ArticleJournal of anxiety disorders2017
Predictors of clinician use of exposure therapy in community mental health settings.
Article in Journal of anxiety disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- Determinants of Exposure Therapy Implementation in Clinical Practice for the Treatment of Anxiety, OCD, and PTSD: A Systematic Review.Clinical child and family psychology review · 2024Pooled it
- A Meta-analysis to Guide the Enhancement of CBT for Childhood Anxiety: Exposure Over Anxiety Management.Clinical child and family psychology review · 2020Pooled it
- A randomized controlled effectiveness trial of transdiagnostic treatment and measurement-based care for adolescents with emotional disorders in community clinics.Journal of consulting and clinical psychology · 2025Trial
- Using session recordings to understand the content of community-based treatment for childhood anxiety disorders and response to technology-based training.Journal of clinical psychology · 2023Trial
- Using Technology to Promote Therapist Use of Exposure Therapy for Childhood Anxiety Disorders: A Randomized Pilot Study.Behavior therapy · 2022Trial
- Pilot randomized trial of self-guided virtual reality exposure therapy for social anxiety disorder.Behaviour research and therapy · 2021Trial
- Improving Delivery Behaviors During Exposure for Pediatric OCD: A Multiple Baseline Training Trial With Community Therapists.Behavior therapy · 2021Trial
- Training with tarantulas: A randomized feasibility and acceptability study using experiential learning to enhance exposure therapy training.Journal of anxiety disorders · 2020Trial
- Provider attitudes and organizational support for cervical cancer screening implementation across PEPFAR-supported HIV clinics in Kenya.Implementation science communications · 2026Article
- Article
- Therapist Anxious Distress and Avoidance of Implementing Time-Out.Child psychiatry and human development · 2026Article
- Practice-based research examining effectiveness of exposure-based CBT for youth in a community mental health setting.Journal of mood and anxiety disorders · 2025Article
- Improving Accurate Detection of Mental Health Treatment Needs for Youth Through a Standardized Feedback Report.Child psychiatry and human development · 2025Article
- Clinician-Reported Person-Centered Culturally Responsive Practices for Youth with OCD and Anxiety.Children (Basel, Switzerland) · 2025Article
- Supporting Clinicians in Implementing Exposure Therapy for Anxiety and Related Disorders.Current psychiatry reports · 2025Review
- When Attempts to Help Backfire: Psychosocial Interventions that May Inadvertently Prolong Anxiety Among Youth.Research on child and adolescent psychopathology · 2025Review
- A look in the mirror - body exposure in clinical practice.Journal of eating disorders · 2025Article
- "So Many Other Things Improve" with Transdiagnostic Treatment for Sleep and Circadian Problems: Interviews with Community Providers on Treating Clients with Serious Mental Illness.Administration and policy in mental health · 2025Article
- Should We Use Clinician Self-Report to Tailor Implementation Strategies? Predicting Use of Youth CBT with Clinician Self-Report Versus Direct Observation.Administration and policy in mental health · 2025Article
- Pilot Study of Self-Distancing Augmentation to Exposure Therapy for Youth Anxiety.Child psychiatry and human development · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
Exposure therapy is recognized as the key component of cognitive-behavioral treatment for anxiety. However, exposure is the least used evidence-based treatment in community mental health settings and is the most challenging technique for clinicians to adopt within the context of effectiveness and implementation trials. Little work has examined clinician and organizational characteristics that predict use of exposure, which is important for identifying implementation strategies that may increase its use. In a large sample of community health clinicians (N=335) across 31 clinical practice sites, this study characterized clinician and organizational predictors of exposure use and relaxation for anxiety. Mixed effects regression analyses indicated that both clinician attitudes and an organization's implementation climate may be important levers for interventions seeking to increase clinician exposure use. Greater clinician use of relaxation strategies was also associated with less exposure use. Results point to important implications for implementing cognitive-behavioral therapy for anxiety, including de-emphasizing relaxation and attending to organizational climate.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.