University of Arkansas, Department of Psychological Science, USA.
Community Care Behavioral Health Organization, UPMC Insurance Services Division, USA; University of Pittsburgh School of Medicine, UPMC Western Psychiatric Hospital, USA.
Eval Program Plann. 2022 Jun;92:102055. doi: 10.1016/j.evalprogplan.2022.102055. Epub 2022 Feb 13.
The implementation of evidence-based treatments (EBTs) in community behavioral health settings is a recommended practice, yet training experienced by community-based clinicians may require novel and creative training methods. The current study focused on creating a training protocol for Alternative for Families: a Cognitive-Behavioral Therapy from both evidence-based foundations and community-based agency feedback to promote better EBT integration into agencies. Twenty-four clinicians from three agencies were trained using a community-informed training protocol. Outcomes for clinician-reports of organizational functioning, self-reports of skill and knowledge, and observational single-subject data of clinician skills were assessed. Minimal improvements were found for clinician skills across self-report and observations. More research on tailoring trainings to meet needs of community agencies and clinicians should be explored to determine best practice in wide-scale implementation efforts.
在社区心理健康机构中实施基于证据的治疗（EBT）是一种推荐的做法，但社区临床医生的培训经验可能需要新颖和创造性的培训方法。本研究专注于为家庭替代疗法：认知行为疗法创建一个培训方案，该方案既基于循证基础，又基于社区机构的反馈，以促进更好地将 EBT 融入机构。使用社区知情的培训方案对来自三个机构的 24 名临床医生进行了培训。评估了临床医生报告的组织功能、自我报告的技能和知识，以及临床医生技能的观察性单例数据。自我报告和观察结果显示，临床医生的技能仅略有改善。应该探索更多针对满足社区机构和临床医生需求的培训定制研究，以确定在广泛实施工作中的最佳实践。
