Can Dialectical Behavior Therapy Be Learned in Highly Structured Learning Environments? Results From a Randomized Controlled Dissemination Trial1
Section snippets
Recruitment and Screening
All procedures were approved by the Western Institutional Review Board. Participant enrollment began in February 2006 and the final follow-up assessment occurred in September 2006. Participants were recruited via phone and face-to-face contact with directors of community mental health and drug treatment agencies within Washington state. Agencies were selected based on their proximity to the research site. Directors who agreed to help with recruitment then distributed information about our
sample description
As shown in Table 1, the prototypical participant identified as a Caucasian female approximately 44 years of age, having a master's or bachelor's degree, was employed as a clinician in an outpatient community mental health center, and had 8 years of clinical experience. No group differences were found on demographic variables.
Clustering Effects
Preliminary analyses were used to describe the clustering effects due to agency membership on the primary outcome measures. There were a total of 33 clusters (agencies)
Discussion
The present study examined the efficacy of two methods of training community clinicians in DBT Distress Tolerance skills in a highly structured environment that controlled the conditions of learning. Specifically, two active training conditions (a DBT e-Learning course and content from the DBT treatment manual) were compared to a control e-Learning course. Overall, results from the trial indicate that, while e-DBT was as or more effective than the treatment manual in disseminating DBT, learners
References (33)
- et al.
Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills
Behaviour Research and Therapy
(2009) - et al.
What is usual about “treatment-as-usual”? Data from two multisite effectiveness trials
Journal of Substance Abuse Treatment
(2008) Evaluating the treatment manual as a means of disseminating empirically validated psychotherapies
Journal of Clinical Psychology: Science and Practice
(1997)Methods for disseminating research products and increasing evidence-based practice: Promises, obstacles, and future directions
American Psychological Association
(2002)- American Psychological Association. (n.d.). Dialectical behavior therapy for borderline personality disorder. Retrieved...
- et al.
The dissemination of empirically supported treatments: A view to the future
Behaviour Research and Therapy
(1999) - et al.
Training therapists in evidence-based practice: A critical review of studies from a systems–contextual perspective
Clinical Psychology: Science and Practice
(2010) - et al.
Situated cognition and the culture of learning
Educational Researcher
(1989) - et al.
Multimodel inference: Understanding AIC and BIC model selection
Sociological Methods & Research
(2004) Statistical power analysis for the behavioral sciences
(1988)
Influential psychotherapy figures, authors, and books: An internet survey of over 2,000 psychotherapists
Psychotherapy Theory, Research, Practice, Training
Evaluation of a treatment manual and workshops for disseminating parent–child interaction therapy
Administration and Policy in Mental Health
Multilevel analyses: Techniques and applications
Workshop-based training in trauma-focused CBT: An in-depth analysis of impact on provider practices
Community Mental Health Journal
Skills training manual for borderline personality disorder
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This research, as well as the development of the online training course, was funded by two Small Business Innovation Research (SBIR) grants from the National Institute of Mental Health (1 R43 MH65790-01) and the National Institute on Drug Abuse (1 R43 DA15615-01) awarded to the first author. We acknowledge and thank the following individuals and organization for their support and contributions to this research: Cecilia Spitznas, Ph.D., Enid Light, Ph.D., Kelly Koerner, Ph.D., Steve Conrad and his team at MediaPro, Inc., Brian Rash, Meredith Grabill, Michel Daliva, and Prudence Cuper.