TY - JOUR
KW - Anxiety
KW - cognitive behavioral therapy
KW - Depression
KW - Hybrid effectiveness-implementation designs
KW - primary care
KW - Veterans
AU - J. Mignogna
AU - N. E. Hundt
AU - M. R. Kauth
AU - M. E. Kunik
AU - K. H. Sorocco
AU - A. D. Naik
AU - M. A. Stanley
AU - K. M. York
AU - J. A. Cully
A1 - 
AB - Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on the test of an implementation strategy conducted as part of a multisite randomized controlled trial examining a brief cognitive-behavioral therapy versus usual care for medically ill patients in primary care, using a hybrid (type II) effectiveness/implementation design. The implementation strategy was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity auditing with expert feedback, and (3) internal and external facilitation to provide ongoing consultation and support of practice. Outcomes included descriptive and qualitative data on the feasibility and acceptability of the implementation strategy, as well as initial indicators of clinician adoption and treatment fidelity. Results suggest that a comprehensive implementation strategy to improve clinician adoption of a brief cognitive-behavioral therapy in primary care is feasible and effective for reaching high levels of adoption and fidelity.
BT - Translational behavioral medicine
C5 - General Literature
CP - 2
CY - United States
DO - 10.1007/s13142-013-0248-6
IS - 2
JF - Translational behavioral medicine
N2 - Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on the test of an implementation strategy conducted as part of a multisite randomized controlled trial examining a brief cognitive-behavioral therapy versus usual care for medically ill patients in primary care, using a hybrid (type II) effectiveness/implementation design. The implementation strategy was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity auditing with expert feedback, and (3) internal and external facilitation to provide ongoing consultation and support of practice. Outcomes included descriptive and qualitative data on the feasibility and acceptability of the implementation strategy, as well as initial indicators of clinician adoption and treatment fidelity. Results suggest that a comprehensive implementation strategy to improve clinician adoption of a brief cognitive-behavioral therapy in primary care is feasible and effective for reaching high levels of adoption and fidelity.
PP - United States
PY - 2014
SN - 1869-6716
SP - 175
EP - 183
EP - 
T1 - Implementing brief cognitive behavioral therapy in primary care: A pilot study
T2 - Translational behavioral medicine
TI - Implementing brief cognitive behavioral therapy in primary care: A pilot study
U1 - General Literature
U2 - 24904701
U3 - 10.1007/s13142-013-0248-6
VL - 4
VO - 1869-6716
Y1 - 2014
ER -