Using a Learning Collaborative Model to Disseminate Cognitive Processing Therapy to Community-Based Agencies

Stefanie T. LoSavio, Kirsten H. Dillon, Robert A. Murphy, Karen Goetz, Falesha Houston, Patricia A. Resick

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Although effective treatments for posttraumatic stress disorder exist, their use in community settings is disappointingly low. Training alone does not necessarily lead to adoption. To address this problem, we trained community clinicians in cognitive processing therapy, an evidence-based treatment for posttraumatic stress disorder, using a Learning Collaborative, an intensive training methodology focused on both clinical training and developing sustainability. Sixty clinicians within 18 agencies began the year-long, team-based Learning Collaborative. Clinicians attended three in-person Learning Sessions, received weekly consultation, and submitted audio-recorded sessions to be rated for fidelity. Clinicians were rostered as approved treatment providers if they completed all training requirements. Additionally, we engaged leadership from each agency to build a sustainable practice. Clinicians trained through the Learning Collaborative demonstrated a high degree of fidelity to the treatment (average competence ratings “satisfactory” to “good”), and most (68%) were rostered as approved treatment providers. Patients treated by clinician trainees exhibited significant symptom reductions (d = 1.68 and 1.28 for posttraumatic stress and depression symptoms, respectively, among treatment completers). At a 6-month follow-up, 95% of rostered clinicians and 100% of agencies with rostered clinicians were still providing the treatment. These results suggest that the Learning Collaborative model is a promising approach for the dissemination and implementation of evidence-based treatments for adult posttraumatic stress disorder.

Original languageEnglish (US)
Pages (from-to)36-49
Number of pages14
JournalBehavior Therapy
Volume50
Issue number1
DOIs
StatePublished - Jan 2019
Externally publishedYes

Keywords

  • cognitive processing therapy
  • fidelity
  • implementation
  • learning collaborative
  • sustainability

ASJC Scopus subject areas

  • Clinical Psychology

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