Barriers to and Facilitators in the Implementation of Cognitive-Behavioral Therapy for Youth Anxiety in the Community
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OBJECTIVE: The study examined, from the perspective of therapists, the barriers to and facilitators in implementing cognitive-behavioral therapy (CBT) for anxious youths in community settings. METHODS: Fifty therapists (43% of the original training sample of 115 providers) participated in a follow-up interview two years after training and consultation. They reported on barriers to and facilitators in implementation of CBT for youths with anxiety. RESULTS: Qualitative analyses identified numerous barriers and facilitators, including client factors (for example, motivated clients facilitated the use of CBT, whereas clients with complex issues and numerous psychosocial stressors hindered its use), intervention factors (the structure of CBT helped facilitate its use for some providers, whereas others reported feeling constrained by such structure), and organizational factors (for example, the absence of support within one's institution served as a barrier, whereas supervision supporting the use of CBT facilitated implementation). CONCLUSIONS: Findings of this implementation trial align with conceptual implementation frameworks and may guide the tailoring of future implementation efforts in order to overcome barriers and maximize facilitators.
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Prior qualitative research with specialty care BHPs in pediatric and adult populations found lack of advanced training and supervision, treatment structure, and time constraints as provider barriers to using CBT for anxiety including exposure.
“Research conducted with specialty care BHPs in both pediatric (Ringle et al., 2015) and adult (Wolitzky-Taylor et al., 2018) populations found lack of advanced training and supervision, treatment structure, and time constraints as provider barriers to using CBT for anxiety including exposure”
From Barriers to and Facilitators of Using Evidence-Based, Cognitive–Behavioral Anxiety Interventions in Integrated Primary Care Practice (2023) · cites this paper as Ringle et al., 2015
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Cites
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Cited by
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Foa, E. B., Asnaani, A., Zang, Y., Capaldi, S., & Yeh, R. (2018) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2017.1350962 · Cited by 281 · see citing works
Identifying the organizational innovation-specific capacity needed for exposure therapy
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- Authors
- Ringle, V. A., Read, K. L., Edmunds, J. M., Brodman, D. M., Kendall, P. C., Barg, F., & Beidas, R. S.
- Affiliations
- University of Miami (US)
- Venue
- Psychiatric Services
- Published
- 2015-09-01
- Volume
- 66
- Issue
- 9
- Pages
- 938-945
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- PMC
- PMC4869696
- OpenAlex
- W2134755506
- Cited by
- 102
- References
- 9
- Citations by year
- 2026: 16 · 2025: 10 · 2024: 11 · 2023: 10 · 2022: 10 · 2021: 6 · 2020: 12 · 2019: 9 · 2018: 4 · 2017: 7 · 2016: 4 · 2015: 2 · 2014: 1
- FWCI
- 10.36
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH086438, MH083333, F31MH083333, MH099179, MH086438, K23MH099179, R25MH080916)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy, youth anxiety, implementation barriers, implementation facilitators, community mental health services, therapist perspectives, clinical supervision, organizational support, client motivation, psychosocial stressors
- MeSH terms
- Adolescent, Adult, Aged, Anxiety Disorders, Attitude of Health Personnel, Female, Health Services Accessibility, Humans, Male, Middle Aged, Cognitive Behavioral Therapy, Young Adult
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