Using session recordings to understand the content of community‐based treatment for childhood anxiety disorders and response to technology‐based training

Whiteside, Stephen P.; Sawchuk, Nicholas R.; Brennan, Elle; Lebow, Jocelyn; Sawchuk, Craig N.; Biggs, Bridget K.; Dammann, Julie E.; Tiede, Michael S.; Hofschulte, Deanna R.; Reneson‐Feeder, Stephanie; Cunningham, Megan; Allison, Matthew

doi:10.1002/jclp.23537

Cited by 4 publications

(1 citation statement)

References 49 publications

(122 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As recommended by systematic review guidelines (Page et al, 2021 ), the methodological quality of the included studies was evaluated, and the MMAT was selected to account for a range of study designs. Some study designs did not neatly fit those prescribed in the MMAT (e.g., Whiteside et al, 2023 ) and were categorised based on their dominant features. This may have resulted in the quality appraisal missing important aspects of the designs of some included studies.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Exposure Therapy Implementation in Clinical Practice for the Treatment of Anxiety, OCD, and PTSD: A Systematic Review

Racz,

Bialocerkowski,

Calteaux

et al. 2024

Clin Child Fam Psychol Rev

View full text Add to dashboard Cite

Exposure therapy (ET) forms a vital part of effective psychotherapy for anxiety-related presentations including anxiety disorders, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD), and is often underutilised in clinical practice. Using the Theoretical Domains Framework (TDF), this systematic review synthesised existing literature on the determinants of ET implementation for anxiety-related presentations and examined differences across presentations and developmental subgroups. Fifty-two eligible studies were assessed using the Mixed Methods Appraisal Tool, with 389 results (99%) mapped onto the TDF. Results suggested that clinicians’ negative beliefs about the consequences of ET were commonly associated with reduced implementation. It also appeared that whilst broad unspecified ET training may be related to improved implementation for anxiety disorders; greater implementation for complex presentations (i.e., PTSD) likely requires more specialised training involving practical components. A subset of domains (e.g., social/professional role and identity) accounted for most results, whilst some remain unexplored (i.e., optimism; reinforcement; memory, attention, and decision processes) or underexplored (i.e., behavioural regulation). Likewise, specific presentations and developmental subgroups (i.e., PTSD and adults) represented a greater proportion of results in the literature than others (i.e., OCD and youth). Future research exploring ET implementation, across specific presentations and developmental subgroups, would benefit from integrating implementation science frameworks to guide the development of targeted, comprehensive strategies to close the research-practice gap of ET for the treatment of anxiety-related presentations.

show abstract

Section: Discussionmentioning

confidence: 99%

Determinants of Exposure Therapy Implementation in Clinical Practice for the Treatment of Anxiety, OCD, and PTSD: A Systematic Review

Racz,

Bialocerkowski,

Calteaux

et al. 2024

Clin Child Fam Psychol Rev

View full text Add to dashboard Cite

show abstract

Examining Community Clinicians Use of Imaginal Exposure with Childhood Anxiety Disorders

Whiteside

2023

Child Psychiatry Hum Dev

Self Cite

View full text Add to dashboard Cite

Although community therapists rarely use exposure when treating youth with anxiety disorders, they are more likely to endorse the use of imaginal exposure, relative to in vivo or interoceptive exposure. Such use of imaginal exposure could re ect a sub-optimal replacement for in vivo exposure or a targeted intervention to address anxiety-provoking thoughts, such as in generalized anxiety disorder. The current study used the survey responses of 178 community-based clinicians to examine these competing hypotheses. The results indicated that therapist endorsement of more clearly de ned imaginal exposure was signi cantly lower than other techniques such as cognitive restructuring or that imaginal exposure was other used instead of more intensive forms of exposures. In addition, most of the endorsed interventions were targeted at helping youth cope with anxiety rather than corrective learning. Alternatively, there was no observed association between imaginal exposure and treatment of general anxiety. These nding suggest that community therapist use of imaginal exposure is suboptimal and unlikely to improve treatment outcomes.

show abstract

Matters of Fidelity: School Provider Adherence and Competence in a Clustered Study of Adaptive Implementation Strategies

Meyer,

Choi,

Tugendrajch

et al. 2024

Evidence-Based Practice in Child and Adolescent Mental Health

View full text Add to dashboard Cite

Using session recordings to understand the content of community‐based treatment for childhood anxiety disorders and response to technology‐based training

Cited by 4 publications

References 49 publications

Determinants of Exposure Therapy Implementation in Clinical Practice for the Treatment of Anxiety, OCD, and PTSD: A Systematic Review

Determinants of Exposure Therapy Implementation in Clinical Practice for the Treatment of Anxiety, OCD, and PTSD: A Systematic Review

Examining Community Clinicians Use of Imaginal Exposure with Childhood Anxiety Disorders

Matters of Fidelity: School Provider Adherence and Competence in a Clustered Study of Adaptive Implementation Strategies

Contact Info

Product

Resources

About