Effects of Training in Cognitive Behavioural Therapy and Motivational Interviewing on Mental Health Practitioner Behaviour: A Systematic Review and Meta-Analysis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2024-06-10 DOI:10.1002/cpp.3003

Emma Högberg Ragnarsson, Gustaf Reinebo, Sara Ingvarsson, Annika Lindgren, Maria Beckman, Sven Alfonsson, Maria Hedman-Lagerlöf, Christoffer Rahm, Hanna Sahlin, Terese Stenfors, Karolina Sörman, Markus Jansson-Fröjmark, Tobias Lundgren

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Abstract

Effective training of mental health professionals is crucial for bridging the gap between research and practice when delivering cognitive behavioural therapy (CBT) and motivational interviewing (MI) within community settings. However, previous research has provided inconclusive evidence regarding the impact of training efforts. The current study aimed to systematically search, review and synthesize the literature on CBT and MI training to assess its effect on practitioner behavioural outcomes. Following prospective registration, a literature search was conducted for studies where mental health practitioners were exposed to training in face-to-face CBT or MI, reporting on at least one quantitative practitioner behavioural outcome. A total of 116 studies were eligible for the systematic review, and 20 studies were included in four meta-analyses. The systematic review highlights the need to establish psychometrically valid outcome measures for practitioner behaviour. Results of the meta-analyses suggest that training has a greater effect on practitioner behaviour change compared to receiving no training or reading a treatment manual. Training combined with consultation/supervision was found to be more effective than training alone, and no differences were found between face-to-face and online training. Results should be interpreted with caution due to methodological limitations in the primary studies, large heterogeneity, and small samples in the meta-analyses. Future directions are discussed.

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认知行为疗法和动机访谈法培训对心理健康从业人员行为的影响：系统回顾与元分析》。

在社区环境中提供认知行为疗法（CBT）和动机访谈法（MI）时，心理健康专业人员的有效培训对于弥合研究与实践之间的差距至关重要。然而，以往的研究并未就培训工作的影响提供结论性的证据。本研究旨在系统地搜索、回顾和综合有关 CBT 和 MI 培训的文献，以评估其对从业人员行为结果的影响。在进行前瞻性注册后，我们对心理健康从业人员接受面对面 CBT 或多元智能培训的研究进行了文献检索，并报告了至少一项量化的从业人员行为结果。共有 116 项研究符合系统综述的条件，其中 20 项研究被纳入了四项荟萃分析。该系统综述强调了建立心理测量有效的从业人员行为结果测量方法的必要性。荟萃分析的结果表明，与不接受培训或阅读治疗手册相比，培训对从业人员行为改变的影响更大。研究发现，培训与咨询/督导相结合比单独培训更有效，而面对面培训与在线培训之间没有差异。由于主要研究在方法上存在局限性、异质性较大以及荟萃分析的样本较小，因此在解释结果时应谨慎。本文讨论了未来的发展方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.