Leveraging the ExpandNet framework and operational partnerships to scale-up brief Cognitive Behavioral Therapy in VA primary care clinics.
Leveraging the ExpandNet framework and operational partnerships to scale-up brief Cognitive Behavioral Therapy in VA primary care clinics.
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DOI：
10.1017/cts.2022.430
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发表时间：
2022
影响因子：
2.6
通讯作者：
Cully, Jeffrey A.
中科院分区：
文献类型：
--
作者：
Boykin, Derrecka M.;Wray, Laura O.;Funderburk, Jennifer S.;Holliday, Steve;Kunik, Mark E.;Kauth, Michael R.;Fletcher, Terri L.;Mignogna, Joseph;Roberson, Richard B., III;Cully, Jeffrey A.
关键词：
循证心理疗法（EBP）在医疗保健环境中未得到充分利用。使EBP的实施与卫生保健领导者的需求保持一致（即，业务利益攸关方）可能会加速将其纳入日常实践。运营利益相关者（如医院领导、临床主任和国家项目官员）可以影响临床项目的开发和监督，以及地方、地区和国家层面的政策指令。因此，在EBP的实施和传播过程中，让这些利益相关者参与进来，对于在卫生保健环境中更广泛地使用EBP至关重要。本文介绍了如何利用研究运营伙伴关系，以增加实施经验支持的心理治疗-简短的认知行为疗法（简短的CBT）-在退伍军人健康管理局（VA）的初级保健设置。伙伴关系的实施和传播工作借鉴了世界卫生组织的ExpandNet框架。成立了一个指导委员会，其中包括几个VA运营利益相关者，他们帮助将简短的CBT计划与VA初级保健环境的实施需求保持一致。在该项目的前18个月，合作伙伴关系促进了在8个VA设施中快速实施简短的CBT，包括培训12名提供者，他们看到了120名患者，此外还扩大了项目要素，以更好地支持可持续性（例如，培训员培训程序）。
Evidence-based psychotherapies (EBPs) are underused in health care settings. Aligning implementation of EBPs with the needs of health care leaders (i.e., operational stakeholders) can potentially accelerate their uptake into routine practice. Operational stakeholders (such as hospital leaders, clinical directors, and national program officers) can influence development and oversight of clinical programs as well as policy directives at local, regional, and national levels. Thus, engaging these stakeholders during the implementation and dissemination of EBPs is critical when targeting wider use in health care settings. This article describes how research–operations partnerships were leveraged to increase implementation of an empirically supported psychotherapy – brief Cognitive Behavioral Therapy (brief CBT) – in Veterans Health Administration (VA) primary care settings. The partnered implementation and dissemination efforts were informed by the empirically derived World Health Organization’s ExpandNet framework. A steering committee was formed and included several VA operational stakeholders who helped align the brief CBT program with the implementation needs of VA primary care settings. During the first 18 months of the project, partnerships facilitated rapid implementation of brief CBT at eight VA facilities, including training of 12 providers who saw 120 patients, in addition to expanded program elements to better support sustainability (e.g., train-the-trainer procedures).
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DOI：
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影响因子：
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作者：
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