Digital Commons Network^™

Tf-Cbt Training Augmented With A Self-Care Focus: Understanding Facilitators And Barriers To Treatment Implementation., Julie P. Harrison, Esther Deblinger, Elisabeth Pollio, Beth Cooper, Robert A Steer

Rowan-Virtua School of Osteopathic Medicine Faculty Scholarship

Clinicians working with youth exposed to trauma may be at increased risk for experiencing elevated levels of stress and symptoms of secondary traumatic stress, which can negatively impact clinician wellbeing and ultimately contribute to reduced access to quality care for clients. An innovative Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) training incorporating self-care practices (i.e., Practice What You Preach; PWYP) was developed to help facilitate the implementation of TF-CBT and to enhance clinicians' coping and decrease stress. The primary purpose of this study was to determine whether the PWYP-augmented training met three Objectives: (1) increase clinicians' feelings of TF-CBT competency; (2) improve …

Developing A Clinician Self-Report Fidelity Measure For A Transdiagnostic, Evidence-Based Protocol At A Residential Eating Disorders Treatment Center, Jennifer M. Oswald

Legacy Theses & Dissertations (2009 - 2024)

Objective: Fidelity monitoring is a vital component of successful evidence-based practice implementation in routine treatment settings. However, resource-intensiveness and low clinician buy-in pose barriers to traditional observer-report monitoring, highlighting a need to explore the practical utility of self-report approaches. This study used a mixed-methods approach to (a) develop a self-report fidelity measure of a transdiagnostic evidence-based protocol in a residential eating disorders treatment center; (b) tailor the measure for optimal accuracy, acceptability, and ease of use; and (c) assess measure validity via convergence with observer ratings. Methods: N = 10 clinicians participated in cognitive interviewing to refine an initial draft …

An Analogue Study Examining Attitude Change Theory And Its Implications For Dissemination And Implementation Of Empirically Supported Treatments, Laura D. Seligman, Andrew L. Geers, Erin F. Swedish, Joseph D. Hovey, Gabriela Hurtado

Psychological Science Faculty Publications and Presentations

Despite the promise of research-based treatments, dissemination into community settings has been problematic. Attitudes toward these treatments may be partially responsible for the slow uptake. Building on the functional theory of attitudes, it was hypothesized that presenting emotion-focused rather than cognitively-focused information about a treatment would produce more positive attitudes toward the treatment in individuals interested in clinical practice. To test this hypothesis, 144 students (116 women; Mage = 22.46 years) completed a measure of vocational interest and evaluated a treatment after reading either an emotional or cognitive passage about the treatment. Consistent with the hypothesis, participants’ interests in clinical …

Chickens Play To The Crowd, Cinzia Chiandetti

Animal Sentience

The time was ripe for Marino’s review of chickens’ cognitive capacities. The research community, apart from expressing gratitude for Marino’s work, should now use it to increase public awareness of chickens’ abilities. People’s views on many animals are ill-informed. Scientists need to communicate and engage with the public about the relevance and societal implications of their findings.

Pilot Testing Behavior Therapy For Chronic Tic Disorders In Neurology And Developmental Pediatrics Clinics, Emily J. Ricketts, Donald L. Gilbert, Samuel H. Zinner, Jonathan W. Mink, Tara D. Lipps, Geoffrey A. Wiegand, Amy E. Vierhile, Laura J. Ely, John Piacentini, John T. Walkup, Douglas W. Woods

Psychology Faculty Research and Publications

Comprehensive Behavioral Intervention for Tics (CBIT) is an efficacious treatment with limited regional availability. As neurology and pediatric clinics are often the first point of therapeutic contact for individuals with tics, the present study assessed preliminary treatment response, acceptability, and feasibility of an abbreviated version, modified for child neurology and developmental pediatrics clinics. Fourteen youth (9-17) with Tourette disorder across 2 child neurology clinics and one developmental pediatrics clinic participated in a small case series. Clinician-rated tic severity (Yale Global Tic Severity Scale) decreased from pre- to posttreatment, z = –2.0, P < .05, r = –.48, as did tic-related impairment, z …

Reducing Eating Disorder Risk Factors: A Pilot Effectiveness Trial Of A Train-The-Trainer Approach To Dissemination And Implementation, Rebecca Greif, Carolyn Becker, Tom Hildebrandt

Psychology Faculty Research

Objective: Impediments limit dissemination and implementation of evidence-based interventions (EBIs), including lack of sufficient training. One strategy to increase implementation of EBIs is the train-the-trainer (TTT) model. The Body Project is a peer-led body image program that reduces eating disorder (ED) risk factors. This study examined the effectiveness of a TTT model at reducing risk factors in Body Project participants. Specifically, this study examined whether a master trainer could train a novice trainer to train undergraduate peer leaders to administer the Body Project such that individuals who received the Body Project (i.e., participants) would evidence comparable outcomes to previous trials.We …

Web-Based Training For An Evidence-Supported Treatment: Training Completion And Knowledge Acquisition In A Global Sample Of Learners, Nicholas C. Heck, Benjamin E. Saunders, Daniel W. Smith

Psychology Faculty Research and Publications

The purpose of this investigation is to describe the characteristics of professional and preprofessional learners who registered for and completed TF-CBTWeb, a modular, web-based training program designed to promote the dissemination of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and to demonstrate the feasibility of this method of dissemination. Between October 1, 2005, and October 1, 2012, a total of 123,848 learners registered for TF-CBTWeb, of whom 98,646 (79.7%) initiated the learning activities by beginning the first module pretest. Of those, 67,201 (68.1%) completed the full training. Registrants hailed from 130 countries worldwide, and they had varied educational backgrounds, professional identities (both …

Outcomes For Implementation Science: An Enhanced Systematic Review Of Instruments Using Evidence-Based Rating Criteria, Cara C. Lewis, Sarah Fischer, Bryan J. Weiner, Cameo Stanick, Mimi Kim, Ruben G. Martinez

Psychology Publications

Background

High-quality measurement is critical to advancing knowledge in any field. New fields, such as implementation science, are often beset with measurement gaps and poor quality instruments, a weakness that can be more easily addressed in light of systematic review findings. Although several reviews of quantitative instruments used in implementation science have been published, no studies have focused on instruments that measure implementation outcomes. Proctor and colleagues established a core set of implementation outcomes including: acceptability, adoption,appropriateness, cost, feasibility, fidelity, penetration, sustainability (Adm Policy Ment Health Ment Health Serv Res 36:24–34, …

Reducing Eating Disorder Risk Factors: A Controlled Investigation Of A Blended Task-Shifting/Train-The-Trainer Approach To Dissemination And Implementation, Lisa S. Kilpela, Kaitlin Hill, Mackenzie Kelly, Joanna Elmquist, Paige Ottoson, Thomas Hildebrandt, Carolyn Becker

Carolyn Becker

Recent advances in psychological intervention research have led to an increase in evidence-based interventions (EBIs), yet there remains a lag in dissemination and implementation of EBIs. Task-shifting and the train-the-trainer (TTT) model offer two potential strategies for enhancing reach of EBIs. The Body Project, an EBI found to prevent onset of eating disorders, served as the vehicle for this dissemination/implementation study. The primary aim of this study was to determine if training of peer-leaders for the Body Project could be task-shifted to undergraduate students using a hybrid task-shifting/TTT model. Our secondary aim was to determine if subgroups of participants evidenced …

Reducing Eating Disorder Risk Factors: A Controlled Investigation Of A Blended Task-Shifting/Train-The-Trainer Approach To Dissemination And Implementation, Lisa S. Kilpela, Kaitlin Hill, Mackenzie Kelly, Joanna Elmquist, Paige Ottoson, Thomas Hildebrandt, Carolyn Becker

Psychology Faculty Research

Recent advances in psychological intervention research have led to an increase in evidence-based interventions (EBIs), yet there remains a lag in dissemination and implementation of EBIs. Task-shifting and the train-the-trainer (TTT) model offer two potential strategies for enhancing reach of EBIs. The Body Project, an EBI found to prevent onset of eating disorders, served as the vehicle for this dissemination/implementation study. The primary aim of this study was to determine if training of peer-leaders for the Body Project could be task-shifted to undergraduate students using a hybrid task-shifting/TTT model. Our secondary aim was to determine if subgroups of participants evidenced …

Reducing Eating Disorder Risk Factors: A Controlled Investigation Of A Blended Task-Shifting/Train-The-Trainer Approach To Dissemination And Implementation, Lisa S. Kilpela, Kaitlin Hill, Mackenzie Kelly, Joanna Elmquist, Paige Ottoson, D. Keith, Thomas Hildebrandt, Carolyn Becker

Psychology Faculty Research

Recent advances in psychological intervention research have led to an increase in evidence-based interventions (EBIs), yet there remains a lag in dissemination and implementation of EBIs. Task-shifting and the train-the-trainer (TTT) model offer two potential strategies for enhancing reach of EBIs. The Body Project, an EBI found to prevent onset of eating disorders, served as the vehicle for this dissemination/implementation study. The primary aim of this study was to determine if training of peer-leaders for the Body Project could be task-shifted to undergraduate students using a hybrid task-shifting/TTT model. Our secondary aim was to determine if subgroups of participants evidenced …

Direct-To-Consumer Advertising Of Cognitive Behavioral Therapy For The Treatment Of Depression, Lauren B. Flegle

Electronic Theses and Dissertations

No abstract provided.

Eating Disorder Prevention: Current Evidence-Base And Future Directions, Eric Stice, Carolyn Becker, S. Yokum

Psychology Faculty Research

Objective

This narrative review sought to (a) characterize prevention programs that have produced reliable, reproducible, and clinically meaningful effects in efficacy trials, (b) discuss effectiveness trials that have tested whether prevention programs produce intervention effects under ecologically valid real-world conditions, (c) discuss dissemination efforts and research on dissemination, and (d) offer suggestions regarding directions for future research in this field.

Conclusion

A literature revealed that 6 prevention programs have produced significant reductions in eating disorder symptoms through at least 6-month follow-up and that 2 have significantly reduced future eating disorder onset. Effectiveness trials indicate that 2 prevention programs have produced …

Stakeholder Views On Children’S Mental Health Services, Adriana Rodriguez

Theses and Dissertations

Identification of evidence-based treatments (EBTs) has been an important development; however recently, some shortcomings of the approach have been highlighted. These complexities have led to a surge in transportability research in mental health services science with goals of identifying needed strategies to encourage the adoption of innovations. The mental health system ecological (MHSE) model is an approach necessary to assist with closing this gap effectively as it integrates mental health contexts: client-level, provider-level, intervention-specific, service delivery, organizational, and service system characteristics. The aim of this study is to use the MHSE model to examine perspectives of mental health stakeholders on …

Adapting Evidence-Based Treatments For Youth In A Community Mental Health Setting: Single Case Design, Alexis Quinoy

Theses and Dissertations

This single-case design study examined the effectiveness of adapting evidence-based treatments (EBTs) for children in a community clinic through a university-community partnership. Community clinic therapists treated eight youths (five males), ages 10 to 14, of whom four were Caucasian, two were Latino, one was African-American, and one was Caucasian/African-American. Youths presented with a primary diagnosis of a DSM-IV (American Psychiatric Association, 1994) internalizing disorder (plus multiple comorbidities). An adapted treatment combining multiple elements based on two primary treatment manuals: Coping Cat (Kendall et al., 1990) and PASCET (Weisz et al., 1999) was used. Youths with comorbid externalizing symptoms were also …

Peer-Facilitated Cognitive Dissonance Versus Healthy Weight Eating Disorders Prevention: A Randomized Comparison, Carolyn Becker, Chantale Wilson, Allison Williams, Mackenzie Kelly, Leda Mcdaniel, Joanna Elmquist

Psychology Faculty Research

Research supports the efficacy of both cognitive dissonance (CD) and healthy weight (HW) eating disorders prevention, and indicates that CD can be delivered by peer-facilitators, which facilitates dissemination. This study investigated if peer-facilitators can deliver HW when it is modified for their use and extended follow-up of peer-facilitated CD as compared to previous trials. Based on pilot data, we modified HW (MHW) to facilitate peer delivery, elaborate benefits of the healthy-ideal, and place greater emphasis on consuming nutrient dense foods. Female sorority members (N=106) were randomized to either two 2-hour sessions of CD or MHW. Participants completed assessment …

The Role Of Training Variables In Effective Dissemination Of Evidence-Based Parenting Interventions, Alexandra C. Seng, Ronald J. Prinz, Matthew R. Sanders

Faculty Publications

From a public health perspective, mental health in parents and children can be promoted through population-based dissemination of parenting and family support interventions. However, it is critical that service providers who are acquiring evidence-based parenting interventions complete the training regimen to optimize dissemination and impact. This article examines training completion and its relationship to individual service provider characteristics, barriers to program use and subsequent implementation of an evidence-based program, the Triple P - Positive Parenting Program. In this study, 83.7% of the service providers completed the two-part training. Individual-level variables did not predict training completion. Service providers from diverse backgrounds …