Category: Dissemination / Implementation


Evaluating CBT Training in the Context of a Tailored Implementation in a Residential Youth Treatment Center

Friday, November 17
3:00 PM - 4:00 PM
Location: Indigo Ballroom A, Level 2, Indigo Level

Keywords: Training / Training Directors | Implementation
Presentation Type: Symposium

Training plus ongoing consultation is essential in promoting change in therapist skills’ and adherence to empirically supported treatments (Beidas et al., 2012). However, training plus consultation is not sufficient for fully integrating Cognitive Behavioral Therapy training (CBT), particularly in a youth residential treatment center where staff range from high school educated youth care workers to masters level therapists. The overarching objective of this study was to assess the CBT training conducted at a residential youth treatment center in the context of a tailored approach to implementation over the course of six training visits over 3 years. It was hypothesized that training would impact trainee’s: (1) knowledge and understanding of CBT skills, (2) their self-efficacy in use of these skills, and (3), their intention to use the CBT skills learned in training. Implementation teams included staff representatives across all roles and convened twice monthly to own and support the CBT implementation process. In year 2, expert CBT consultation was introduced on a monthly basis to the implementation teams. Staff at the adolescent residential treatment center completed pre- and post- training. CBT knowledge was measured with the CBT Knowledge Questionnaire (Myles & Milne, 2004), self-efficacy was measured with a self-report of global competency (Lewis, Marti, & Ayer, 2015), and intention to use skills was measured with a Theory of Planned Behavior Intention Measure (Azjen, 2006). Preliminary data from the first two training visits revealed that trainee’s self-efficacy in use of CBT skills significantly increased from the first training visit to the second training visit (Mann Whitney U Test: p = .002, N = 48), but no effect was observed for the other measures. However, no significant differences were found on the CBTKQ on pre- to post- training on the first visit (pre-training mean = 6.96 SD = 2.41, post-training mean = 7.14, SD = 2.77). The average score for intention to use in the second training visit was 6.08 (SD = 1.04) out of 7.00, indicating a strong agreement toward their desire to incorporate what has been learned during training into their work. This study illustrates that training plus consultation can increase trainee’s self-efficacy from novice to intermediate in a residential youth treatment center in just six months. Additional results will highlight changes over the remaining 4 training visits. Results will be discussed with respect to implications for tailored training and implementation approaches. 


Natalie Rodriguez-Quintana

Graduate Student
Indiana University


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Evaluating CBT Training in the Context of a Tailored Implementation in a Residential Youth Treatment Center

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