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Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective.
Open accessAbstract
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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“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]
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“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]
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“The online and in-person trainings included active role-playing, experiential exercises, and coaching, reflecting evidence-based training approaches [53].”
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Metadata
- Authors
- Beidas, R. S., & Kendall, P. C.
- Affiliations
- Temple University (US)
- Venue
- Clinical Psychology: Science and Practice
- Published
- 2010-03
- Volume
- 17
- Issue
- 1
- Pages
- 1-30
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- 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
- green
- www.ncbi.nlm.nih.gov
- 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 › Clinical 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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