Beidas Rinad S, Kendall Philip C
Department of Psychology, Temple University.
Clin Psychol (New York). 2010 Mar;17(1):1-30. doi: 10.1111/j.1468-2850.2009.01187.x.
Evidence-based practice (EBP), a preferred psychological treatment approach, requires training of community providers. The systems-contextual (SC) perspective, a model for dissemination and implementation efforts, underscores the importance of the therapist, client, and organizational variables that influence training and consequent therapist uptake and adoption of EBP. This review critiques the extant research on training in EBP from an SC perspective. Findings suggest that therapist knowledge improves and attitudinal change occurs following training. However, change in therapist behaviors (e.g., adherence, competence, and skill) and client outcomes only occurs when training interventions address each level of the SC model and include active learning. Limitations as well as areas for future research are discussed.
循证实践（EBP）是一种备受青睐的心理治疗方法，需要对社区服务提供者进行培训。系统情境（SC）视角作为一种传播与实施工作的模式，强调了影响培训以及随后治疗师对EBP的接受和采用的治疗师、客户及组织变量的重要性。本综述从SC视角对现存的EBP培训研究进行了批判。研究结果表明，培训后治疗师的知识有所提高，态度也发生了变化。然而，只有当培训干预涉及SC模型的每个层面并包括主动学习时，治疗师的行为（如依从性、能力和技能）以及客户的治疗效果才会发生改变。文中还讨论了局限性以及未来研究的方向。
