How do components of evidence-based psychological treatment cluster in practice?. A survey and cluster analysis

Elizabeth V. Gifford; Sara Tavakoli; Kenneth R. Weingardt; John W. Finney; Heather M. Pierson; Craig S. Rosen; Hildi J. Hagedorn; Joan M. Cook; Geoff M. Curran

doi:10.1016/j.jsat.2011.07.008

How do components of evidence-based psychological treatment cluster in practice?. A survey and cluster analysis

Elizabeth V. Gifford^*, Sara Tavakoli, Kenneth R. Weingardt, John W. Finney, Heather M. Pierson, Craig S. Rosen, Hildi J. Hagedorn, Joan M. Cook, Geoff M. Curran

^*Corresponding author for this work

Preventive Medicine

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

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.

Original language	English (US)
Pages (from-to)	45-55
Number of pages	11
Journal	Journal of Substance Abuse Treatment
Volume	42
Issue number	1
DOIs	https://doi.org/10.1016/j.jsat.2011.07.008
State	Published - Jan 2012

Funding

This study was supported by the VA, Veterans Health Administration, Health Services Research and Development Service, Quality Enhancement Research Initiative Grants RRP 06-154 and RRP 10-102 , and the Substance Use Disorders Quality Enhancement Research Initiative . Earlier portions of the article were presented at the 2007 and 2008 Society for Behavioral Medicine Meetings. The views expressed are those of the authors and do not necessarily reflect the views of the Department of Veterans Affairs or any other entity of the U.S. Government. The authors would like to thank Rudolf Moos, Keith Humphreys, A. Thomas McKellan, and Jody Eble for expert consultation and Maria Nenova for her help in item development.

Keywords

Evidence-based practices
Implementation
Psychotherapy
Substance use disorders

ASJC Scopus subject areas

Phychiatric Mental Health
Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jsat.2011.07.008

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title = "How do components of evidence-based psychological treatment cluster in practice?. A survey and cluster analysis",

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.",

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note = "Funding Information: This study was supported by the VA, Veterans Health Administration, Health Services Research and Development Service, Quality Enhancement Research Initiative Grants RRP 06-154 and RRP 10-102 , and the Substance Use Disorders Quality Enhancement Research Initiative . Earlier portions of the article were presented at the 2007 and 2008 Society for Behavioral Medicine Meetings. The views expressed are those of the authors and do not necessarily reflect the views of the Department of Veterans Affairs or any other entity of the U.S. Government. The authors would like to thank Rudolf Moos, Keith Humphreys, A. Thomas McKellan, and Jody Eble for expert consultation and Maria Nenova for her help in item development.",

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AU - Pierson, Heather M.

AU - Rosen, Craig S.

AU - Hagedorn, Hildi J.

AU - Cook, Joan M.

AU - Curran, Geoff M.

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How do components of evidence-based psychological treatment cluster in practice?. A survey and cluster analysis

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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