Implementing brief cognitive behavioral therapy in primary care: A pilot study
Open accessAbstract
Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on the test of an implementation strategy conducted as part of a multisite randomized controlled trial examining a brief cognitive-behavioral therapy versus usual care for medically ill patients in primary care, using a hybrid (type II) effectiveness/implementation design. The implementation strategy was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity auditing with expert feedback, and (3) internal and external facilitation to provide ongoing consultation and support of practice. Outcomes included descriptive and qualitative data on the feasibility and acceptability of the implementation strategy, as well as initial indicators of clinician adoption and treatment fidelity. Results suggest that a comprehensive implementation strategy to improve clinician adoption of a brief cognitive-behavioral therapy in primary care is feasible and effective for reaching high levels of adoption and fidelity.
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References 37 · Cited by 39
Research works printed but not linked: 2
- [4]4. National Institute for Health and Clinical Excellence (NICE). Depression. The Treatment and Management of Depression in Adults (updated edition) [CG90]. London: National Institute for Health and Clinical Excellence; 2009.
- [8]8. Nieuwsma JA, Trivedi RB, McDuffie J, Kronish I, Benjamin D, Williams JW Jr. Brief Psychotherapy for Depression in Primary Care: A Systematic Review of the Evidence (VA-ESP Project #09- 010). Washington: Department of Veterans Affairs, Veterans Health Administration; 2011.
- Authors
- Mignogna, J., Hundt, N. E., Kauth, M. R., Kunik, M. E., Sorocco, K. H., Naik, A. D., Stanley, M. A., York, K. M., & Cully, J. A.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- Oklahoma City VA Medical Center (US)
- Corresponding author
- Mignogna, Joseph
- ORCID
- Venue
- Translational Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-01-01
- Volume
- 4
- Issue
- 2
- Pages
- 175-183
- ISSN
- 1613-9860 (ISSN-L)
- 1869-6716
- PMC
- PMC4041920
- OpenAlex
- W2013680847
- Cited by
- 39
- References
- 37
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 3 · 2018: 5 · 2017: 1 · 2016: 2 · 2015: 1
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Translational Behavioral Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs (IIR 09-088, CIN13-413)
- Office of Research and Development (CIN 13-413)
- Center for Innovations in Quality, Effectiveness and Safety (CIN 13–413, 13–413)
- NIH Clinical Center
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- brief cognitive behavioral therapy, implementation strategies, primary care, clinician adoption, intervention fidelity, expert feedback, feasibility and acceptability, medical patients
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