Journal
ADDICTION
Volume 102, Issue 6, Pages 850-862Publisher
WILEY
DOI: 10.1111/j.1360-0443.2007.01798.x
Keywords
clinician training; computerized therapies; dissemination; empirically supported therapies; research to practice; stage model
Categories
Funding
- NIDA NIH HHS [K05 DA000457-05, U10 DA013038, K05 DA000089-24, K05 DA000457, U10 DA013038-05, P50 DA009241-13, R37 DA015969-04, K05 DA000089-22, P50 DA009241-14, P50 DA009241-110000, R01 DA015969, K05 DA000089, U10 DA013038-06, P50 DA009241-120000, R37 DA015969-06, K05-DA00089, K05 DA000457-06, P50 DA009241-130000, R37 DA015969-05, K05-DA00457, K05 DA000457-07, P50 DA009241-12, P50 DA009241-11, P50 DA009241, U10 DA013038-07, U10 DA013038-08, P50-DA09241, R37 DA015969, P50 DA009241-140000, K05 DA000089-23, K05 DA000457-08] Funding Source: Medline
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Whither, or wither, empirically supported therapies? Increasingly rigorous research in behavioral therapies has yielded a large number of effective therapies, but comparatively little work, demonstrating that integrating empirically supported therapies (ESTs) into standard practice results in meaningful improvements in patient outcomes. Methodology and strategies for evaluating ESTs and their effectiveness in clinical practice is a fairly recent innovation, and a host of unanswered questions remain regarding issues such as selection among different ESTs and what type of ESTs should be emphasized in dissemination efforts, what type of clinicians should be trained in what type of ESTs, the most effective training strategies for various types of clinicians, the need for ongoing supervision to maintain minimum levels of treatment fidelity and skill. In this review, we call for broader use of new research strategies and methods relevant to dissemination of ESTs; these may include adaptive designs, identification of mechanisms of action to foster greater emphasis on effective change principles, training and adoption trials, as well as novel implementation strategies including computer-assisted therapy and computer-assisted training.
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