Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community
Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community
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DOI：
10.1176/appi.ps.201400134
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发表时间：
2015-09-01
影响因子：
3.8
通讯作者：
Beidas, Rinad S.
中科院分区：
文献类型：
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作者：
Ringle, Vanesa A.;Read, Kendra L.;Beidas, Rinad S.
目的：该研究从治疗师的角度探讨了在社区环境中对焦虑青少年实施认知行为治疗（CBT）的障碍和促进因素。方法：50 名治疗师（占 115 名治疗师原始培训样本的 43%）在培训和咨询两年后参加了后续访谈。他们报告了对患有焦虑症的青少年实施 CBT 的障碍和促进因素。 结果：定性分析确定了许多障碍和促进因素，包括客户因素（例如，有积极性的客户促进了 CBT 的使用，而有复杂问题和大量社会心理压力源的客户则阻碍了 CBT 的使用）、干预因素（CBT 的结构有助于促进某些提供者使用 CBT，而其他提供者报告感觉受到这种结构的限制）和组织因素（例如，个人内部缺乏支持）。结论：本次实施试验的结果与概念实施框架一致，可以指导未来实施工作的调整，以克服障碍并最大限度地发挥促进作用。
Objective: The study examined, from the perspective of therapists, the barriers to and facilitators in implementing cognitive-behavioral therapy (CBT) for anxious youths in community settings.Methods: Fifty therapists (43% of the original training sample of 115 providers) participated in a follow-up interview two years after training and consultation. They reported on barriers to and facilitators in implementation of CBT for youths with anxiety.Results: Qualitative analyses identified numerous barriers and facilitators, including client factors (for example, motivated clients facilitated the use of CBT, whereas clients with complex issues and numerous psychosocial stressors hindered its use), intervention factors (the structure of CBT helped facilitate its use for some providers, whereas others reported feeling constrained by such structure), and organizational factors (for example, the absence of support within one's institution served as a barrier, whereas supervision supporting the use of CBT facilitated implementation).Conclusions: Findings of this implementation trial align with conceptual implementation frameworks and may guide the tailoring of future implementation efforts in order to overcome barriers and maximize facilitators.