Literature DB >> 33538945

A Preliminary Investigation of Provider Attitudes Toward a Transdiagnostic Treatment: Outcomes from Training Workshops with the Unified Protocol.

Amantia A Ametaj1,2, Julianne Wilner Tirpak3, Clair Cassiello-Robbins3,4, Rachel Snow3, Madeleine M Rassaby3, Kelsey Beer3, Shannon Sauer-Zavala5.   

Abstract

Evidence-based psychological treatments (EBPTs) for common mental health conditions are efficacious but remain underutilized in clinical service settings. Novel transdiagnostic and modular approaches that treat several disorders simultaneously promise to address common barriers to the dissemination and implementation of traditional EBPTs. Despite the promise that transdiagnostic treatments hold, the claims that these interventions can be more easily disseminated and implemented have not been widely tested. The present study examined whether a transdiagnostic treatment, the Unified Protocol (UP), addresses some barriers to dissemination and implementation for clinicians. Exploratory aims of the current study were to examine the effects of a UP introductory training workshop on clinician attitudes and behaviors by: (1) evaluating UP knowledge and treatment delivery, (2) determining relationships between clinician characteristics and their knowledge acquisition, satisfaction with UP, and UP penetration, and (3) exploring clinicians' perceptions of the UP's characteristics utilizing mixed methods. Workshop participants showed a good understanding of UP treatment concepts following training, and over a third of survey respondents reported use of the intervention 6-months after training. Positive attitudes toward EBPTs and fewer years of clinical practice were associated with greater satisfaction with the UP. Clinicians held positive views of the UP's flexibility and relative advantage over standard EBPTs but held negative views toward the manual's design and packaging. Overall, our findings suggest that clinicians may view transdiagnostic treatments such as the UP favorably and may consider them appealing over standard EBPTs. However, barriers associated with traditional EBPTs may extend to transdiagnostic treatments like the UP.

Entities:  

Keywords:  Adopter characteristics; Dissemination and implementation; Evidence-based treatment; Intervention characteristics; Intervention penetration; Transdiagnostic treatment

Year:  2021        PMID: 33538945     DOI: 10.1007/s10488-020-01101-7

Source DB:  PubMed          Journal:  Adm Policy Ment Health        ISSN: 0894-587X


  34 in total

1.  Psychometric properties and U.S. National norms of the Evidence-Based Practice Attitude Scale (EBPAS).

Authors:  Gregory A Aarons; Charles Glisson; Kimberly Hoagwood; Kelly Kelleher; John Landsverk; Guy Cafri
Journal:  Psychol Assess       Date:  2010-06

2.  Are inner context factors related to implementation outcomes in cognitive-behavioral therapy for youth anxiety?

Authors:  Rinad S Beidas; Julie Edmunds; Matthew Ditty; Jessica Watkins; Lucia Walsh; Steven Marcus; Philip Kendall
Journal:  Adm Policy Ment Health       Date:  2014-11

3.  Predictors of community therapists' use of therapy techniques in a large public mental health system.

Authors:  Rinad S Beidas; Steven Marcus; Gregory A Aarons; Kimberly E Hoagwood; Sonja Schoenwald; Arthur C Evans; Matthew O Hurford; Trevor Hadley; Frances K Barg; Lucia M Walsh; Danielle R Adams; David S Mandell
Journal:  JAMA Pediatr       Date:  2015-04       Impact factor: 16.193

4.  Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science.

Authors:  Laura J Damschroder; David C Aron; Rosalind E Keith; Susan R Kirsh; Jeffery A Alexander; Julie C Lowery
Journal:  Implement Sci       Date:  2009-08-07       Impact factor: 7.327

5.  Mental health provider attitudes toward adoption of evidence-based practice: the Evidence-Based Practice Attitude Scale (EBPAS).

Authors:  Gregory A Aarons
Journal:  Ment Health Serv Res       Date:  2004-06

6.  Mapping evidence-based treatments for children and adolescents: application of the distillation and matching model to 615 treatments from 322 randomized trials.

Authors:  Bruce F Chorpita; Eric L Daleiden
Journal:  J Consult Clin Psychol       Date:  2009-06

7.  "Old dogs" and new skills: how clinician characteristics relate to motivational interviewing skills before, during, and after training.

Authors:  Kenneth M Carpenter; Wendy Y Cheng; Jennifer L Smith; Adam C Brooks; Paul C Amrhein; R Morgan Wain; Edward V Nunes
Journal:  J Consult Clin Psychol       Date:  2012-05-07

8.  Implementing an evidence-based psychological intervention for suicidal thoughts and behaviors on an inpatient unit: Process, challenges, and initial findings.

Authors:  Kate H Bentley; Shannon Sauer-Zavala; Kimberly T Stevens; Jason J Washburn
Journal:  Gen Hosp Psychiatry       Date:  2018-09-27       Impact factor: 3.238

9.  Advancing a conceptual model of evidence-based practice implementation in public service sectors.

Authors:  Gregory A Aarons; Michael Hurlburt; Sarah McCue Horwitz
Journal:  Adm Policy Ment Health       Date:  2011-01

10.  Evidence-based practice implementation: the impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice.

Authors:  Gregory A Aarons; David H Sommerfeld; Christine M Walrath-Greene
Journal:  Implement Sci       Date:  2009-12-31       Impact factor: 7.327

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