We don't train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy

We don't train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy
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DOI:
10.1037/0022-006x.73.1.106
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发表时间:
2005-02-01
影响因子:
5.9
通讯作者:
Carroll, KM
Carroll, KM
中科院分区:
心理学1区
文献类型:
--
作者:
Sholomskas, DE;Syracuse-Siewert, G;Carroll, KM

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关于不同培训策略的有效性或仅接触治疗手册对临床医生有效实施经验支持疗法的能力的影响的研究很少。78名社区临床医生被分配到3个培训条件中的一个:仅审查认知行为疗法(CBT)手册,审查手册加访问CBT培训网站,或审查手册加教学研讨会,然后进行监督个案工作。主要结果指标是临床医生证明关键CBT干预的能力,通过结构化角色扮演的独立评级进行评估。统计学上的显着差异有利于研讨会加监督的手动唯一的条件下,发现2的3个角色扮演的遵守和技能评级,与中间分数的Web条件。
There has been little research on the effectiveness of different training strategies or the impact of exposure to treatment manuals alone on clinicians' ability to effectively implement empirically supported therapies. Seventy-eight community-based clinicians were assigned to I of 3 training conditions: review of a cognitive-behavioral therapy (CBT) manual only, review of the manual plus access to a CBT training Web site, or review of the manual plus a didactic seminar followed by supervised casework. The primary outcome measure was the clinicians' ability to demonstrate key CBT interventions, as assessed by independent ratings of structured role plays. Statistically significant differences favoring the seminar plus supervision over the manual only condition were found for adherence and skill ratings for 2 of the 3 role plays, with intermediate scores for the Web condition.