Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-25T08:01:01.310Z Has data issue: false hasContentIssue false

Disseminating Behavioural Activation for Depression via Online Training: Preliminary Steps

Published online by Cambridge University Press:  02 January 2014

Sam Hubley
Affiliation:
University of Colorado, Boulder, USA
Eric A. Woodcock
Affiliation:
Behavioral Tech Research Inc., Seattle, USA
Linda A. Dimeff
Affiliation:
Behavioral Tech Research Inc., Seattle, USA
Sona Dimidjian*
Affiliation:
University of Colorado, Boulder, USA
*
Reprint requests to Sona Dimidjian, Department of Psychology and Neuroscience, University of Colorado, 345 Muenzinger, Office 313B, Boulder, CO 80309-0345, USA. E-mail: [email protected]

Abstract

Background: Despite the availability of evidence-based treatments for depression, large gaps exist between empirical research and clinical practice. Aims: To make preliminary steps toward the dissemination of Behavioural Activation (BA) via online training by examining clinicians’ interest in learning BA via online training and the effects of a preliminary version of BA online training. Method: In study 1, practising clinicians (n = 540) completed a survey that assessed attitudes towards learning BA using an online training format. In study 2, we conducted a small, pilot randomized controlled trial (n = 46) to examine preliminary efficacy of teaching BA principles and treatment strategies with a precursor version of BA online training. Results: Study findings suggest that clinicians have interest in learning about BA via online training and that clinicians participating in BA online training evidence high satisfaction and significant gains in self-efficacy using BA and knowledge of BA terms and concepts. Conclusions: These results support the importance of efforts to disseminate BA and the viability of online training as an easily accessible and affordable training option.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Addis, M. E. and Carpenter, K. M. (1999). Why, why, why?: reason-giving and rumination as predictors of response to activation-and insight-oriented treatment rationales. Journal of Clinical Psychology, 55, 881894.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Baker, T. B., McFall, R. M. and Shoham, V. (2008). Current status and future prospects of clinical psychology: toward a scientifically principled approach to mental and behavioral health care. Psychological Science in the Public Interest, 9, 68103.CrossRefGoogle Scholar
Bennett-Levy, J. and Perry, H. (2009). The promise of online cognitive behavioural therapy training for rural and remote mental health professionals. Australasian Psychiatry, 17, 121124.CrossRefGoogle ScholarPubMed
Beidas, R. and Kendall, P. (2010). Training therapists in evidence based practice: a critical review of studies from a systems contextual perspective. Clinical Psychology: Science and Practice, 17, 130.Google ScholarPubMed
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R. and Wright, B. (2009). Improving access to psychological therapy: initial evaluation of two UK demonstration sites. Behaviour Research and Therapy, 47, 910920.CrossRefGoogle ScholarPubMed
Cook, D. A. (2005). Learning and cognitive styles in web-based learning: theory, evidence, and application. Academic Medicine, 80, 266278.CrossRefGoogle ScholarPubMed
Cucciare, M. A., Weingardt, K. R. and Villafranca, S. (2008). Using blended learning to implement evidence-based psychotherapies. Clinical Psychology Science and Practice, 15, 299307.CrossRefGoogle Scholar
Cuijpers, P., van Straten, A. and Warmerdam, L. (2007). Behavioral treatment of depression: a meta-analysis of activity scheduling. Clinical Psychology Review, 27, 318326.CrossRefGoogle Scholar
Dimeff, L. A., Paves, A. P., Skutch, J. M. and Woodcock, E. A. (2011). Shifting paradigms in clinical psychology: how innovative technologies are shaping treatment delivery. In Barlow, D. (Ed.), The Oxford Handbook of Clinical Psychology (pp. 618648). New York: Oxford University Press.Google Scholar
Dimeff, L. A., Koerner, K., Woodcock, E. A., Beadnell, B., Brown, M. Z., Skutch, J. M., et al. (2009). Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills. Behaviour Research and Therapy, 47, 921930.CrossRefGoogle Scholar
Dimidjian, S., BarreraMartell, C. Martell, C., Muñoz, R. F. and Lewinsohn, P. M. (2011). The origins and current status of behavioral activation treatments for depression. Annual Review of Clinical Psychology, 7, 138.CrossRefGoogle ScholarPubMed
Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M., et al. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658670.CrossRefGoogle ScholarPubMed
Dobson, K. S., Hollon, S. D., Dimidjian, S., Schmaling, K. B., Kohlenberg, R. J., Gallop, R., et al. (2008). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression. Journal of Consulting and Clinical Psychology, 73, 468477.CrossRefGoogle Scholar
Ekers, D. M., Dawson, M. S. and Bailey, E. (2012). Dissemination of behavioural activation for depression to mental health nurses: training evaluation and benchmarked clinical outcomes. Journal of Psychiatric and Mental Health Nursing, 20, 186192.CrossRefGoogle ScholarPubMed
Ekers, D., Richards, D., McMillan, D., Bland, J. M. and Gilbody, S. (2012). Behavioural activation delivered by the non-specialist: phase II randomized controlled trial. The British Journal of Psychiatry, 198, 6672.CrossRefGoogle Scholar
Ekers, D., Richards, D. and Gilbody, S. (2008). A meta-analysis of randomized trials of behavioural treatment of depression. Psychological Medicine, 38, 611623.CrossRefGoogle ScholarPubMed
Fairburn, C. G. and Cooper, Z. (2011). Therapist competence, therapy quality, and therapist training. Behaviour Research and Therapy, 49, 373378.CrossRefGoogle ScholarPubMed
Gortner, E. T., Gollan, J. K., Dobson, K. S. and Jacobson, N. S. (1998). Cognitive-behavioral treatment for depression: relapse prevention. Journal of Consulting and Clinical Psychology, 66, 377384.CrossRefGoogle ScholarPubMed
Hox, J. (2002). Multilevel Analyses: techniques and applications. Mahwah, NJ: Lawrence Erlbaum.CrossRefGoogle Scholar
Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295304.CrossRefGoogle ScholarPubMed
Judd, K. (2005). Review of “Handbook of Depression”. Social Work in Mental Health, 3, 113114.Google Scholar
Karlin, B. E., Brown, G. K., Trockel, M., Cunning, D., Zeiss, A. M. and Taylor, C. B. (2012). National dissemination of cognitive behavioral therapy for depression in the Department of Veterans Affairs Health Care System: therapist and patient-level outcomes. Journal of Consulting and Clinical Psychology, 80, 707718.CrossRefGoogle ScholarPubMed
Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R. and Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617627.CrossRefGoogle ScholarPubMed
Martell, C. R., Addis, M. E. and Jacobson, N. S. (2001). Depression in Context: strategies for guided action. New York: W. W. Norton and Company.Google Scholar
Mayer, R. E. (2008). Applying the science of learning: evidence-based principles for the design of multimedia instruction. American Psychologist, 63, 760769.CrossRefGoogle ScholarPubMed
Mazzucchelli, T., Kane, R. and Rees, C. (2009). Behavioral activation treatments for depression in adults: a meta-analysis and review. Clinical Psychology: Science and Practice, 16, 383411.Google Scholar
McManus, S., Meltzer, H., Brugha, T. S., Bebbington, P. E. and Jenkins, R. (2009). Adult Psychiatric Morbidity in England, 2007: results of a household survey. London: NHS Information Centre for Health and Social Care.Google Scholar
Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J. and Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of Counseling and Clinical Psychology, 72, 10501062.CrossRefGoogle ScholarPubMed
Quinn, C. N. and Conner, M. L. (2005). Engaging Learning: designing e-learning simulation games. San Francisco, CA: Pfeiffer and Company.Google Scholar
Raudenbush, S. W. and Bryk, A. S. (2002). Hierarchical Linear Models: applications and data analysis methods. Thousand Oaks, CA: Sage.Google Scholar
Rounsaville, B. J., Carroll, K. M. and Onken, L. S. (2001). A stage model of behavioral therapies research: getting started and moving on from Stage I. Clinical Psychology: Science and Practice, 8, 133142.Google Scholar
Sholomskas, D. E. and Carroll, K. M. (2006). One small step for manuals: computer-assisted training in twelve-step facilitation. Journal of Studies on Alcohol, 67, 939945.CrossRefGoogle ScholarPubMed
Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B. and Kessler, R. C. (2005). Twelve-month use of mental health services in the United States. Archives of General Psychiatry, 62, 629640.CrossRefGoogle ScholarPubMed
Weingardt, K. R. (2004). The role of instructional design and technology in the dissemination of empirically supported manual-based therapies. Clinical Psychology: Science and Practice, 11, 313331.Google Scholar
Weissman, M. M., Verdeli, H., Gameroff, M. J., Bledsoe, S. E., Betts, K., Mufson, L., et al. (2006). National survey of psychotherapy training in psychiatry, psychology, and social work. Archives of General Psychiatry, 63, 925934.CrossRefGoogle ScholarPubMed
Westbrook, D., McManus, F., Clark, G. and Bennett-Levy, J. (2012). Preliminary evaluation of an online training package of cognitive behaviour therapy: satisfaction ratings and impact on knowledge and confidence. Behavioural and Cognitive Psychotherapy, 40, 481490.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.