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心理健康循证干预的治疗师培训:培训方法与结果的系统评价

Therapist training in evidence-based interventions for mental health: A systematic review of training approaches and outcomes.

作者信息

Frank Hannah E, Becker-Haimes Emily M, Kendall Philip C

机构信息

Psychology Department, Temple University, Philadelphia, Pennsylvania.

Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

出版信息

Clin Psychol (New York). 2020 Sep;27(3). doi: 10.1111/cpsp.12330.

Abstract

A lack of effective therapist training is a major barrier to evidence-based intervention (EBI) delivery in the community. Systematic reviews published nearly a decade ago suggested that traditional EBI training leads to higher knowledge but not more EBI use, indicating that more work is needed to optimize EBI training and implementation. This systematic review synthesizes the training literature published since 2010 to evaluate how different training models (workshop, workshop with consultation, online training, train-the-trainer, and intensive training) affect therapists' knowledge, beliefs, and behaviors. Results and limitations for each approach are discussed. Findings show that training has advanced beyond provision of manuals and brief workshops; more intensive training models show promise for changing therapist behavior. However, methodological issues persist, limiting conclusions and pointing to important areas for future research.

摘要

缺乏有效的治疗师培训是在社区中提供循证干预(EBI)的主要障碍。近十年前发表的系统评价表明,传统的循证干预培训能带来更多知识,但并不能增加循证干预的使用,这表明需要开展更多工作来优化循证干预培训及实施。本系统评价综合了2010年以来发表的培训文献,以评估不同培训模式(工作坊、带咨询的工作坊、在线培训、培训师培训和强化培训)如何影响治疗师的知识、信念和行为。讨论了每种方法的结果和局限性。研究结果表明,培训已超越了提供手册和简短工作坊的阶段;更强化的培训模式有望改变治疗师的行为。然而,方法学问题依然存在,限制了结论的得出,并指出了未来研究的重要领域。

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