Implementing brief cognitive behavioral therapy in primary care: A pilot study

被引：27

作者：

Mignogna, Joseph ^{[1
,2
,3
]}

Hundt, Natalie E. ^{[1
,2
,3
]}

Kauth, Michael R. ^{[1
,2
,3
]}

Kunik, Mark E. ^{[1
,2
,3
]}

Sorocco, Kristen H. ^{[4
,5
]}

Naik, Aanand D. ^{[1
,2
]}

Stanley, Melinda A. ^{[1
,2
,3
]}

York, Kaki M. ^{[6
]}

Cully, Jeffrey A. ^{[1
,2
,3
]}

机构：

[1] Michael E DeBakey VA Med Ctr MEDVAMC 152, Ctr Innovat Qual Effectiveness & Safety, Houston, TX 77030 USA

[2] Baylor Coll Med, Houston, TX 77030 USA

[3] VA South Cent Mental Illness Res, Educ & Clin Ctr, Houston, TX USA

[4] Oklahoma Vet Affairs Med Ctr, Oklahoma City, OK USA

[5] Univ Oklahoma, Hlth Sci Ctr, Oklahoma City, OK USA

[6] Michael E DeBakey VA Med Ctr, Houston, TX USA

来源：

TRANSLATIONAL BEHAVIORAL MEDICINE | 2014年 / 4卷 / 02期

关键词：

Primary care; Hybrid effectiveness-implementation designs; Cognitive behavioral therapy; Veterans; Anxiety; Depression; EXTERNAL FACILITATION; PARIHS FRAMEWORK; METAANALYSIS; DEPRESSION; ANXIETY; DONT;

D O I：

10.1007/s13142-013-0248-6

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on the test of an implementation strategy conducted as part of a multisite randomized controlled trial examining a brief cognitive-behavioral therapy versus usual care for medically ill patients in primary care, using a hybrid (type II) effectiveness/implementation design. The implementation strategy was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity auditing with expert feedback, and (3) internal and external facilitation to provide ongoing consultation and support of practice. Outcomes included descriptive and qualitative data on the feasibility and acceptability of the implementation strategy, as well as initial indicators of clinician adoption and treatment fidelity. Results suggest that a comprehensive implementation strategy to improve clinician adoption of a brief cognitive-behavioral therapy in primary care is feasible and effective for reaching high levels of adoption and fidelity.

引用

页码：175 / 183

页数：9

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