The Association Between Clinician and Perceived Organizational Factors with Early Fidelity to Cognitive Processing Therapy for Posttraumatic Stress Disorder in a Randomized Controlled Implementation Trial
| Autor: | Iris Sijercic, Jeanine E. M. Lane, Cassidy A. Gutner, Candice M. Monson, Shannon Wiltsey Stirman |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 050103 clinical psychology Cognitive Behavioral Therapy Health Policy 05 social sciences Public Health Environmental and Occupational Health Middle Aged Organizational Culture 030227 psychiatry Stress Disorders Post-Traumatic 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Treatment Outcome Attitude Practice Guidelines as Topic Educational Status Humans 0501 psychology and cognitive sciences Female Clinical Competence Guideline Adherence Pshychiatric Mental Health |
| Zdroj: | Administration and policy in mental health. 47(1) |
| ISSN: | 1573-3289 |
| Popis: | A common metric for determining implementation success is the measurement of clinician adherence to, and competence in, delivering a psychotherapy. The present study examined clinician and organizational factors as predictors of early adherence and competence among 78 clinicians delivering cognitive processing therapy (CPT), an evidence-based psychotherapy (EBP) for posttraumatic stress disorder, in a randomized controlled implementation trial. Results indicated that clinicians' willingness to adopt an EBP if required to do so was significantly associated with early adherence and competence in CPT delivery. Level of clinician education was significantly associated with early competence in delivering CPT. Organizational factors did not predict early adherence or competence. Implications of the findings are discussed. |
| Databáze: | OpenAIRE |
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