| Kernels vs. Ears, and Other Questions for a Science of Treatment Dissemination. | |
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MedLine Citation:
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PMID: 21603252 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Combining intervention diffusion with change in clinical practice and public policy is an ambitious agenda. The impressive effort in Hawaii can be instructive, highlighting questions for a science of treatment dissemination. Among these questions, some of the most important are the following: (a) Who should be targeted for change? (e.g., "downstream" clinicians in practice, "upstream" clinicians in training, consumers, "brokers," policy makers, or payers?); (b) What should be disseminated? (e.g., full evidence-based protocols, specific treatment elements or "kernels"?); and (c) Which procedures maximize change? (e.g., what combination and duration of teaching, supervision, consultation, and other support?). Ultimately, change efforts need to assess what aspects of practice were actually altered, what measurable impact the changes had on clinical outcomes, and what changes in practices and outcomes can be sustained over time. |
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Authors:
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John R Weisz; Ana M Ugueto; Jenny Herren; Sara R Afienko; Christopher Rutt |
Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association Volume: 18 ISSN: 1468-2850 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-5-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9438459 Medline TA: Clin Psychol (New York) Country: - |
Other Details:
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Languages: ENG Pagination: 41-46 Citation Subset: - |
Affiliation:
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Harvard University and Judge Baker Children's Center. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
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Descriptor/Qualifier:
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| Grant Support | |
ID/Acronym/Agency:
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R34 MH085963-01A1//NIMH NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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