Theoretical and practical barriers to practitioners' willingness to seek training in empirically supported treatments

Journal of Clinical Psychology

Volumn 68, Issue 1, 2012, Pages 8-23

  Stewart, Rebecca E ^a   Chambless, Dianne L ^a   Baron, Jonathan ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Dissemination; Empirically supported treatments; Private practitioners; Training; Workshop

Indexed keywords

ADULT; AGED; ARTICLE; ECONOMICS; EDUCATION; EVIDENCE BASED PRACTICE; FEMALE; HEALTH PERSONNEL ATTITUDE; HEALTH SURVEY; HUMAN; MALE; MANPOWER; MEDICAL STAFF; MENTAL DISEASE; METHODOLOGY; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; PRIVATE PRACTICE; PSYCHOLOGICAL ASPECT; PSYCHOTHERAPY; STANDARD;

ADULT; AGED; AGED, 80 AND OVER; ATTITUDE OF HEALTH PERSONNEL; EDUCATION; EVIDENCE-BASED PRACTICE; FEMALE; HEALTH SURVEYS; HUMANS; MALE; MEDICAL STAFF; MENTAL DISORDERS; MIDDLE AGED; PRIVATE PRACTICE; PSYCHOTHERAPY;

EID: 83855164119     PISSN: 00219762     EISSN: 10974679     Source Type: Journal    
DOI: 10.1002/jclp.20832     Document Type: Article

References (60)

1. Aarons, G.A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61-74.
2. Addis, M.E., Wade, W.A., & Hatgis, C. (1999). Barriers to dissemination of evidence-based practices: Addressing practitioners' concerns about manual-based psychotherapies. Clinical Psychology: Science and Practice, 6(4), 430-441.
3. Ahn, H., & Wampold, B.E. (2001). Where oh where are the specific ingredients? A meta-analysis of component studies in counseling and psychotherapy. Journal of Counseling Psychology, 48(3), 251-257.
4. American Psychological Association. (2002). Ethical principles of psychologists and code of conduct. Retrieved from.
5. Arnow, B.A. (1999). Why are empirically supported treatments for bulimia nervosa underutilized and what can we do about it? Journal of Clinical Psychology: In Session, 55(6), 769-779.
6. Barlow, D.H., Levitt, J.T., & Bufka, L.F. (1999). The dissemination of empirically supported treatments: A view to the future. Behaviour Research and Therapy. Special Issue: Cognitive Behaviour Therapy: Evolution and prospects. A festschrift in honour of Dr S. Rachman, 37, S147-S162.
7. Becker, C.B., Zayfert, C., & Anderson, E. (2004). A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD. Behaviour Research & Therapy, 42(3), 277-292.
8. Beutler, L.E., Williams, R.E., Wakefield, P.J., & Entwistle, S.R. (1995). Bridging scientist and practitioner perspectives in clinical psychology. American Psychologist, 50(12), 984-994.
9. Borntrager, C.F., Chorpita, B.F., Higa-McMillan, C., & Weisz, J.R. (2009). Provider attitudes toward evidence-based practices: Are the concerns with the evidence or with the manuals? Psychiatric Services, 60(5), 677-681.
10. Castonguay, L.G., Constantino, M.J., & Holtforth, M.G. (2006). The working alliance: Where are we and where should we go? Psychotherapy: Theory, Practice, Training, 43(3), 271-279.
11. Clark, D.M., Ehlers, A., Hackmann, A., McManus, F., Fennell, M., Grey, N., Waddington, L., Wild, J. (2006). Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74(3), 568-578.
12. Cook, J.M., Schnurr, P.P., Biyanova, T., & Coyne, J.C. (2009). Apples don't fall far from the tree: Influences on psychotherapists' adoption and sustained use of new therapies. Psychiatric Services, 60(5), 671-676.
13. Craske, M.G., & Barlow, D.H. (2006). Mastery of your anxiety and panic: Therapist guide (4th ed.). New York: Oxford University Press.
14. Crowe, S., Mussel, M.B., Peterson, C., Knopke, A., & Mitchell, J. (2000). Prior treatment received by patients with bulimia nervosa. International Journal of Eating Disorders, 25(1), 39-44.
15. Davis, D.A., Thomson O'Brien, M.A., Freemantle, N., Wolf, P.M., Mazmanian, P., & Taylor-Vaisey, A. (1999). Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? Journal of the American Medical Association, 282(9), 867-874.
16. Dawes, R.M., & Corrigan, B. (1974). Linear models in decision making. Psychological Bulletin, 81(2), 95-106.
17. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. DOI: 10.3758/BRM.41.4.1149.
18. Garb, H.N. (1998). Studying the clinician: Judgment research and psychological assessment. Washington, DC: American Psychological Association.
19. Geweke, J.F., & Singleton, K.J. (1980). Interpreting the likelihood ratio statistic in factor models when sample size is small. Journal of the American Statistical Association, 75(369), 133-137.
20. Gibbons, M.B.C., Crits-Christoph, P., Levinson, J., & Barber, J. (2003). Flexibility in manual-based psychotherapies: Predictors of therapist interventions in interpersonal and cognitive-behavioral therapy. Psychotherapy Research, 13(2), 169-185.
21. Goisman, R.M., Warshaw, M.G., & Keller, M.B. (1999). Psychosocial treatment prescriptions for generalized anxiety disorder, panic disorder, and social phobia, 1991-1996. The American Journal of Psychiatry, 156(11), 1819-1821.
22. Goldfried, M.R., & Wolfe, B.E. (1998). Toward a more clinically valid approach to therapy research. Journal of Consulting and Clinical Psychology, 66(1), 143-150.
23. Haas, H.L., & Clopton, J.R. (2003). Comparing clinical and research treatments for eating disorders. The International Journal of Eating Disorders, 33(4), 412-420. DOI: 10.1002/eat.10156.
24. Hannan, C., Lambert, M.J., Harmon, C., Nielsen, S.L., Smart, D.W., Shimokawa, K., & Sutton, S.W. (2005). A lab test and algorithms for identifying clients at risk for treatment failure. Journal of Clinical Psychology, 61(2), 155-163.
25. Harlow, L.L. (2005). The essence of multivariate thinking: Basic themes and methods. Mahwah, NJ: Lawrence Erlbaum Associates Publishers.
26. Hays, K.A., Rardin, D.K., Jarvis, P.A., Taylor, N.M., Moorman, A.S., & Armstead, C.D. (2002). An exploratory survey on empirically supported treatments: Implications for internship training. Professional Psychology: Research and Practice, 33(2), 207-211.
27. Hayton, J.C., Allen, D.G., & Scarpello, V. (2004). Factor retention decisions in exploratory factor analysis: A tutorial on parallel analysis. Organizational Research Methods, 7(2), 191-205.
28. Jameson, P., Stadter, M., & Poulton, J. (2007). Sustained and sustaining continuing education for therapists. Psychotherapy: Theory, Research, Practice, Training, 44(1), 110-114.
29. Kadden, R.M., Cooney, N.L., Getter, H., & Litt, M.D. (1989). Matching alcoholics to coping skills or interactional therapies: Posttreatment results. Journal of Consulting and Clinical Psychology, 57(6), 698-704.
30. Kendall, P.C., Chu, B., Gifford, A., Hayes, C., & Nauta, M. (1998). Breathing life into a manual: Flexibility and creativity with manual-based treatments. Cognitive and Behavioral Practice, 5(2), 177-198.
31. Leichsenring, F., Rabung, S., & Leibing, E. (2004). The efficacy of short-term psychodynamic psychotherapy in specific psychiatric disorders: a meta-analysis. Archives of General Psychiatry, 61(12), 1208-1216. DOI: 10.1001/archpsyc.61.12.1208.
32. Levant, R.F. (2005). Report of the 2005 Presidential Task Force on Evidence-Based Practice. Retrieved from.
33. Luborsky, L., Rosenthal, R., Diguer, L., Andrusyna, T.P., Berman, J.S., Levitt, J.T., Seligman, D.A., Krause, E.D. (2002). The dodo bird verdict is alive and well-mostly. Clinical Psychology: Science and Practice, 9(1), 2-12.
34. Mussell, M.P., Crosby, R.D., Crow, S.J., Knopke, A.J., Peterson, C.B., Wonderlich, S.A., & Mitchell, J.E. (2000). Utilization of empirically supported psychotherapy treatments for individuals with eating disorders: A survey of psychologists. International Journal of Eating Disorders, 27(2), 230-237.
35. Nelson, T.D., & Steele, R.G. (2007). Predictors of practitioner self-reported use of evidence-based practices: Practitioner training, clinical setting, and attitudes toward research. Administration and Policy in Mental Health and Mental Health Services Research. 34(4), 319-330.
36. Nelson, T.D., Steele, R.G., & Mize, J.A. (2006). Practitioner Attitudes Toward Evidence-based Practice: Themes and Challenges. Administration and Policy in Mental Health and Mental Health Services Research, 33(3), 398-409.
37. Norcross, J.C., Beutler, L.E., & Levant, R.F. (2006). Evidence-based practices in mental health: Debate and dialogue on the fundamental questions. Washington, DC: American Psychological Association.
38. Norcross, J.C., Karpiak, C.P., & Santoro, S.O. (2005). Clinical psychologists across the years: The division of clinical psychology from 1960 to 2003. Journal of Clinical Psychology, 61(12), 1467-1483. DOI: 10.1002/jclp.20135.
39. Pagoto, S.L., Spring, B., Coups, E.J., Mulvaney, S., Coutu, M., & Ozakinci, G. (2007). Barriers and facilitators of evidence-based practice perceived by behavioral science health professionals. Journal of Clinical Psychology, 63(7), 695-705.
40. Persons, J.B., & Silberschatz, G. (1998). Are results of randomized controlled trials useful to psychotherapists? Journal of Consulting and Clinical Psychology, 66(1), 126-135.
41. Raine, R., Sanderson, C., Hutchings, A., Carter, S., Larkin, K., & Black, N. (2004). An experimental study of determinants of group judgments in clinical guideline development. Lancet, 364(9432), 429-437.
42. Riley, W.T., Schumann, M.F., Forman-Hoffman, V.L., Mihm, P., Applegate, B.W., & Asif, O. (2007). Responses of practicing psychologists to a web site developed to promote empirically supported treatments. Professional Psychology: Research and Practice, 38(1), 44-53.
43. Sackett, D.L., Straus, S.E., Richardson, W.S., Rosenberg, W., & Haynes, R.B. (2000). Evidence-based medicine: How to practice and teach EBM (Vol. 2). London: Churchill Livingstone.
44. Sackett, D.L., & Wennberg, J.E. (1997). Choosing the best research design for each question. BMJ (Clinical Research Ed.), 315(7123), 1636.
45. Schulte, D., Kunzel, R., Pepping, G., & Schulte-Bahrenberg, T. (1992). Tailor-made versus standardized therapy of phobic patients. Advances in Behavior Research and Therapy, 14(2), 67-92.
46. Sholomskas, D., Syracuse-Siewert, G., Rousanville, B., Ball, S., Nuro, K., & Carroll, K. (2005). We don't train in vain: A dissemination trial of three strategies of training clinicians in cognitive behavioral therapy. Journal of Consulting and Clinical Psychology, 73(1), 106-115.
47. Silverman, W.H. (1996). Cookbooks, manuals, and paint-by-numbers: Psychotherapy in the 90's. Psychotherapy: Theory, Research, Practice, Training, 33(2), 207-215.
48. Simmons, A.M., Milnes, S.M., & Anderson, D.A. (2008). Factors influencing the utilization of empirically supported treatments for eating disorders. Eating Disorders, 16(4), 342-354. DOI: 10.1080/10640260802116017.
49. Stewart, R.E., & Chambless, D.L. (2007). Does psychotherapy research inform treatment decisions in private practice? Journal of Clinical Psychology, 63(3), 267-281.
50. Stewart, R.E., & Chambless, D.L. (2009). Cognitive-behavioral therapy for adult anxiety disorders in clinical practice: A meta-analysis of effectiveness studies. Journal of Consulting and Clinical Psychology, 77(4), 595-606.
51. Stewart, R.E., Stirman, S.W., & Chambless, D.L. (2010). A qualitative investigation of practicing psychologists' attitudes toward research-informed practice. Manuscript submitted for publication.
52. Stiles, W.B., Hurst, R.M., Nelson-Gray, R., Hill, C.E., Greenberg, L.S., Watson, J.C., Hollon, S.D. (2006). What qualifies as research on which to judge effective practice? In J.C. Norcross, L.E. Beutler, & R.F. Levant (Eds.), Evidence-based practices in mental health: Debate and Dialogue on the fundamental questions (pp 57-131). Washington, DC: American Psychological Association.
53. Stirman, S.W., DeRubeis, R.J., Crits-Christoph, P., & Brody, P.E. (2003). Are samples in randomized controlled trials of psychotherapy representative of community outpatients? A New Methodology and Initial Findings. Journal of Consulting and Clinical Psychology, 71(6), 963-972.
54. Stirman, S.W., DeRubeis, R.J., Crits-Christoph, P., & Rothman, A. (2005). Can the randomized controlled trial literature generalize to nonrandomized patients? Journal of Consulting and Clinical Psychology, 73(1), 127-135.
55. Strupp, H.H. (2001). Implications of the empirically supported treatment movement for psychoanalysis. Psychoanalytic Dialogues, 11(4), 605-619.
56. Task Force on the Promotion and Dissemination of Psychological Procedures. (1995). Training in and dissemination of empirically-validated psychological treatments: Report and recommendations. The Clinical Psychologist, 48, 3-23.
57. von Ranson, K.M., & Robinson, K.E. (2006). Who is providing what type of psychotherapy to eating disorder clients? A survey. The International Journal of Eating Disorders, 39(1), 27-34. DOI: 10.1002/eat.20201.
58. Wampold, B.E., Mondin, G.W., Moody, M., Stich, F., Benson, K., & Ahn, H. (1997). A meta-analysis of outcome studies comparing bona fide psychotherapies: Empirically, "all must have prizes". Psychological Bulletin, 122(3), 203-215.
59. Westen, D., & Morrison, K. (2001). A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: An empirical examination of the status of empirically supported therapies. Journal of Consulting and Clinical Psychology, 69(6), 875-899.
60. Wilson, G.T. (1996). Manual-based treatments: The clinical application of research findings. Behaviour Research and Therapy, 34(4), 295-314.