Vanesa A Ringle1, Kendra L Read1, Julie M Edmunds1, Douglas M Brodman1, Philip C Kendall1, Frances Barg1, Rinad S Beidas1. 1. Ms. Ringle is with the Department of Psychology, University of Miami, Coral Gables, Florida (e-mail: vanesa.ringle@gmail.com ). Ms. Read, Mr. Brodman, and Dr. Kendall are with the Department of Psychology, Temple University, Philadelphia. Dr. Edmunds is with Judge Baker Children's Center, Boston. Dr. Barg is with the Department of Family Medicine and Community Health and Dr. Beidas is with the Department of Psychiatry, both at the University of Pennsylvania Perelman School of Medicine, Philadelphia.
Abstract
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.
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.
Authors: Rinad S Beidas; Julie Edmunds; Matthew Ditty; Jessica Watkins; Lucia Walsh; Steven Marcus; Philip Kendall Journal: Adm Policy Ment Health Date: 2014-11
Authors: Philip C Kendall; Scott N Compton; John T Walkup; Boris Birmaher; Anne Marie Albano; Joel Sherrill; Golda Ginsburg; Moira Rynn; James McCracken; Elizabeth Gosch; Courtney Keeton; Lindsey Bergman; Dara Sakolsky; Cindy Suveg; Satish Iyengar; John March; John Piacentini Journal: J Anxiety Disord Date: 2010-02-06
Authors: Shannon Dorsey; Michael D Pullmann; Esther Deblinger; Lucy Berliner; Suzanne E Kerns; Kelly Thompson; Jürgen Unützer; John R Weisz; Ann F Garland Journal: Implement Sci Date: 2013-08-10 Impact factor: 7.327
Authors: Emily M Becker-Haimes; Kelsie H Okamura; Courtney Benjamin Wolk; Ronnie Rubin; Arthur C Evans; Rinad S Beidas Journal: J Anxiety Disord Date: 2017-04-27
Authors: Denise E Wilfley; Amanda E Staiano; Myra Altman; Jeanne Lindros; Angela Lima; Sandra G Hassink; William H Dietz; Stephen Cook Journal: Obesity (Silver Spring) Date: 2016-12-07 Impact factor: 5.002
Authors: Shannon Dorsey; Aaron R Lyon; Michael D Pullmann; Nathaniel Jungbluth; Lucy Berliner; Rinad Beidas Journal: Adm Policy Ment Health Date: 2017-05
Authors: Rinad S Beidas; Rebecca E Stewart; Danielle R Adams; Tara Fernandez; Susanna Lustbader; Byron J Powell; Gregory A Aarons; Kimberly E Hoagwood; Arthur C Evans; Matthew O Hurford; Ronnie Rubin; Trevor Hadley; David S Mandell; Frances K Barg Journal: Adm Policy Ment Health Date: 2016-11