their use of non‐specific therapeutic, relational and psychodynamic factors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The feasibility of training general practitioners to do cognitive behavioural therapy in routine practice—A qualitative study

Davidsen

Overbeck

Kousgaard

2019

Couns and Psychother Res

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“…Of the twelve articles included in the review, six were conducted in the USA (Broderick et al, 2014;Buysse et al, 2011;Funderburk et al, 2011;Lewis et al, 2013;Mignogna et al, 2018;Richmond et al, 2015); two in Norway (Mathieson et al, 2013;Aschim et al, 2011), one in New Zealand (Junquist et al, 2011); and three from the above countries as well as Australia and the United Kingdom (Knoerl et al, 2015;Hoifodt et al, 2011;Dorflinger et al, 2016). These settings represent similar and relevant sociopolitical, healthcare system, and cultural demographics as Canada.…”

Section: Chapter Four: Findingsmentioning

confidence: 99%

“…The research methods used in the articles are further detailed in the literature matrix and include: three primary randomized control trials (Broderick et al, 2014;Buysse et al, 2011;Junquist et al, 2010), three systematic reviews of RCTs (Hoifodt et al, 2011;Dorflinger et al, 2016;Richmond et al, 2015); one integrative literature review (Knoerl et al, 2015); one pre-post design study (Mignogna et al, 2018), two case-control studies (Funderburk et al, 2011;Mathieson et al, 2013) and two cross-sectional studies (Lewis, 2013;Aschim et al, 2011). All studies were assessed for evidence levels based on Melnyk and Fineout-Overholt's (2015) work, and ranked from one to seven (See Appendix D).…”

Section: Chapter Four: Findingsmentioning

confidence: 99%

The use of brief cognitive behavioral therapy interventions in the treatment of chronic non-cancer pain in the primary care setting

Newton¹

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As one of the foremost causes of healthcare resource consumption and disability among Canadian adults, chronic non-cancer pain (CNCP) requires significant attention within healthcare delivery and research. While CNCP treatment is typically guided by pharmacotherapeutics, current literature illustrates that Cognitive Behavioral Therapy (CBT) as a CNCP treatment can promote effective pain coping strategies, thereby improving pain and psychosocial outcomes. Cognitive Behavioral Therapy services are constrained, in particular due to limited access and referral to mental health professionals who provide these services. To improve access to CBT services and close gaps in CNCP care, primary care providers could offer brief CBT in their practices. Brief CBT (bCBT) delivered in primary care settings would provide active treatment for CNCP as well as interim treatment for patients awaiting referral to full-service CBT, should that service be required. An integrative literature review has been conducted to identify if Nurse Practitioners, who work in primary care settings, can deliver bCBT to improve outcomes in CNCP patients. The results are discussed within the context of British Columbia (BC) primary care practice. Twelve articles were reviewed using Whittemore and Knafl's approach to the integrative literature review. Results suggest that providers not trained in specific mental health interventions can deliver bCBT to improve CNCP outcomes. Primary care providers are encouraged to seek out opportunities for employing bCBT to gain skill and confidence in providing this treatment. This way, providers can offer multimodal CNCP treatment while also playing an important role in improving access to CBT services. Recommendations for enhancing care of CNCP with bCBT are discussed, and specific strategies for its use in primary care are presented.

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Insomnia Treatment in the Primary Care Setting

Hensley

Beardsley

2020

Advances in Family Practice Nursing

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Training primary care physicians in cognitive behavioral therapy: A review of the literature

Cited by 10 publications

References 36 publications

The feasibility of training general practitioners to do cognitive behavioural therapy in routine practice—A qualitative study

The feasibility of training general practitioners to do cognitive behavioural therapy in routine practice—A qualitative study

The use of brief cognitive behavioral therapy interventions in the treatment of chronic non-cancer pain in the primary care setting

Insomnia Treatment in the Primary Care Setting

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