Category: Dissemination / Implementation

Symposium

Training Community-Based Clinicians: The Interaction Between Expert Consultation and Caseload

Saturday, November 18
12:00 PM - 1:30 PM
Location: Sapphire Ballroom M & N, Level 4, Sapphire Level

Keywords: Implementation | PCIT (Parent Child Interaction Therapy) | Supervision
Presentation Type: Symposium

Background: Consultation has been linked to improvements in clinician knowledge, skill, and client outcomes. However, little research has investigated the association between consultation and implementation outcomes and the role of individual clinician characteristics. Thus, the aims of the current study are as follows: (a) to examine if consultation calls are associated with clinician knowledge and skill in Parent-Child Interaction Therapy (PCIT), (b) to determine if consultation calls impact implementation outcomes of acceptability and feasibility, and (c) identify clinician characteristics (e.g., caseload, years of experience) that alter the strength of these relations.


Methods: This study utilized data from a statewide implementation trial of PCIT, examining the effects of three different training designs on various outcomes. Relevant to the current study, 32 therapists from community agencies participated in a cascading training for PCIT. Following the initial training, therapists attended up to 24 1-hour consultation calls conducted by one of three expert trainers. Therapists completed measures at four time-points: (a) baseline, (b) 6-months (during training), (c) 12-months (post-training) and (d) 24-months (follow-up). Simple and multiple linear regression analyses were conducted to predict post-training knowledge, skill, acceptability, and feasibility, as well as to examine clinician variables that moderate these relations.


Results: Clinicians attended an average of 17.60 consultation calls, and had an average PCIT training caseload of 3.81 families. Consultation call attendance significantly predicted post-training skill. However, the impact of consultation call attendance on skill was qualified by a significant interaction with PCIT caseload.


Conclusions: These results suggest that clinicians who attended a majority of consultation calls and had a high PCIT caseload demonstrated the greatest post-training skill, indicating that caseload is important to consider for training guidelines and efforts.


 

Carrie Jackson

West Virginia University

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