Skip to main content
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 4/2016

31.03.2015 | Original Article

Mental Health Clinicians’ Participation in Web-Based Training for an Evidence Supported Intervention: Signs of Encouragement and Trouble Ahead

verfasst von: J. Curtis McMillen, Kristin M. Hawley, Enola K. Proctor

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

Comprehensive scalable clinician training is needed to increase the impact of evidence-supported psychotherapies. This study was designed to ascertain clinician participation in different low-cost training activities, what predicts their training participation, and how participation can be increased. The study enrolled 163 clinicians. Of these, 105 completed a follow-up survey and 20 completed a more in-depth qualitative interview. Some activities (web training) attracted greater participation than others (e.g., discussion boards, role playing). Key findings include the desirability of self-paced learning and the flexibility it afforded practicing clinicians. However, some found the lack of accountability insurmountable. Many desired in-person training as a way to introduce accountability and motivation. While low-cost, relevant, self-paced learning appeals to practicing clinicians, it may need to be combined with opportunities for in-person training and accountability mechanisms in order to encourage large numbers of clinicians to complete training.
Literatur
Zurück zum Zitat Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6, 61–74.CrossRefPubMedPubMedCentral Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6, 61–74.CrossRefPubMedPubMedCentral
Zurück zum Zitat Aarons, G. A., Cafri, G., Luogo, L., & Sawitzky, A. (2012). Expanding the domains of attitudes towards evidence based practice: The Evidence Based Practice Attitude Scale-50. Administration and Policy in Mental Health and Mental Health Services Research, 39, 331–340.CrossRefPubMedPubMedCentral Aarons, G. A., Cafri, G., Luogo, L., & Sawitzky, A. (2012). Expanding the domains of attitudes towards evidence based practice: The Evidence Based Practice Attitude Scale-50. Administration and Policy in Mental Health and Mental Health Services Research, 39, 331–340.CrossRefPubMedPubMedCentral
Zurück zum Zitat Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68, 331–339.CrossRefPubMed Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68, 331–339.CrossRefPubMed
Zurück zum Zitat Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17(1), 1–30. Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology: Science and Practice, 17(1), 1–30.
Zurück zum Zitat Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: Guilford. Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: Guilford.
Zurück zum Zitat Davis, D. A., Thomson, M. A., Oxman, A. D., & Haynes, B. R. (1995). Changing physician performance: A systematic review of the effect of continuing medical education strategies. JAMA, 274(9), 700–705.CrossRefPubMed Davis, D. A., Thomson, M. A., Oxman, A. D., & Haynes, B. R. (1995). Changing physician performance: A systematic review of the effect of continuing medical education strategies. JAMA, 274(9), 700–705.CrossRefPubMed
Zurück zum Zitat Dillman, D. A. (1999). Mail and internet surveys: The tailored design method (2nd ed.). New York: Wiley. Dillman, D. A. (1999). Mail and internet surveys: The tailored design method (2nd ed.). New York: Wiley.
Zurück zum Zitat Dimeff, L. A., Koerner, K., Woodcock, E. A., Beadnell, B., Brown, M. Z., Skutch, J. M., et al. (2009). Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills. Behaviour Research and Therapy, 47, 921–930.CrossRefPubMed Dimeff, L. A., Koerner, K., Woodcock, E. A., Beadnell, B., Brown, M. Z., Skutch, J. M., et al. (2009). Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills. Behaviour Research and Therapy, 47, 921–930.CrossRefPubMed
Zurück zum Zitat Dimeff, L. A., Woodcock, E. A., Harned, M. S., & Beadnell, B. (2011). Can dialectical behavior therapy be learned in high structured learning environments? Results from a randomized controlled dissemination trial. Behavior Therapy, 42, 263–275.CrossRefPubMed Dimeff, L. A., Woodcock, E. A., Harned, M. S., & Beadnell, B. (2011). Can dialectical behavior therapy be learned in high structured learning environments? Results from a randomized controlled dissemination trial. Behavior Therapy, 42, 263–275.CrossRefPubMed
Zurück zum Zitat Downe-Wamboldt, B. (1992). Content analysis: Method, applications, and issues. Health Care for Women International, 13, 313–321.CrossRefPubMed Downe-Wamboldt, B. (1992). Content analysis: Method, applications, and issues. Health Care for Women International, 13, 313–321.CrossRefPubMed
Zurück zum Zitat Glasgow, R. E. (2006). RE-AIMing research for application: Ways to improve evidence for family medicine. Journal of the American Board of Family Medicine, 19, 11–19.CrossRefPubMed Glasgow, R. E. (2006). RE-AIMing research for application: Ways to improve evidence for family medicine. Journal of the American Board of Family Medicine, 19, 11–19.CrossRefPubMed
Zurück zum Zitat Harned, M. S., Dimeff, L. A., Woodcock, E. A., Kelly, T., Zavertnik, J., Contreas, I., & Danner, S. M. (2014). Exposing clinicians to exposure: A randomized controlled dissemination trial of exposure therapy for anxiety disorders. Behavior Therapy, 45, 731–744.CrossRefPubMedPubMedCentral Harned, M. S., Dimeff, L. A., Woodcock, E. A., Kelly, T., Zavertnik, J., Contreas, I., & Danner, S. M. (2014). Exposing clinicians to exposure: A randomized controlled dissemination trial of exposure therapy for anxiety disorders. Behavior Therapy, 45, 731–744.CrossRefPubMedPubMedCentral
Zurück zum Zitat Hawley, K. M., Cook, J. R., & Jensen-Doss, A. (2009). Do noncontingent incentives increase survey response rates among mental health providers? A randomized trial comparison. Administration and Policy in Mental Health and Mental Health Services Research, 36, 343–348.CrossRefPubMedPubMedCentral Hawley, K. M., Cook, J. R., & Jensen-Doss, A. (2009). Do noncontingent incentives increase survey response rates among mental health providers? A randomized trial comparison. Administration and Policy in Mental Health and Mental Health Services Research, 36, 343–348.CrossRefPubMedPubMedCentral
Zurück zum Zitat Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30, 448–466.CrossRefPubMedPubMedCentral Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30, 448–466.CrossRefPubMedPubMedCentral
Zurück zum Zitat Herschell, A. D., Reed, A. J., Mecca, L. P., & Kolko, D. J. (2014). Community-based clinicians’ preferences for training in evidence-based practices: A mixed methods study. Professional Psychology: Research and Practice, 45, 188–199.CrossRef Herschell, A. D., Reed, A. J., Mecca, L. P., & Kolko, D. J. (2014). Community-based clinicians’ preferences for training in evidence-based practices: A mixed methods study. Professional Psychology: Research and Practice, 45, 188–199.CrossRef
Zurück zum Zitat Hubley, S., Woodstock, E. A., Dimeff, L. A., & Dimidjian, S. (2015). Disseminating behavioural activation for depression via online training: Preliminary steps. Behavioural and Cognitive Psychotherapy, 43, 224–318.CrossRefPubMed Hubley, S., Woodstock, E. A., Dimeff, L. A., & Dimidjian, S. (2015). Disseminating behavioural activation for depression via online training: Preliminary steps. Behavioural and Cognitive Psychotherapy, 43, 224–318.CrossRefPubMed
Zurück zum Zitat Jensen-Doss, A., & Hawley, K. M. (2011). Understanding clinicians’ diagnostic practices: Attitudes toward the utility of diagnosis and standardized diagnostic tools. Administration and Policy in Mental Health and Mental Health Services Research, 38, 476–485.CrossRefPubMed Jensen-Doss, A., & Hawley, K. M. (2011). Understanding clinicians’ diagnostic practices: Attitudes toward the utility of diagnosis and standardized diagnostic tools. Administration and Policy in Mental Health and Mental Health Services Research, 38, 476–485.CrossRefPubMed
Zurück zum Zitat Lyon, A. R., Stirman, S. W., Kerns, S. E. U., & Burns, E. J. (2011). Developing the mental health workforce: Review and application of training approaches from multiple disciplines. Administration and Policy in Mental Health and Mental Health Services Research, 38, 238–253. doi:10.1007/s10488-010-0331-y.CrossRefPubMedPubMedCentral Lyon, A. R., Stirman, S. W., Kerns, S. E. U., & Burns, E. J. (2011). Developing the mental health workforce: Review and application of training approaches from multiple disciplines. Administration and Policy in Mental Health and Mental Health Services Research, 38, 238–253. doi:10.​1007/​s10488-010-0331-y.CrossRefPubMedPubMedCentral
Zurück zum Zitat National Crime Victims Research & Treatment Center. (2007). TF-CBT web: First year report. Charleston, SC: Medical University of South Carolina. National Crime Victims Research & Treatment Center. (2007). TF-CBT web: First year report. Charleston, SC: Medical University of South Carolina.
Zurück zum Zitat Powell, B. J., McMillen, J. C., Hawley, K., & Proctor, E. K. (2013). Mental health clinicians’ motivation to invest in training: Results from a practice-based research network survey. Psychiatric Services, 64, 816–818.CrossRefPubMed Powell, B. J., McMillen, J. C., Hawley, K., & Proctor, E. K. (2013). Mental health clinicians’ motivation to invest in training: Results from a practice-based research network survey. Psychiatric Services, 64, 816–818.CrossRefPubMed
Zurück zum Zitat Proctor, E. K., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76.CrossRefPubMedPubMedCentral Proctor, E. K., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76.CrossRefPubMedPubMedCentral
Zurück zum Zitat Raghavan, R., Bright, C. L., & Shadoin, A. L. (2008). Toward a policy ecology of implementation of evidence-based practice in public mental health settings. Implementation Science, 3, 26.CrossRefPubMedPubMedCentral Raghavan, R., Bright, C. L., & Shadoin, A. L. (2008). Toward a policy ecology of implementation of evidence-based practice in public mental health settings. Implementation Science, 3, 26.CrossRefPubMedPubMedCentral
Zurück zum Zitat Schoenwald, S. K., Chapman, J. E., Kelleher, K., Hoagwood, K. E., Landsverk, J., Stevens, J., & Rolls-Reutz, J. (2008). A survey of the infrastructure for children’s mental health services: Implications for the implementation of empirically supported treatments (ESTs). Administration and Policy in Mental Health and Mental Health Services Research, 35, 66–72.CrossRefPubMed Schoenwald, S. K., Chapman, J. E., Kelleher, K., Hoagwood, K. E., Landsverk, J., Stevens, J., & Rolls-Reutz, J. (2008). A survey of the infrastructure for children’s mental health services: Implications for the implementation of empirically supported treatments (ESTs). Administration and Policy in Mental Health and Mental Health Services Research, 35, 66–72.CrossRefPubMed
Zurück zum Zitat Weingardt, K. R. (2004). The role of instructional design and technology in the dissemination of empirically supported manual-based therapies. Clinical Psychology: Science and Practice, 11, 313–331. Weingardt, K. R. (2004). The role of instructional design and technology in the dissemination of empirically supported manual-based therapies. Clinical Psychology: Science and Practice, 11, 313–331.
Zurück zum Zitat Weisz, J. R., Ugeto, A. M., Cheron, D. M., & Herren, J. (2013). Evidence-based youth psychotherapy in the mental health eco-system. Journal of Clinical Child & Adolescent Psychology, 42, 274–286.CrossRef Weisz, J. R., Ugeto, A. M., Cheron, D. M., & Herren, J. (2013). Evidence-based youth psychotherapy in the mental health eco-system. Journal of Clinical Child & Adolescent Psychology, 42, 274–286.CrossRef
Metadaten
Titel
Mental Health Clinicians’ Participation in Web-Based Training for an Evidence Supported Intervention: Signs of Encouragement and Trouble Ahead
verfasst von
J. Curtis McMillen
Kristin M. Hawley
Enola K. Proctor
Publikationsdatum
31.03.2015
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2016
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-015-0645-x

Weitere Artikel der Ausgabe 4/2016

Administration and Policy in Mental Health and Mental Health Services Research 4/2016 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.