Barriers to Adoption of New Treatments: An Internet Study of Practicing Community Psychotherapists
Open accessAbstract
Over 1,600 North American psychotherapists from a wide range of disciplines and practice settings completed an open-ended question on perceived barriers to adoption of new treatments as part of an internet survey. Content analysis indicated that there were five overall themes: clinician attitudes, client characteristics, contextual or institutional factors, training issues and other. The most frequently endorsed theme revolved around training issues, particularly, insufficient time and cost for training, lack of confidence in mastering the technique, and lack of opportunities for refining skills. Specific ideas for overcoming these barriers are identified.
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Determinants of practice can be identified through formal assessment processes, theory or conceptual models, research literature, or informal approaches such as brainstorming.
“While these determinants of practice could be identified through formal assessment processes, they could also be identified using theory or conceptual models e.g., [87], research literature e.g., [59,60,88-90], or more informal approaches such as brainstorming e.g., [55].”
From Implementation strategies: recommendations for specifying and reporting (2013) · cites this paper as [60]
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“, 2007) and concerns have been raised regarding the therapeutic process and effectiveness of IT (Cook et al., 2009; Becker and Jensen-Doss, 2013).”
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- Authors
- Cook, J. M., Biyanova, T., & Coyne, J. C.
- Affiliations
- Yale University (US)
- University of Pennsylvania (US)
- Corresponding author
- Cook, Joan M.
- ORCID
- Cook, Joan M.
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2008-12-23
- Volume
- 36
- Issue
- 2
- Pages
- 83-90
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- PMC
- PMC3675889
- OpenAlex
- W1968976924
- Cited by
- 85
- References
- 14
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 6 · 2021: 13 · 2020: 8 · 2019: 8 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 8 · 2013: 6 · 2012: 7
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K01MH070859)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- psychotherapists, clinician attitudes, psychotherapy training, clinician confidence, client characteristics, institutional factors
- MeSH terms
- Adult, Diffusion of Innovation, Humans, Middle Aged, Psychotherapy, Evidence-Based Medicine, Health Care Surveys, Internet
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