A pilot study disseminating cognitive behavioral therapy for depression: therapist factors and perceptions of barriers to implementation.

This preliminary report on dissemination of Cognitive Behavioral Therapy (CBT) for depression assessed numerous therapist factors thought to influence implementation in a community setting. Participants were 24 therapists, aged 26-61 who participated in three, 1-day workshops and 8 months of ongoing group consultation. Attitudes toward empirically supported treatments (ESTs) and readiness to change were positively correlated whereas attitudes toward ESTs were negatively correlated with perceived client barriers to implementation. Therapists' report of client and setting factors were negatively associated with therapists' reports of implementation of CBT. Results are discussed in terms of implications and recommendations for dissemination and implementation of ESTs.