Tasca Giorgio A, Sylvestre John, Balfour Louise, Chyurlia Livia, Evans Jane, Fortin-Langelier Benjamin, Francis Kylie, Gandhi Jasmine, Huehn Linda, Hunsley John, Joyce Anthony S, Kinley Jackie, Koszycki Diana, Leszcz Molyn, Lybanon-Daigle Vanessa, Mercer Deanna, Ogrodniczuk John S, Presniak Michelle, Ravitz Paula, Ritchie Kerri, Talbot Jeanne, Wilson Brian
Department of Psychology, University of Ottawa.
School of Psychology, University of Ottawa.
Psychotherapy (Chic). 2015 Mar;52(1):1-11. doi: 10.1037/a0038252. Epub 2014 Dec 22.
Practice research networks may be one way of advancing knowledge translation and exchange (KTE) in psychotherapy. In this study, we document this process by first asking clinicians what they want from psychotherapy research. Eighty-two psychotherapists in 10 focus groups identified and discussed psychotherapy research topics relevant to their practices. An analysis of these discussions led to the development of 41 survey items. In an online survey, 1,019 participants, mostly practicing clinicians, rated the importance to their clinical work of these 41 psychotherapy research topics. Ratings were reduced using a principal components analysis in which 9 psychotherapy research themes emerged, accounting for 60.66% of the variance. Two postsurvey focus groups of clinicians (N = 22) aided in interpreting the findings. The ranking of research themes from most to least important were-Therapeutic Relationship/Mechanisms of Change, Therapist Factors, Training and Professional Development, Client Factors, Barriers and Stigma, Technology and Adjunctive Interventions, Progress Monitoring, Matching Clients to Therapist or Therapy, and Treatment Manuals. Few differences were noted in rankings based on participant age or primary therapeutic orientation. Postsurvey focus group participants were not surprised by the top-rated items, as they were considered most proximal and relevant to therapists and their work with clients during therapy sessions. Lower ranked items may be perceived as externally imposed agendas on the therapist and therapy. We discuss practice research networks as a means of creating new collaborations consistent with KTE goals. Findings of this study can help to direct practitioner-researcher collaborations.
实践研究网络可能是推进心理治疗领域知识转化与交流（KTE）的一种方式。在本研究中，我们通过首先询问临床医生他们对心理治疗研究的期望来记录这一过程。10个焦点小组中的82名心理治疗师确定并讨论了与其实践相关的心理治疗研究主题。对这些讨论的分析产生了41个调查项目。在一项在线调查中，1019名参与者（大多为执业临床医生）对这41个心理治疗研究主题对其临床工作的重要性进行了评分。使用主成分分析降低评分，其中出现了9个心理治疗研究主题，占方差的60.66%。两个临床医生的调查后焦点小组（N = 22）协助解释研究结果。研究主题从最重要到最不重要的排名依次为——治疗关系/改变机制、治疗师因素、培训与专业发展、来访者因素、障碍与污名、技术与辅助干预、进展监测、来访者与治疗师或治疗方法的匹配，以及治疗手册。基于参与者年龄或主要治疗取向的排名差异不大。调查后焦点小组的参与者对排名靠前的项目并不感到惊讶，因为这些项目被认为与治疗师以及他们在治疗过程中与来访者的工作最为直接相关。排名靠后的项目可能被视为外部强加给治疗师和治疗的议程。我们将实践研究网络作为一种与KTE目标相一致的创建新合作方式进行了讨论。本研究的结果有助于指导从业者与研究者之间的合作。
