TY - JOUR
T1 - An Examination of Individual and Organizational Theory in a Pilot Virtual Facilitated Learning Collaborative to Implement Written Exposure Therapy
AU - Worley, Courtney B.
AU - Rosen, Craig S.
AU - LoSavio, Stefanie T.
AU - Aajmain, Syed T.
AU - Stirman, Shannon Wiltsey
AU - Sloan, Denise M.
N1 - Publisher Copyright:
© (2023), (American Psychological Association). All Rights Reserved.
PY - 2022/9/8
Y1 - 2022/9/8
N2 - Participant training alone is typically insufficient to ensure adoption of a new treatment. This study provides preliminary data on a pilot program that implemented written exposure therapy (WET) through a virtual facilitated learning collaborative (VFLC) that combined clinician training with implementation support. Ninety-five mental health clinicians from Veterans Health Administration clinics enrolled in the VFLC. Clinicians received 6 hr of training in WET plus weekly group consultation on training cases for 12–16 weeks. Clinic leaders participated in monthly group calls with facilitators to develop and track implementation plans, address barriers, and share resources. Clinicians completed the Perceived Characteristics of Intervention Scale and Implementation Climate Scale before training and after consultation, and the Intention Scale for providers after the program. Clinicians’ positive perceptions of WET increased over time, t(85) = −8.80, p <.001, d = 0.95, and changes were moderated by how much reduction in symptoms their patients experienced, t(151) = −2.13, p =.035. The implementation climate for WET also improved over time, t(85) = −3.55, p <.001, d = 0.36. Consistent with the theory of planned behavior, clinicians’ intention to continue using WET after training was influenced by their perceptions and attitudes about WET, subjective norms, and perceived behavioral control. The VFLC model was feasible and associated with increases in clinicians’ and leaders’ support for using WET. Patient outcomes predicted the amount of change in clinicians’ perceptions about WET.
AB - Participant training alone is typically insufficient to ensure adoption of a new treatment. This study provides preliminary data on a pilot program that implemented written exposure therapy (WET) through a virtual facilitated learning collaborative (VFLC) that combined clinician training with implementation support. Ninety-five mental health clinicians from Veterans Health Administration clinics enrolled in the VFLC. Clinicians received 6 hr of training in WET plus weekly group consultation on training cases for 12–16 weeks. Clinic leaders participated in monthly group calls with facilitators to develop and track implementation plans, address barriers, and share resources. Clinicians completed the Perceived Characteristics of Intervention Scale and Implementation Climate Scale before training and after consultation, and the Intention Scale for providers after the program. Clinicians’ positive perceptions of WET increased over time, t(85) = −8.80, p <.001, d = 0.95, and changes were moderated by how much reduction in symptoms their patients experienced, t(151) = −2.13, p =.035. The implementation climate for WET also improved over time, t(85) = −3.55, p <.001, d = 0.36. Consistent with the theory of planned behavior, clinicians’ intention to continue using WET after training was influenced by their perceptions and attitudes about WET, subjective norms, and perceived behavioral control. The VFLC model was feasible and associated with increases in clinicians’ and leaders’ support for using WET. Patient outcomes predicted the amount of change in clinicians’ perceptions about WET.
KW - implementation
KW - learning collaborative
KW - written exposure therapy
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U2 - 10.1037/ser0000698
DO - 10.1037/ser0000698
M3 - Article
C2 - 36074601
AN - SCOPUS:85138206345
SN - 1541-1559
VL - 20
SP - 820
EP - 830
JO - Psychological Services
JF - Psychological Services
IS - 4
ER -