Training Community Clinicians in Implementing CBT-ERP for Youth with OCD: A Pilot Study in Australian Community Mental Health Services.

IF 2.3 3区医学 Q2 PSYCHIATRY

Child Psychiatry & Human Development Pub Date : 2025-01-03 DOI:10.1007/s10578-024-01805-z

J I Racz, I E Perkes, A Bialocerkowski, K M Dyason, J R Grisham, M L McKenzie, L J Farrell

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引用次数: 0

Abstract

This pilot study evaluated the outcomes associated with a training workshop in cognitive-behavioural therapy with exposure and response prevention (ERP) for youth with obsessive-compulsive disorder (OCD) aimed at improving clinicians' capabilities and motivations. Questionnaires and role-plays were completed by 17 Australian clinicians working across community youth (i.e., child and adolescent) mental health services. Knowledge, beliefs, and confidence in using ERP, and adherence delivering it improved at post-training. At 6-month follow-up improvements in beliefs were not maintained, while competence delivering ERP improved. At pre-training, participants utilised ERP significantly less than they intended to. At follow-up, the proportion of time clinicians intended to dedicate to and self-reported time spent implementing ERP was unchanged relative to pre-training, and the intention-behaviour gap remained. Overall, training was associated with improvements in implementation capabilities, but the association with improvements in motivations and behaviour was less clear. Future research should explore the impact of implementation opportunities and develop strategies to support training.

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培训社区临床医生对青少年强迫症患者实施CBT-ERP：澳大利亚社区精神卫生服务的试点研究。

本初步研究评估了针对青少年强迫症（OCD）的认知行为疗法暴露和反应预防（ERP）培训研讨会的相关结果，旨在提高临床医生的能力和动机。问卷调查和角色扮演由在社区青年（即儿童和青少年）心理健康服务机构工作的17名澳大利亚临床医生完成。使用ERP的知识、信念和信心，以及在培训后交付ERP的依从性都有所提高。在6个月的随访中，信念的改善没有得到维持，而能力交付ERP得到改善。在训练前，参与者使用ERP的次数明显少于他们的预期。在随访中，临床医生打算投入实施ERP的时间比例和自我报告的时间比例相对于训练前没有变化，并且意图-行为差距仍然存在。总的来说，培训与执行能力的提高有关，但与动机和行为的改善的关系不太清楚。未来的研究应探讨实施机会的影响，并制定支持培训的战略。

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

Child Psychiatry & Human Development Multiple-

CiteScore

0.50

自引率

3.40%

发文量

174

期刊介绍： Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.