Journal
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE
Volume 17, Issue 1, Pages 1-30Publisher
WILEY
DOI: 10.1111/j.1468-2850.2009.01187.x
Keywords
dissemination and implementation; evidence-based practice; systems-contextual perspective; therapist training
Categories
Funding
- NIMH NIH HHS [F31 MH083333-01A2, F31 MH083333] Funding Source: Medline
- NATIONAL INSTITUTE OF MENTAL HEALTH [F31MH083333] Funding Source: NIH RePORTER
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Evidence-based practice (EBP), a preferred psychological treatment approach, requires training of community providers. The systems-contextual (SC) perspective, a model for dissemination and implementation efforts, underscores the importance of the therapist, client, and organizational variables that influence training and consequent therapist uptake and adoption of EBP. This review critiques the extant research on training in EBP from an SC perspective. Findings suggest that therapist knowledge improves and attitudinal change occurs following training. However, change in therapist behaviors (e.g., adherence, competence, and skill) and client outcomes only occurs when training interventions address each level of the SC model and include active learning. Limitations as well as areas for future research are discussed.
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