Testing a community developed training protocol for an evidence-based treatment. (June 2022)

• Record Type: Journal Article
• Authors: Quetsch, Lauren B.; Herschell, Amy D.; Kolko, David; Liebsack, Brittany K.; Carroll, Regina A.
• Is Part Of: Evaluation and program planning. Volume 92(2022)
• Publication Date: 2022-06
• Subjects: EBT evidence-based treatment -- AF-CBT Alternatives for Families: a Cognitive Behavioral Therapy -- CBT cognitive behavior therapy; Clinician training -- Alternative for Families: a Cognitive-Behavioral Therapy -- Cognitive-behavior therapy -- Implementation; Health planning -- Periodicals; Medical care -- Evaluation -- Periodicals; 362.1068
• DOI: 10.1016/j.evalprogplan.2022.102055
• Languages: English
• ISSNs: 0149-7189

Abstract

Abstract: The implementation of evidence-based treatments (EBTs) in community behavioral health settings is a recommended practice, yet training experienced by community-based clinicians may require novel and creative training methods. The current study focused on creating a training protocol for Alternative for Families: a Cognitive-Behavioral Therapy from both evidence-based foundations and community-based agency feedback to promote better EBT integration into agencies. Twenty-four clinicians from three agencies were trained using a community-informed training protocol. Outcomes for clinician-reports of organizational functioning, self-reports of skill and knowledge, and observational single-subject data of clinician skills were assessed. Minimal improvements were found for clinician skills across self-report and observations. More research on tailoring trainings to meet needs of community agencies and clinicians should be explored to determine best practice in wide-scale implementation efforts. Highlights: A cognitive-behavior therapy training was developed with community-based agencies. Clinician self-reported knowledge and skill use did not change after the training. Clinicians' attitudes toward the treatment also did not change after the training. Single-subject audio data was recorded and analyzed to measure clinician skills. Clinicians were best at "establishing an agenda" and "assigning home practice".