Influences on the Sustainability of Evidence-Based Psychotherapies

对循证心理治疗可持续性的影响

• 批准号: 8204729
• 负责人: SHANNON Wiltsey STIRMAN
• 金额: $ 23.93万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-03-05 至 2013-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8204729
• 关键词: Address; Adoption; Attitude; Client; Clinical; Cognitive Therapy; Communities; Complement; Data; Development; Funding; Goals; Individual; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Lead; Mental Depression; Mental Health; Mentors; Methods; Modeling; Modification; National Institute of Mental Health; Nature; Organizational Change; Pathway interactions; Philadelphia; Psychotherapy; Research; Research Methodology; Research Project Grants; Research Training; Surveys; Testing; Training; Training Programs; Treatment Protocols; base; clinical practice; community setting; evidence base; programs; skills; suicidal behavior; theories

The applicant is proposing funding through the Pathway to Independence Career Development Award (K99) to conduct a program of training and research that will to develop skills in mixed-methods research strategies and knowledge of theories of dissemination and organizational change. The applicant will interface clinical intervention research and organizational research to determine barriers to the sustained use of empirically supported psychotherapies after training occurs within community mental health agencies. The proposed research projects will complement the training program by providing opportunities to implement the mixedmethods strategies to assess barriers to sustained implementation of empirically supported treatments within community based-settings. Mentors at two NIMH-funded research centers at Penn, both of which have developed collaborative relationships with mental health agencies in Philadelphia, will support the applicant in the proposed research and training. The first study will employ surveys to examine some hypothesized barriers to the sustainability of new interventions in community mental health settings, as well as microethnographic methods to generate more specific hypotheses regarding barriers specific to these settings. The second study will examine the natural trajectory of the use of cognitive therapy after training in community mental health settings over two years. The relationship between clinician attitudes towards CT, specific organizational factors, and the sustained adoption of CT will be examined using a mixed-methods strategy. A secondary goal of this research will be to conduct the first examination the "real world" modifications that the treatment protocol undergoes as a result of the needs of the client and the realities of clinical practice. These results will inform the development of an RO1 to test a model of the individual and organizational factors that predict the sustainability of adoption within community mental health settings. This research program will yield some of the first data regarding the organizational and individual factors that impact the long-term sustainability of evidence-based psychotherapies. The knowledge gained can lead to the implementation of interventions that appropriately address barriers to the use of evidence-based therapies in community settings, which will in turn promote increased access to interventions that, despite extensive empirical support, currently are not widely available to community mental health consumers

申请人建议通过独立之路职业发展奖（K99）提供资金，以开展一项培训和研究计划，该计划将发展混合方法研究策略的技能以及传播和组织变革理论的知识。申请人将结合临床干预研究和组织研究，以确定在社区精神卫生机构培训后持续使用经验支持的心理治疗的障碍。拟议的研究项目将通过提供机会来实施混合方法策略，以评估在国内持续实施经验支持治疗的障碍，从而补充培训计划

项目成果

Developing the next generation of dissemination and implementation researchers: insights from initial trainees.

• DOI: 10.1186/1748-5908-8-29
• 发表时间: 2013-03-12
• 期刊: Implementation science : IS
• 作者: Stamatakis KA;Norton WE;Stirman SW;Melvin C;Brownson RC
• 通讯作者: Brownson RC

A Qualitative Investigation of Practicing Psychologists' Attitudes Toward Research-Informed Practice: Implications for Dissemination Strategies.

执业心理学家对研究知情实践的态度的定性调查：对传播策略的影响。

• DOI: 10.1037/a0025694
• 发表时间: 2012
• 期刊: Professional psychology, research and practice
• 作者: Stewart,RebeccaE;Stirman,ShannonWiltsey;Chambless,DianneL
• 通讯作者: Chambless,DianneL

System-Level Influences on the Sustainability of a Cognitive Therapy Program in a Community Behavioral Health Network.

系统级对社区行为健康网络中认知治疗计划可持续性的影响。

• DOI: 10.1176/appi.ps.201400147
• 发表时间: 2015
• 期刊: Psychiatric services (Washington, D.C.)
• 作者: Stirman,ShannonWiltsey;Matza,Alexis;Gamarra,Jennifer;Toder,Katherine;Xhezo,Regina;Evans,ArthurC;Hurford,Matthew;Beck,AaronT;Crits-Christoph,Paul;Creed,Torrey
• 通讯作者: Creed,Torrey

Perspectives on Cognitive Therapy Training within Community Mental Health Settings: Implications for Clinician Satisfaction and Skill Development.

社区心理健康环境中认知治疗培训的观点：对临床医生满意度和技能发展的影响。

• DOI: 10.1155/2012/391084
• 发表时间: 2012
• 期刊: Depression research and treatment
• 作者: WiltseyStirman,Shannon;Miller,ChristopherJ;Toder,Katherine;Calloway,Amber;Beck,AaronT;Evans,ArthurC;Crits-Christoph,Paul
• 通讯作者: Crits-Christoph,Paul

Training Community Mental Health Agencies in Cognitive Therapy for Schizophrenia.

对社区心理健康机构进行精神分裂症认知治疗培训。

• 发表时间: 2012
• 期刊: The Behavior therapist
• 作者: Riggs,SallyE;Wiltsey-Stirman,Shannon;Beck,AaronT
• 通讯作者: Beck,AaronT