Maintenance of Training Effects of Two Models for Implementing Evidence-Based Psychological Treatment.

Maintenance of Training Effects of Two Models for Implementing Evidence-Based Psychological Treatment.
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DOI:
10.1176/appi.ps.202000702
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发表时间:
2021-12-01
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Wilfley DE
Wilfley DE
中科院分区:
其他
文献类型:
--
作者:
Fitzsimmons-Craft EE;Bohon C;Wilson GT;Jo B;Mondal S;Laing O;Welch RR;Raghavan R;Proctor EK;Agras WS;Wilfley DE

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Maintenance of outcomes was compared for two approaches to training college counselors in interpersonal psychotherapy (IPT): train-the-trainer versus expert training. A cluster-randomized trial in 24 college counseling centers was conducted. Therapists were recruited from enrolled centers, and they enrolled student patients with depression and eating disorder symptoms. Enrolled therapists (N=184) provided data during three phases: baseline, post-training (when expert consultation was offered), and maintenance (when expert consultation had ceased; ~7 months later). Outcomes were therapist fidelity (i.e., adherence, competence) and IPT knowledge. Both groups showed within-group improvement from baseline to maintenance for all outcomes. Train-the-trainer demonstrated greater improvement over time in adherence and competence. Given that effects of the train-the-trainer approach were better maintained as well as its potential to train more therapists over time, suggesting greater potential sustainability, it may be a viable solution for increasing dissemination of evidence-based treatments.
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