Evidence map›Paper›PMID 32460866›Full record

SynthesisImplementation science : IS2020

Effectiveness of training methods for delivery of evidence-based psychotherapies: a systematic review.

Helen Valenstein-Mah, Nancy Greer, Lauren McKenzie, Lucas Hansen, Thad Q Strom, Shannon Wiltsey Stirman, Timothy J Wilt, Shannon M Kehle-Forbes

Abstract readSystematic Review
In one paragraph

Synthesis in Implementation science : IS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Training Community Therapists in Core Elements of CBT and Family Therapy for Adolescent Externalizing Problems.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
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  13. Noninferiority of Online Versus In-Person Training for Health Professionals Delivering the COPE Dementia Care Program in PACE Settings.The American journal of geriatric psychiatry. Open science, education, and practice · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Helen Valenstein-MahDepartment of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, 2450 Riverside Avenue, F282/2A West, Minneapolis, MN, 55454, USA. hvalmah@umn.edu.ORCID 0000-0001-5726-2026
Nancy GreerCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN, USA.
Lauren McKenzieCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN, USA.
Lucas HansenMinneapolis VA Health Care System, Minneapolis, MN, USA.
Thad Q StromOscar G. Johnson VA Medical Center, Iron Mountain, MI, USA.
Shannon Wiltsey StirmanNational Center for PTSD Dissemination and Training Division, VA Palo Alto Healthcare System, Palo Alto, CA, USA.
Timothy J WiltCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN, USA.
Shannon M Kehle-ForbesCenter for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtensive efforts have been made to train mental health providers in evidence-based psychotherapies (EBPs); there is increasing attention focused on the methods through which providers are trained to deliver EBPs. Evaluating EBP training methods is an important step in determining which methods are most effective in increasing provider skill and improving client outcomes.

methodsWe searched MEDLINE (Ovid) and PsycINFO for randomized controlled trials published from 1990 through June 2019 that evaluated EBP training methods to determine the effectiveness of EBP training modalities on implementation (provider and cost) and client outcomes. Eligible studies (N = 28) were evaluated for risk of bias, and the overall strength of evidence was assessed for each outcome. Data was extracted by a single investigator and confirmed by a second; risk of bias and strength of evidence were independently rated by two investigators and determined by consensus.

resultsOverall, EBP training improved short-term provider satisfaction, EBP knowledge, and adherence compared to no training or self-study of training materials (low to moderate strength of evidence). Training in an EBP did not increase treatment adoption compared to no training or self-study. No specific active EBP training modality was found to consistently increase provider EBP knowledge, skill acquisition/adherence, competence, adoption, or satisfaction compared to another active training modality. Findings were mixed regarding the additive benefit of post-training consultation on these outcomes. No studies evaluated changes in provider outcomes with regards to training costs and few studies reported on client outcomes. LIMITATIONS: The majority of included studies had a moderate risk of bias and strength of evidence for the outcomes of interest was generally low or insufficient. Few studies reported effect sizes. The ability to identify the most effective EBP training methods was limited by low strength of evidence for the outcomes of interest and substantial heterogeneity among studies.

conclusionsEBP training may have increased short-term provider satisfaction, EBP knowledge, and adherence though not adoption. Evidence was insufficient on training costs and client outcomes. Future research is needed on EBP training methods, implementation, sustainability, client outcomes, and costs to ensure efforts to train providers in EBPs are effective, efficient, and durable.

trial registrationThe protocol for this review is registered in PROSPERO (CRD42018093381).

Indexed as

Clinical CompetenceEvidence-Based PracticeGuideline AdherenceHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansInservice TrainingPersonal SatisfactionPractice Guidelines as TopicPsychotherapyAdherenceCompetenceEvidence-based psychotherapyFidelityProvider trainingTraining methods

Identifiers

PMID32460866
PMCPMC7251851

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.