Cross-fertilization versus transmission: Recommendations for developing a bidirectional approach to psychotherapy dissemination research

Hatgis, Christina; Addis, Michael E.; Krasnow, Aaron D.; Khazan, Inna; Jacob, Karen; Chiancola, Sandra; Dubois, Dawn; Litter, Alice; Moran, Peter; Scherz, Jeffrey

doi:10.1016/s0962-1849(05)80031-9

Cited by 28 publications

(21 citation statements)

References 24 publications

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“…Obtaining specific feedback from the group facilitators as well as youth and family participants regarding the treatment program, and incorporating this feedback directly into a revised manual, may further enhance the accessibility of the FYF program for providers in clinical practice (Beidas et al, 2011). The integration of acceptability data into program development reflects a bidirectional approach to treatment implementation and dissemination, in which critical insights from practitioners and participants can support the efficacy and long-term sustainability of new programs (Hatgis et al, 2001). This may be a critical step in bridging the research-to-practice gap (Dingfelder & Mandell, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Evidence suggests that behaviorally oriented training techniques such as direct feedback, behavioral rehearsal, and role-play are key workshop components of skill transfer (Beidas & Kendall, 2010; Herschell et al, 2010). Furthermore, the transportability of new treatments is often hindered by a lack of critical feedback and input from practitioners during the development process (Hatgis et al, 2001). Pairing ongoing expert consultation and supervision with intensive trainings to targeted providers, and allowing for bidirectional input from these same providers to the treatment developers, may be important for the successful adoption of new interventions.…”

Section: Introducing Evidence-based Interventions To Cliniciansmentioning

confidence: 99%

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Improving transportability of a cognitive-behavioral treatment intervention for anxiety in youth with autism spectrum disorders: Results from a US–Canada collaboration

Reaven

Blakeley‐Smith

Beattie

et al. 2014

Autism

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Anxiety disorders frequently co-occur in youth with autism spectrum disorders (ASD). In addition to developing efficacious treatments for anxiety in children with ASD, it is important to examine the transportability of these treatments to real-world settings. Study aims were to: a) train clinicians to deliver Facing Your Fears: Group Therapy for Managing Anxiety in Children with High-Functioning ASD (FYF) to fidelity; and b) examine feasibility of the program for novel settings. A secondary aim was to examine preliminary youth treatment outcome. Results indicated that clinicians obtained excellent fidelity following a workshop and ongoing consultation. Acceptability ratings indicated that FYF was viewed favorably, and critiques were incorporated into program revisions. Meaningful reductions in anxiety were reported post-treatment for 54% of children. Results support the initial effectiveness and transportability of FYF in new clinical settings.

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Section: Discussionmentioning

confidence: 99%

Section: Introducing Evidence-based Interventions To Cliniciansmentioning

confidence: 99%

Improving transportability of a cognitive-behavioral treatment intervention for anxiety in youth with autism spectrum disorders: Results from a US–Canada collaboration

Reaven

Blakeley‐Smith

Beattie

et al. 2014

Autism

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“…Process here refers not only to treatment but also to the process of different dissemination models and the way in which dissemination is received and embedded in different practice contexts. For example, systemic issues within an organization can have as much or more of an impact on the viability of a treatment as the behavior of clinical practitioners (Backer, Liberman, & Kuehnel, 1986; Clarke, 1995; Hatgis et al, in press; Hoagwood, Hibbs, Brent, & Jensen, 1995; Strosahl, 1998). Organizations that facilitate learning ESTs by providing release time or in‐house training are more likely to help the dissemination process than organizations primarily concerned with short‐term cost containment.…”

Section: Treatment Dissemination: Future Directionsmentioning

confidence: 99%

“…Involving practitioners as equal partners in disseminating ESTs requires researchers to create specific contexts that foster and reward collaboration. While being a research therapist is one common form of collaboration, therapist input rarely makes it to the point of publication or dissemination (Hatgis et al, in press; Kendall et al, 1998). Demonstration studies of possible partnership models between clinical researchers, clinical practice organizations, and clinical practitioners should help in this respect.…”

Section: Treatment Dissemination: Future Directionsmentioning

confidence: 99%

Methods for disseminating research products and increasing evidence-based practice: Promises, obstacles, and future directions.

Addis¹

2002

Clinical Psychology: Science and Practice

Self Cite

136

134

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Although several different rationales for psychotherapy dissemination research have been well articulated, the most effective means for bringing research products to clinical practice have yet to be determined. Two commonly proposed methods are the dissemination of empirically supported treatments and the dissemination of general evidence‐based stances to clinical decision making. Obstacles to either approach include (a) practical constraints on practitioners' ability to use research products, (b) lack of research on process and outcome of both empirically supported treatments and existing services in different practice contexts, (c) lack of research on acceptability of research products to end users including practitioners, clients, and administrators, (d) lack of research on training in the integration of science and practice at the undergraduate, graduate, and postgraduate levels, (e) systemic economic contingencies that favor or punish evidence‐based decision making, and (f) the tendency to construct dissemination as a hierarchical and unidirectional process of transmission from research to clinical practice. Each obstacle is considered in detail and followed by recommendations for ways to broaden the scope of dissemination efforts.

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“…Similar concerns have been raised and have, for the most part, been addressed by the psychotherapy research community. [60][61][62] We shall explore these concerns below and discuss the experiences of psychotherapy researchers.…”

Section: Challenges To Extending Communication Manuals Into the Pallimentioning

confidence: 99%

Manualized Communication Interventions to Enhance Palliative Care Research and Training: Rigorous, Testable Approaches

Weiner

Arnold

Curtis

et al. 2006

Journal of Palliative Medicine

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Palliative care practice requires excellent communication between the patient, family, and clinical team. Experts in the field have proposed a variety of communication interventions that can be used in the palliative care setting. However, these interventions are at a high level of generality: the specifics of each intervention are not well codified; the individual steps in each intervention are not easily reproducible and thus not comparable between practitioners; the methods to measure adherence to these communication protocols have not been established; and there is little detail on how to adapt these general interventions to the individual patient and family. Therefore, we lack good evidence for the efficacy of these recommendations. This paper makes the case for development of structured, testable approaches to communication that will inform clinical practice and communication training. To do so, palliative care communication should be conceived as a formal medical and psychosocial intervention-a potential treatment with risks and benefits to be systematically researched and operationalized in the same manner as medication interventions. As we illustrate, psychotherapy research has faced the same challenges in the past and has utilized manualized treatments to meet its goals. Through such approaches, we can begin to address the most basic intervention questions such as protocol efficacy, dose-response, side effects, and the optimal process and content of communication with the patient and family. The advantages of manualized communication approaches; some concepts underlying manual construction; and challenges to extending manualized communication to the palliative care domain are discussed.

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Cross-fertilization versus transmission: Recommendations for developing a bidirectional approach to psychotherapy dissemination research

Cited by 28 publications

References 24 publications

Improving transportability of a cognitive-behavioral treatment intervention for anxiety in youth with autism spectrum disorders: Results from a US–Canada collaboration

Improving transportability of a cognitive-behavioral treatment intervention for anxiety in youth with autism spectrum disorders: Results from a US–Canada collaboration

Methods for disseminating research products and increasing evidence-based practice: Promises, obstacles, and future directions.

Manualized Communication Interventions to Enhance Palliative Care Research and Training: Rigorous, Testable Approaches

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