Cited by 103Mindfulness and Compassion InterventionsSubstance Abuse Treatment and OutcomesPsychotherapy Techniques and Applications

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A randomized control trial examining the effect of acceptance and commitment training on clinician willingness to use evidence-based pharmacotherapy

Varra, Alethea A., Hayes, Steven C., Roget, Nancy, Fisher, Gary·2008·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.76.3.449

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Abstract

This study evaluated the effectiveness of acceptance and commitment training (ACT) for increasing drug and alcohol counselors' willingness to use evidence-based agonist and antagonist pharmacotherapy. Fifty-nine drug and alcohol counselors were randomly assigned to either a 1-day ACT workshop or a 1-day educational control workshop. Both groups then attended a 2-day workshop on empirically supported treatments for substance abuse. Measures were taken at pre- and posttraining and 3-month follow-up on reported use of pharmacotherapy, willingness to use pharmacotherapy, perceived barriers to implementing new treatments, and general acceptance. As compared with those in the education alone condition, participants in the ACT condition showed significantly higher rates of referrals to pharmacotherapy at follow-up, rated barriers to learning new treatments as less believable at posttraining and follow-up, and showed greater psychological flexibility at posttraining and follow-up. Mediational analyses indicated that reduced believability of barriers and greater psychological flexibility mediated the impact of the intervention. Results support the idea that acceptance-based interventions may be helpful in addressing the psychological factors related to poor adoption of evidence-based treatments.

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Authors: Varra, A. A., Hayes, S. C., Roget, N., & Fisher, G.
Affiliations: VA Puget Sound Health Care System (US)
ORCID: Varra, Alethea A.
Hayes, Steven C.
Roget, Nancy
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2008
Volume: 76
Issue: 3
Pages: 449-458
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.76.3.449
OpenAlex: W2166309440
Cited by: 101
References: 63
Citations by year: 2026: 1 · 2025: 5 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 6 · 2020: 1 · 2019: 5 · 2018: 1 · 2017: 7 · 2016: 5 · 2015: 7 · 2014: 9 · 2013: 8 · 2012: 9
FWCI: 10.43
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: Substance Abuse and Mental Health Services Administration (TI12899)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: acceptance and commitment training, evidence-based pharmacotherapy, addiction counselors, treatment adoption, implementation barriers, psychological flexibility, acceptance-based interventions, medication-assisted treatment, naltrexone, bupropion, empirically supported treatments, counselor education
MeSH terms: Combined Modality Therapy, Drug Therapy, Education, Medical, Ethnicity, Female, Humans, Male, Middle Aged, Motivation, Patient Acceptance of Health Care, Psychotherapy, Social Support, Teaching, Evidence-Based Medicine, Substance-Related Disorders, Intention

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A randomized control trial examining the effect of acceptance and commitment training on clinician willingness to use evidence-based pharmacotherapy

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