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Cited by 1,085Psychotherapy Techniques and ApplicationsHealth Policy Implementation ScienceCounseling Practices and Supervision

Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective.

Open access
Beidas, Rinad S., Kendall, Philip C.·2010·Clinical Psychology: Science and Practice
DOI 10.1111/j.1468-2850.2009.01187.xPMC PMC2945375
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Abstract

Evidence-based practice (EBP), a preferred psychological treatment approach, requires training of community providers. The systems-contextual (SC) perspective, a model for dissemination and implementation efforts, underscores the importance of the therapist, client, and organizational variables that influence training and consequent therapist uptake and adoption of EBP. This review critiques the extant research on training in EBP from an SC perspective. Findings suggest that therapist knowledge improves and attitudinal change occurs following training. However, change in therapist behaviors (e.g., adherence, competence, and skill) and client outcomes only occurs when training interventions address each level of the SC model and include active learning. Limitations as well as areas for future research are discussed.

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Barriers for the dissemination of MBIs are similar to those facing other evidence-based psychotherapies (eg, lack of available providers, cost, logistical challenges).

    “Barriers for the dissemination of MBIs are similar to those facing other evidence-based psychotherapies (eg, lack of available providers, cost, logistical challenges) [23-25].”

    From Testing the efficacy of a multicomponent, self-guided, smartphone-based meditation app: Three-armed randomized controlled trial (2020) · cites this paper as [24]

    The Abstract identifies inadequate training and unsupportive organizational climates as barriers to disseminating evidence-based psychotherapies, and the General Discussion describes difficulty achieving therapist proficiency. The paper does not establish that barriers to mindfulness-based interventions (MBIs) are similar, or identify cost and logistical challenges as the cited examples do. It supports the general point that other evidence-based psychotherapies face dissemination barriers, but not the full comparison. (LLM, conf=0.84)

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  • Active role-playing, experiential exercises, coaching, and weekly feedback-based supervision are recommended by the empirical literature for training intervention facilitators.

    “The training days incorporate active role-playing, experiential exercises, and coaching, followed by weekly feedback-based supervision, approaches recommended by the empirical literature [65, 66].”

    From A randomized controlled trial of a group acceptance-based intervention for cancer survivors experiencing anxiety at re-entry ('Valued Living'): Study protocol (2019) · cites this paper as [66]

    The Abstract endorses active learning and role-plays and says ongoing supervision may be needed for therapist behavior change. The Results describe experiential exercises, coaching, feedback, and examples of weekly supervision, but do not recommend weekly feedback-based supervision as a specific regimen. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • The online and in-person trainings for M-ACT facilitators included active role-playing, experiential exercises, and coaching, reflecting evidence-based training approaches.

    “The online and in-person trainings included active role-playing, experiential exercises, and coaching, reflecting evidence-based training approaches [53].”

    From A randomized controlled trial of a multi-modal palliative care intervention to promote advance care planning and psychological well-being among adults with advanced cancer: study protocol. (2022) · cites this paper as [53]

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Research works printed but not linked: 1

  1. Watkins K Osilla K Hepner K Sandres P Thompson J 2008 February Project BRIGHT: Building recovery by improving goals, habits and thoughts Symposium conducted at the Co-occurring Disorders Conference

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Related

Authors
Beidas, R. S., & Kendall, P. C.
Affiliations
Temple University (US)
ORCID
Venue
Clinical Psychology: Science and Practice
Publisher
American Psychological Association (APA)
Published
2010-03
Volume
17
Issue
1
Pages
1-30
ISSN
  • 0969-5893 (ISSN-L)
  • 1468-2850
DOI
10.1111/j.1468-2850.2009.01187.x
PMC
PMC2945375
OpenAlex
W2125675643
Cited by
1,085
References
74
Citations by year
2026: 30 · 2025: 50 · 2024: 72 · 2023: 66 · 2022: 59 · 2021: 99 · 2020: 82 · 2019: 74 · 2018: 77 · 2017: 85 · 2016: 71 · 2015: 88 · 2014: 61 · 2013: 72 · 2012: 48
FWCI
59.54
Type
journal article
Language
en
Open access
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 2010 d)
Locations
  • Clinical Psychology Science and Practice (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
Sponsor name not included (F31 MH083333)
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 › Counseling Practices and Supervision
Keywords
evidence-based practice, therapist training, dissemination and implementation, community service providers, therapist adherence, therapist competence, active learning, attitude change, client outcomes, organizational factors

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