The dissemination of empirically supported treatments: a view to the future

Barlow, David H.; Levitt, Jill T.; Bufka, Lynn F.

doi:10.1016/s0005-7967(99)00054-6

Cited by 193 publications

(134 citation statements)

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“…For example, consultation numbers and program formats may be restricted, and new interventions must be approved based on their perceived relevance and evidence base. Indeed, there are moves to use such clinical practice guidelines to provide immunity from malpractice litigation and to meet quality assurance criteria for accreditation (Barlow, Levitt, & Bufka, 1999), creating more pressure on agencies to carefully consider the interventions and services they offer.…”

Section: Organizational Factorsmentioning

confidence: 99%

Adopting a population-level approach to parenting and family support interventions

Prinz

Sanders

2007

Clinical Psychology Review

161

116

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Evidence-based treatments and preventive interventions in the child and family area have not met with widespread adoption by practitioners. Despite the high prevalence of child behavioral and emotional problems, many parents and families in need are not receiving or participating in services, and when they do, the most efficacious interventions are not what is usually provided. Simultaneously addressing the issues of low penetration and insufficient dissemination of evidence-based programming requires a population approach to parenting and family support and intervention. Process issues are important, particularly in relation to engagement of stakeholders, recruitment of practitioners, consideration of organizational factors, and use of media and communication strategies. This article discusses why there is a need for a population-based approach, provides a framework of how to conceptualize such an approach, and describes an example from our own work of a recently initiated prevention trial that illustrates a population-based approach in action. The rationale, structure, and goals of the Triple P System Population Trial are described in the context of the aforementioned population framework.

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Section: Organizational Factorsmentioning

confidence: 99%

Adopting a population-level approach to parenting and family support interventions

Prinz

Sanders

2007

Clinical Psychology Review

161

116

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“…Several authors have discussed the potential barriers to achieving widespread use of empiricallysupported interventions (e.g., Barlow et al, 1999). Studies that investigate factors affecting clinical utilization of empirically-supported interventions have the potential to greatly inform the dissemination process.…”

Section: Discussionmentioning

confidence: 99%

A survey of psychologists’ attitudes towards and utilization of exposure therapy for PTSD

Becker

Zayfert²,

Anderson

2004

Behaviour Research and Therapy

659

561

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Although research supports the efficacy of exposure therapy for PTSD, some evidence suggests that exposure is under-utilized in general clinical practice. The purpose of this study was to assess licensed psychologists' use of imaginal exposure for PTSD and to investigate perceived barriers to its implementation. A total of 852 psychologists from 3 states were randomly selected and surveyed. An additional 50 members of a trauma special interest group of a national behavior therapy organization were also surveyed. The main survey results indicate that a large majority of licensed doctoral level psychologists do not report use of exposure therapy to treat patients with PTSD. Although approximately half of the main study sample reported that they were at least somewhat familiar with exposure for PTSD, only a small minority used it to treat PTSD in their clinical practice. Even among psychologists with strong interest and training in behavioral treatment for PTSD, exposure therapy is not completely accepted or widely used.Clinicians also appear to perceive a significant number of barriers to implementing exposure.

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“…However, despite these promising findings, there are still limitations on the availability of these treatments, like difficulties that mental health practitioners encounter in the application of empirically validated programmes (Barlow, Levitt, & Bufka, 1999), the still reduced professional help-seeking behaviour in an important set of PDA sufferers (Bebbington et al, 2000) or the non-acceptance rates and difficulties in the application of some therapeutic strategies in these programmes.…”

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confidence: 99%

Virtual reality exposure in the treatment of panic disorder and agoraphobia: A controlled study

Botella

García‐Palacios

Villa

et al. 2007

Clin Psychology and Psychoth

180

142

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The main goal of this study was to offer data about the efficacy of virtual reality exposure (VRE) in the treatment of panic disorder with or without agoraphobia (PDA). The study was a between-subject design with three experimental conditions (VRE group, in vivo exposure [IVE] group and waiting-list [WL] group) and repeated measures (pre-treatment, post treatment and 12 month follow-up). The treatment programmes lasted 9 weekly sessions. Thirty-seven patients meeting DSM-IV criteria for PDA participated in this study. The improvement achieved using virtual exposure was superior to a WL condition and similar to that achieved using IVE. Our results support the efficacy of VRE in the treatment of PDA at short and long term. The advantages of VRE for the treatment of PDA regarding costbenefit issues are described.

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The dissemination of empirically supported treatments: a view to the future

Cited by 193 publications

References 0 publications

Adopting a population-level approach to parenting and family support interventions

Adopting a population-level approach to parenting and family support interventions

A survey of psychologists’ attitudes towards and utilization of exposure therapy for PTSD

Virtual reality exposure in the treatment of panic disorder and agoraphobia: A controlled study

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