Understanding the Effectiveness of the Cascading Model to Implement Parent-Child Interaction Therapy
Tóm tắt
Few community-based behavioral health clinicians are trained in evidence-based practices (EBPs). The Cascading Model (CM), a training model in which expert-trained clinicians train others at their agency, may help increase the number of EBP-trained clinicians. This study is one of the first to describe CM training methods and to examine differences between clinicians trained by an expert, and those trained through a within-agency training (WAT) by a fellow clinician. Results indicate that 56% of the 38 eligible clinicians chose to become trainers and 50% of the 56% conducted WATs to train others. This represents a 50% increase in EBP-trained clinicians within the study timeframe. Clinicians trained by an expert reported higher knowledge and training satisfaction than those trained through a WAT. Of note, clinicians trained through a WAT reported increases in EBP knowledge and were more diverse (race/ethnicity, employment status), suggesting that the CM may improve access to EBPs.
Tài liệu tham khảo
American Psychological Association. Task Force on Promotion and Dissemination of Psychological Procedures.; 1993.
US Department of Health and Human Services. President’s New Freedom Commission on Mental Health. Achiev Promise Transform Ment Heal Care Am Exec Summ. 2003.
National Institute of Mental Health. Bridging Science and Service: A Report by the National Advisory Mental Health Council’s Clinical Treatment and Services Work Group. Rockville, MD; 1998.
Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implement Sci. 2009;4(50):40-55. doi:https://doi.org/10.1186/1748-5908-4-50.
Aarons GA, Wells RS, Zagursky K, et al. Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis. Am J Public Health. 2009;99(11):2087-2095. doi:https://doi.org/10.2105/AJPH.2009.161711.
Herschell AD, Kolko DJ, Baumann BL, et al. The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clin Psychol Rev. 2010;30(4):448-466. doi:https://doi.org/10.1016/j.cpr.2010.02.005.
Beidas RS, Kendall PC. Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clin Psychol Sci Pract. 2010;17(1):1-30. doi:https://doi.org/10.1111/j.1468-2850.2009.01187.x.
Beidas RS, Edmunds JM, Marcus SC, et al. Training and consultation to promote implementation of an empirically supported treatment: a randomized trial. Psychiatr Serv. 2012;63(7):660-665. doi:https://doi.org/10.1176/appi.ps.201100401.
Stirman SW, Kimberly J, Cook N, et al. The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci. 2012;7(1):17. doi:https://doi.org/10.1186/1748-5908-7-17.
Lyon AR, Stirman SW, Kerns SEU, et al. Developing the mental health workforce: Review and application of training approaches from multiple disciplines. Adm Policy Ment Heal Ment Heal Serv Res. 2011;38(4):238-253. doi:https://doi.org/10.1007/s10488-010-0331-y.
Sholomskas DE, Syracuse-Siewart G, Rounsaville BJ, et al. We don’t train in vain: A dissemination trial of three strategies of training clinicans in Cognitive-Behavioral Therapy. J Consult Clin Psychol. 2005;73(1):106-115. doi:https://doi.org/10.1016/j.drugalcdep.2008.02.002.A.
Lopez MA, Osterberg LD, Jensen-Doss A, et al. Effects of workshop training for providers under mandated use of an evidence-based practice. Adm Policy Ment Heal Ment Heal Serv Res. 2011;38(4):301-312. doi:https://doi.org/10.1007/s10488-010-0326-8.
Funderburk B, Chaffin M, Bard E, et al. Comparing client outcomes for two evidence-based treatment consultation strategies. J Clin Child Adolesc Psychol. 2015;44(5):730-741. doi:https://doi.org/10.1080/15374416.2014.910790.
Bruns EJ, Hoagwood KE, Rivard JC, et al. State implementation of evidence-based practice for youths, Part II: Recommendations for research and policy. J Am Acad Child Adolesc Psychiatry. 2008;47(5):499-504. doi:https://doi.org/10.1097/CHI.0b013e3181684557.
Hyde PS, Falls K, Morris JA, et al. Turning knowledge into practice: A manual for behavioral health administrators and practitioners about understanding and implementing evidence-based practices. MA Tech Assist Collab. 2003.
Goldfine ME, Wagner SM, Branstetter SA, et al. Parent-Child Interaction Therapy: An examination of cost-effectiveness. J Early Intensive Behav Interv. 2008;5(1):119-141. doi:https://doi.org/10.1037/h0100414.
Dopp AR, Hanson RF, Saunders BE, et al. Community-based implementation of trauma-focused interventions for youth: Economic impact of the learning collaborative model. Psychol Serv. 2017;14(1):57-65. doi:https://doi.org/10.1037/ser0000131.
Hoge MA, Stuart GW, Morris JA, et al. Behavioral health workforce development in the United States. In: Substance Abuse and Addiction: Breakthroughs in Research and Practice. Hershey: Information Resources Management Association; 2019:433-455.
Olfson M. Building the mental health workforce capacity needed to treat adults with serious mental illnesses. Health Aff. 2016;35(6):983-990. doi:https://doi.org/10.1377/hlthaff.2015.1619.
Fairburn CG, Patel V. The global dissemination of psychological treatments: A road map for research and practice. Am J Psychiatry. 2014;171(5):495-498. doi:https://doi.org/10.1176/appi.ajp.2013.13111546.
Stuart S, Schultz J, Ashen C. A new community-based model for training in evidence-based psychotherapy practice. Commun Ment Health J. 2018; 54:1-9. doi:https://doi.org/10.1007/s10597-017-0220-x.
Hayes D. Cascade training and teachers’ professional development. ELT J. 2000;54(April):135-145.
Shire SY, Kasari C. Train the trainer effectiveness trials of behavioral intervention for individuals with autism: A systematic review. Am J Intellect Dev Disabil. 2014;119(5):436-451. doi:https://doi.org/10.1352/1944-7558-119.5.436.
Andzik N, Cannella-Malone HI. A review of the pyramidal training approach for practitioners working with individuals with disabilities. Behav Modif. 2017;41(4):558-580. doi:https://doi.org/10.1177/0145445517692952.
Herschell AD, Kolko DJ, Scudder AT, et al. Protocol for a statewide randomized controlled trial to compare three training models for implementing an evidence-based treatment. Implement Sci. 2015;10(1):133. doi:https://doi.org/10.1186/s13012-015-0324-z.
Brabson LA, Herschell AD, Kolko DJ, et al. Associations among job role, training type, and staff turnover in a large-scale implementation initiative. J Behav Heal Serv Res. 2019:1-15. doi:https://doi.org/10.1007/s11414-018-09645-1.
Greif R, Becker CB, Hildebrandt T. Reducing eating disorder risk factors: A pilot effectiveness trial of a train-the-trainer approach to dissemination and implementation. Int J Eat Disord. 2015;48(8):1122-1131. doi:https://doi.org/10.1002/eat.22442.
Smith TL, Landes SJ, Lester-Williams K, et al. Developing alternative training delivery methods to improve psychotherapy implementation in the U.S. Department of Veterans Affairs. Train Educ Prof Psychol. 2017;11(4):266-275. doi:https://doi.org/10.1037/tep0000156.
Triplett NS, Sedlar G, Berliner L, et al. Evaluating a train-the-trainer approach for increasing EBP training capacity in community mental health. J Behav Heal Serv Res. 2020;1(11). doi:https://doi.org/10.1007/s11414-019-09676-2.
Baldwin TT, Ford JK. Transfer of training: a review and directions for future research. Pers Psychol. 1988;41(1):63-105. doi:https://doi.org/10.1111/j.1744-6570.1988.tb00632.x.
Kraiger K, Ford JK, Salas E. Application of cognitive, skill-based, and affective theories of learning outcomes to new methods of training evaluation. J Appl Psychol. 1993;78(2):311-328. doi:https://doi.org/10.1037/0021-9010.78.2.311.
Eyberg SM, Funderburk BW. Parent-Child Interaction Therapy Protocol. Gainesville: PCIT International; 2011.
PCIT International Inc. Get certified by PCIT International. http://www.pcit.org/pcit-certification.html. Accessed December 5, 2016.
Scudder AT, Herschell AD. Building an evidence-base for the training of evidence-based treatments in community settings: Use of an expert-informed approach. Child Youth Serv Rev. 2015;55:84-92. doi:https://doi.org/10.1016/j.childyouth.2015.05.003.
McNeil CB, Hembree-Kigin TL. Parent-Child Interaction Therapy. 2nd edn New York: Springer Science & Business Media; 2010.
Chadwick Center for Children and Families. Closing the Quality Chasm in Child Abuse Treatment: Identifying and Disseminating Best Practices. San Diego, CA; 2004.
PCIT International Inc. Training Guidelines for Parent-Child Interaction Therapy. 2009.
PCIT International Inc. Certified PCIT Master Trainers. http://www.pcit.org/master-trainers.html. Accessed May 9, 2020.
Krathwohl DR, Anderson LW. A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom’s Taxonomy of Educational Objectives.; 2009.
Swain K, Whitley R, McHugo GJ, et al. The Sustainability of Evidence-Based Practices in Routine Mental Health Agencies. Community Ment Health J. 2010;46:119-129. doi:https://doi.org/10.1007/s10597-009-9202-y.
Funderburk B, Nelson M. PCIT Coaches Quiz. 2014.
IBM Corp. IBP SPSS Statistics for Windows, Version 25.0. 2017.
Thomas KC, Ellis AR, Konrad TR, et al. County-level estimates of mental health professional shortage in the United States. Psychiatr Serv. 2009;60(10):3-8. doi:https://doi.org/10.1176/ps.2009.60.10.1323.
Dailey WF, Morris JA, Hoge MA. Workforce development innovations with direct care workers: better jobs, better services, better business. Community Ment Health J. 2015;51(6):647-653. doi:https://doi.org/10.1007/s10597-014-9798-4.
Hoge MA Morris JA, Stuart GW, et al. A national action plan for workforce development in behavioral health. Psychiatr Serv. 2009;60(7):883-887. doi:https://doi.org/10.1176/appi.ps.60.7.883.
Glisson C, Schoenwald SK. The ARC organizational and community intervention strategy for implementing evidence-based children’s mental health treatments. Ment Health Serv Res. 2005;7(4):243-259. doi:https://doi.org/10.1007/s11020-005-7456-1.
Stuart GW, Tondora JS, Hoge MA. Evidence-based teaching practice: Implications for behavioral health. Adm Policy Ment Health. 2004;32(2):107-130. doi:https://doi.org/10.1023/B:APIH.0000042743.11286.bc.
Martinez RG, Lewis CC, Weiner BJ. Instrumentation issues in implementation science. Implement Sci. 2014;9(1):1-9. doi:https://doi.org/10.1186/s13012-014-0118-8.
Hogue A, Dauber S, Lichvar E, et al. Validity of Therapist Self-Report Ratings of Fidelity to Evidence-Based Practices for Adolescent Behavior Problems: Correspondence between Therapists and Observers. Adm Policy Ment Heal Ment Heal Serv Res 2014;42:229-243. doi:https://doi.org/10.1007/s10488-014-0548-2.
American Psychological Association. Demographics of the U.S. Psychology Workforce: Findings from the 2007-2016 American Community Survey. Washington, D.C.; 2018.