Department of Psychology, Temple University, 1701 N 13th St., Philadelphia, PA, 19122, USA.
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3rd Floor, Philadelphia, PA, 19104, USA; Hall-Mercer Community Mental Health Center, 245 S. 8th St., Philadelphia, PA, 19107, USA.
J Anxiety Disord. 2020 Dec;76:102308. doi: 10.1016/j.janxdis.2020.102308. Epub 2020 Sep 17.
Although exposure is a key evidence-based intervention for anxiety, it is infrequently used in clinical settings. This study employed a novel training strategy, experiential learning, to improve exposure implementation. This study aimed to assess the feasibility and acceptability of experiential training and preliminary training effectiveness.
Participants were 28 therapists who were randomized to (a) training-as-usual or (b) experiential training (training-as-usual plus a one-session treatment for fear of spiders). Workshops lasted one day and were followed by three months of weekly consultation.
Experiential training was viewed as feasible and acceptable. Participants, including those who were fearful of spiders, had a positive response to the training and reported it to be useful. There was a significant increase in the number of exposures used by therapists receiving experiential training compared to training-as-usual at 1-month follow-up.
A one-day training resulted in significant improvements in knowledge, attitudes toward exposure, and self-efficacy in using exposure. Preliminary findings suggest that experiential training resulted in greater use of exposure post-training compared to training-as-usual. Results provide evidence for the feasibility and acceptability of experiential training as a strategy to increase the use of evidence-based interventions.
尽管暴露是一种基于证据的关键干预措施，但在临床环境中很少使用。本研究采用了一种新的培训策略，即体验式学习，以提高暴露的实施效果。本研究旨在评估体验式培训的可行性和可接受性以及初步的培训效果。
参与者是 28 名治疗师，他们被随机分为（a）常规培训或（b）体验式培训（常规培训加上一次治疗蜘蛛恐惧的治疗）。培训为期一天，之后进行三个月的每周咨询。
体验式培训被认为是可行和可接受的。参与者，包括那些对蜘蛛感到恐惧的人，对培训有积极的反应，并报告说培训很有用。与常规培训相比，接受体验式培训的治疗师在 1 个月的随访中使用的暴露次数显著增加。
为期一天的培训显著提高了治疗师对暴露的知识、态度和自我效能感。初步结果表明，与常规培训相比，体验式培训后治疗师使用暴露的次数更多。研究结果为体验式培训作为增加基于证据的干预措施使用的策略的可行性和可接受性提供了证据。
