Implementation of a low-cost, web-based, multi-component training for trauma-focused cognitive-behavioral therapy
Although continuing education appears to be a promising strategy for closing the research-to-practice gap, effective trainings that result in clinician behavior change remain expensive and largely inaccessible. The current study evaluated a low-cost, multicomponent, web-based training for Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). Clinician members of a practice-based research network were recruited via email and randomized to either a training group (TG; N=89 assigned) or control group (CG; N=74 assigned), with half of each group randomized to receive incentives for completion. The TG was immediately offered the training; the CG was offered the same training after 6 months. Clinicians completed assessments at baseline (pre-training), 6-months, and 12-months covering (a) completion of training components, (b) knowledge, (c) use of TF-CBT, and (d) for a subset of clinicians (N=34), TF-CBT fidelity. There were no significant between-group differences on TF-CBT knowledge and strategy use at 6 months, although significant differences in overall TF-CBT skill were found. There was also considerable variability in the extent of training completed. We found significant positive associations between extent of training completed and clinician knowledge, use, and fidelity in TF-CBT. A multiple regression showed that previous TF-BT training, clinician attitudes towards evidence-based practices, and clinician age predicted training completion. Implications for web-based trainings and implementation science are discussed.
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