基于证据的心理治疗的传播和实施。 当前努力的回顾。
The dissemination and implementation of evidence-based psychological treatments. A review of current efforts.
机构信息
Department of Psychology, Boston University, MA 02215, USA.
出版信息
Am Psychol. 2010 Feb-Mar;65(2):73-84. doi: 10.1037/a0018121.
Recognizing an urgent need for increased access to evidenced-based psychological treatments, public health authorities have recently allocated over $2 billion to better disseminate these interventions. In response, implementation of these programs has begun, some of it on a very large scale, with substantial implications for the science and profession of psychology. But methods to transport treatments to service delivery settings have developed independently without strong evidence for, or even a consensus on, best practices for accomplishing this task or for measuring successful outcomes of training. This article reviews current leading efforts at the national, state, and individual treatment developer levels to integrate evidence-based interventions into service delivery settings. Programs are reviewed in the context of the accumulated wisdom of dissemination and implementation science and of methods for assessment of outcomes for training efforts. Recommendations for future implementation strategies will derive from evaluating outcomes of training procedures and developing a consensus on necessary training elements to be used in these efforts.
认识到迫切需要增加获得循证心理治疗的机会,公共卫生当局最近拨款超过 20 亿美元,以更好地推广这些干预措施。作为回应,这些计划的实施已经开始,其中一些规模非常大,这对心理学的科学和专业都有重大影响。但是,将治疗方法运送到服务提供环境的方法是独立发展的,没有关于完成这项任务或衡量培训成功结果的最佳实践的强有力证据,甚至没有共识。本文回顾了国家、州和个别治疗开发者层面将循证干预措施整合到服务提供环境中的当前主要努力。在传播和实施科学的积累智慧以及培训成果评估方法的背景下审查这些计划。未来实施策略的建议将来自评估培训程序的结果,并就这些努力中使用的必要培训要素达成共识。