Kernels vs. ears, and other questions for a science of treatment dissemination.

Weisz, John R.; Ugueto, Ana M.; Herren, Jenny; Afienko, Sara R.; Rutt, Christopher

doi:10.1111/j.1468-2850.2010.01233.x

Cited by 48 publications

(44 citation statements)

References 22 publications

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“…Among the postulated explanations for the contrast between the favorable RCT efficacy results and the disappointing real-world effectiveness results is the disparity between the relatively ideal service provision conditions that prevail in RCTs and the more problematic service provision characteristics that typically prevail in everyday practice settings (Weisz, Ugueto, Herren, Afienko, & Rutt, 2011).…”

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confidence: 99%

Outcome Benchmarks for Adaptations of Research-Supported Treatments for Adult Traumatic Stress

Rubin

Parrish

Washburn

2014

Research on Social Work Practice

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This article provides benchmark data on within-group effect sizes from published randomized controlled trials (RCTs) that evaluated the efficacy of research-supported treatments (RSTs) for adult traumatic stress. Agencies can compare these benchmarks to their treatment group effect size to inform their decisions as to whether the way they are adopting or adapting one of these RSTs is satisfactory or needs to be modified or replaced by a different intervention approach. These benchmarks also have potential utility for future implementation of research efforts about these RSTs that can assess what service provision conditions are associated with effect sizes that resemble the benchmarks provided in this study.Keywords research-supported treatments in real-world settings, traumatic stress, meta-analysis, prolonged exposure therapy, cognitive processing therapy, EMDR Much progress has been made in recent decades in the development of interventions and programs with established efficacy in the treatment or prevention of various psychosocial problems. Rigorous systematic reviews and meta-analyses of randomized controlled trials (RCTs) have identified interventions thatwhen provided under relatively ideal service provision conditions-consistently obtain statistically and clinically significant outcomes. These interventions have been termed as research-supported treatments (RSTs; APA Presidential Task Force on Evidence-Based Practice, 2006). In the treatment of traumatic stress among adults, for example, these RSTs include prolonged exposure therapy (PE), cognitive processing therapy (CP), and eye movement desensitization and reprocessing (EMDR; Bisson et al.

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confidence: 99%

Outcome Benchmarks for Adaptations of Research-Supported Treatments for Adult Traumatic Stress

Rubin

Parrish

Washburn

2014

Research on Social Work Practice

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“…To address these barriers to full–package EBP implementation, Chorpita, Daleiden, and Weisz (2005) developed an innovative methodology for reviewing the treatment literature that focused on distilling EBPs down to their core or common practice elements (Chorpita et al, 2005). Outcomes of this distillation methodology have been used to develop modular treatment approaches that enable clinicians to systematically apply a variety of practice elements matched to client characteristics (PracticeWise, 2013; Weisz, Ugueto, et al, 2011). A second approach is the use of evidence-based practice frameworks such as the Collaborative Assessment and Management of Suicidality (CAMS; Jobes, 2006).…”

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confidence: 99%

Using Measurement-Based Care to Enhance Any Treatment

Scott

Lewis

2015

Cognitive and Behavioral Practice

363

293

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Measurement-based care (MBC) can be defined as the practice of basing clinical care on client data collected throughout treatment. MBC is considered a core component of numerous evidence-based practices (e.g., Beck & Beck, 2011; Klerman, Weissman, Rounsaville, & Chevron, 1984) and has emerging empirical support as an evidence-based framework that can be added to any treatment (Lambert et al., 2003, Trivedi et al., 2007). The observed benefits of MBC are numerous. MBC provides insight into treatment progress, highlights ongoing treatment targets, reduces symptom deterioration, and improves client outcomes (Lambert et al., 2005). Moreover, as a framework to guide treatment, MBC has transtheoretical and transdiagnostic relevance with broad reach across clinical settings. Although MBC has primarily focused on assessing symptoms (e.g., depression, anxiety), MBC can also be used to assess valuable information about (a) symptoms, (b) functioning and satisfaction with life, (c) putative mechanisms of change (e.g., readiness to change), and (d) the treatment process (e.g., session feedback, working alliance). This paper provides an overview of the benefits and challenges of MBC implementation when conceptualized as a transtheoretical and transdiagnostic framework for evaluating client therapy progress and outcomes across these four domains. The empirical support for MBC use is briefly reviewed, an adult case example is presented to serve as a guide for successful implementation of MBC in clinical practice, and future directions to maximize MBC utility are discussed.

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“…The need for EBT that can address multiple-disorders/problems has become a part of the clinical and research dialogue in the United States (U.S.), where common elements, or transdiagnostic intervention approaches, are increasingly receiving attention (e.g., Chorpita, Daleiden, & Weisz, 2005; Weisz, Ugueto, Herren, Afienko & Rutt, 2011). Transdiagnostic interventions teach a set of common practice elements that can be delivered in varying combinations to address a range of problems.…”

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A Common Elements Treatment Approach for Adult Mental Health Problems in Low- and Middle-Income Countries

Murray

Dorsey

Haroz

et al. 2014

Cognitive and Behavioral Practice

311

331

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This paper describes the Common Elements Treatment Approach (CETA) for adults presenting with mood or anxiety problems developed specifically for use with lay counselors in low- and middle-income countries (LMIC). Details of the intervention development, training, supervision, and decision-making process are presented. Case vignettes are used as examples throughout. Preliminary findings are presented on counselor/supervisor performance and client outcomes from practice cases completed prior to randomized controlled trials (RCT) conducted at two sites for adult survivors of torture and/or systematic violence in (a) southern Iraq and (b) Thailand-Burma border. Data suggest that local supervisors and lay counselors with little prior mental health training or experience maintained fidelity to the model. The majority of pilot clients were retained in treatment, suggesting acceptability. Using the Reliable Change Index (RCI) for each individual we examined the number of clients above a minimal threshold (z > 1.96) for each outcome. In Iraq 100% of clients had RCIs above the threshold for depression and posttraumatic stress, and 81.8% for impaired function. In Thailand, 81.3% of clients had RCIs above minimum threshold for depression, 68.8% for posttraumatic stress, and 37.5% for impaired function. Implementation of CETA is discussed in relation to cultural issues within LMIC. These findings, combined with US-based evidence, suggest that a common elements approach warrants further development and testing as a means for addressing the treatment gap for mental health problems in LMIC.

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Kernels vs. ears, and other questions for a science of treatment dissemination.

Cited by 48 publications

References 22 publications

Outcome Benchmarks for Adaptations of Research-Supported Treatments for Adult Traumatic Stress

Outcome Benchmarks for Adaptations of Research-Supported Treatments for Adult Traumatic Stress

Using Measurement-Based Care to Enhance Any Treatment

A Common Elements Treatment Approach for Adult Mental Health Problems in Low- and Middle-Income Countries

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