| How do components of evidence-based psychological treatment cluster in practice? A survey and cluster analysis. | |
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MedLine Citation:
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PMID: 21943809 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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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Authors:
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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 |
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Publication Detail:
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Type: - Date: 2011-9-21 |
Journal Detail:
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Title: Journal of substance abuse treatment Volume: - ISSN: 1873-6483 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8500909 Medline TA: J Subst Abuse Treat Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Published by Elsevier Inc. |
Affiliation:
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Center for Health Care Evaluation, VA Palo Alto Health Care System and Stanford University School of Medicine, Menlo Park, CA 94025, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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