Details

Autor(en) / Beteiligte

• Gifford, Elizabeth V., Ph.D
• Tavakoli, Sara, M.P.H
• Weingardt, Kenneth R., Ph.D
• Finney, John W., Ph.D
• Pierson, Heather M., Ph.D
• Rosen, Craig S., Ph.D
• Hagedorn, Hildi J., Ph.D
• Cook, Joan M., Ph.D
• Curran, Geoff M., Ph.D

Titel

How do components of evidence-based psychological treatment cluster in practice?

Ist Teil von

• Journal of substance abuse treatment, 2012, Vol.42 (1), p.45-55

Ort / Verlag

Elsevier Inc

Erscheinungsjahr

2012

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Abstract Evidence-based psychological treatments (EBPTs) are clusters of interventions, but it is unclear how providers actually implement these clusters in practice. A disaggregated measure of EBPTs was developed to characterize clinicians' component-level evidence-based practices and to examine relationships among these practices. Survey items captured components of evidence-based treatments based on treatment integrity measures. The Web-based survey was conducted with 75 U.S. Department of Veterans Affairs (VA) substance use disorder (SUD) practitioners and 149 non-VA community-based SUD practitioners. Clinician's self-designated treatment orientations were positively related to their endorsement of those EBPT components; however, clinicians used components from a variety of EBPTs. Hierarchical cluster analysis indicated that clinicians combined and organized interventions from cognitive–behavioral therapy, the community reinforcement approach, motivational interviewing, structured family and couples therapy, 12-step facilitation, and contingency management into clusters including empathy and support, treatment engagement and activation, abstinence initiation, and recovery maintenance. Understanding how clinicians use EBPT components may lead to improved evidence-based practice dissemination and implementation.