ArticleBMC psychiatry2019
Variability in clinician intentions to implement specific cognitive-behavioral therapy components.
Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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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.
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Who cites it
21 citing papers in PubMed, 32 citations in OpenAlex.
- Supervisory Alliance as a Moderator of the Effects of Behavioral Rehearsal on TF-CBT Fidelity: Results from a Randomized Trial of Supervision Strategies.Administration and policy in mental health · 2024Trial
- Training with tarantulas: A randomized feasibility and acceptability study using experiential learning to enhance exposure therapy training.Journal of anxiety disorders · 2020Trial
- Therapist Anxious Distress and Avoidance of Implementing Time-Out.Child psychiatry and human development · 2026Article
- Predictors of skill trajectories in the implementation of cognitive behavioral therapy.Implementation science communications · 2025Article
- Behavioral Nudges to Enhance Fidelity in Telehealth Sessions (BENEFITS): Protocol for Developing and Pilot Testing a Telehealth Tool to Improve Cognitive Behavioral Therapy Implementation.JMIR research protocols · 2025Article
- A mixed-methods evaluation of organization and individual factors influencing provider intentions to use caregiver coaching in community-based early intervention.Implementation science communications · 2024Article
- Exploring Teachers' Intentions to Use Behavioral Classroom Interventions.Evidence-based practice in child and adolescent mental health · 2024Article
- Clinician Intentions to use the Components of Parent Coaching Within Community Early Intervention Systems.Administration and policy in mental health · 2023Article
- Linking organizational climate for evidence-based practice implementation to observed clinician behavior in patient encounters: a lagged analysis.Implementation science communications · 2022Article
- Clinician Maladaptive Anxious Avoidance in the Context of Implementation of Evidence-Based Interventions: A Commentary.Frontiers in health services · 2022Article
- A review of attitude research that is specific, accurate, and comprehensive within its stated scope: responses to Aarons.Implementation science : IS · 2022Article
- Assessing Causal Pathways and Targets of Implementation Variability for EBP use (Project ACTIVE): a study protocol.Implementation science communications · 2021Article
- Understanding therapists' perceived determinants of trauma narrative use.Implementation science communications · 2021Article
- Attitude theory and measurement in implementation science: a secondary review of empirical studies and opportunities for advancement.Implementation science : IS · 2021Review
- Using behavioral insights to design implementation strategies in public mental health settings: a qualitative study of clinical decision-making.Implementation science communications · 2021Article
- The Cognitive Behavioral Therapy Competence Scale (CCS): initial development and validation.Cognitive behaviour therapist · 2021Article
- Changes in Community Clinicians' Attitudes and Competence following a Transdiagnostic Cognitive Behavioral Therapy Training.Implementation research and practice · 2021Article
- Therapist training in evidence-based interventions for mental health: A systematic review of training approaches and outcomes.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2020Article
- Predicting implementation: comparing validated measures of intention and assessing the role of motivation when designing behavioral interventions.Implementation science communications · 2020Article
- Stakeholder intention to engage in fidelity measurement methods in community mental health settings: A mixed methods study.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundCBT comprises many discrete components that vary in complexity, but implementation and training efforts often approach CBT as a single entity. We examined variability in clinician intentions to use different structural and interventional components of CBT for three different clinical groups: clients receiving CBT, clients with depression, and clients with anxiety.
methodsClinicians (n = 107) trained in CBT completed a one-time electronic survey. Clinicians' intentions were measured using established item stems from social psychology adapted to examine intentions to use six specific CBT components: exposure therapy, cognitive restructuring, behavioral activation, planning homework, reviewing homework, and agenda-setting.
resultsIntentions were weakest, on average, for exposure. They were strongest, on average, for reviewing homework. A series of ANOVAs with Tukey's post-hoc tests revealed that participants intended to use exposure with clients receiving CBT (p = .015) and clients with anxiety (p < .001) significantly more than for clients with depression. Participants intended to use behavioral activation with clients with depression (p = .01) significantly more than for clients with anxiety. No other intentions to use CBT components differed among these three clinical populations.
conclusionsWhen studying determinants of CBT use and designing interventions to increase use, implementers should consider that different CBT components may require different implementation strategies.
trial registrationNot applicable.
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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.