Evidence map›Paper›PMID 36805734›Full record

ArticleBehavioural and cognitive psychotherapy2023

Therapist perceptions of experiential training for exposure therapy.

Hannah E Frank, Lara S Rifkin, Kate Sheehan, Emily M Becker-Haimes, Margaret E Crane, Katherine E Phillips, Sophie A Palitz Buinewicz, Joshua Kemp, Kristen Benito, Philip C Kendall

Open access · hybridAbstract read
In one paragraph

Article in Behavioural and cognitive psychotherapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Therapist Anxious Distress and Avoidance of Implementing Time-Out.Child psychiatry and human development · 2026
    Article
  4. Article
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

10 authors at 3 institutions in 1 country.

Hannah E FrankDepartment of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.ORCID https://orcid.org/0000-0003-2396-4585
Lara S RifkinDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA.
Kate SheehanDepartment of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Emily M Becker-HaimesDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Margaret E CraneDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA.
Katherine E PhillipsDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA.
Sophie A Palitz BuinewiczDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA.
Joshua KempDepartment of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Kristen BenitoDepartment of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Philip C KendallDepartment of Psychology and Neuroscience, Temple University, Philadelphia, PA, USA.
Temple University · USBrown University · USUniversity of Pennsylvania Health System · US

Funding

RESEARCH TRAINING IN CHILD MENTAL HEALTHT32MH019927 · NIMH · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI Kristen G Benito, Anthony Spirito · 1994 to 2026
$7.8M
Dissemination of Exposure-Based Treatment for Anxiety: Experiential Training for Community TherapistsF31MH112211 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI FRANK, HANNAH ELIZABETH · 2017 to 2018
$66k
Increasing Parent Demand for Evidence-Based Practices to Treat Youth Anxiety: The Effect of Parent Key Opinion LeadersF31MH124346 · NIMH · TEMPLE UNIV OF THE COMMONWEALTH · PI CRANE, MARGARET · 2020 to 2021
$65k
NIMH NIH HHS F31 MH112211NIMH NIH HHS F31 MH124346NIMH NIH HHS T32 MH019927
6 · The paper itself

Abstract

backgroundDespite evidence for its efficacy, exposure therapy for anxiety is rarely used in routine care settings. Efforts to address one major barrier to its use - therapists' negative beliefs about exposure - have included therapist-level implementation strategies, such as training and consultation. Experiential training, in which therapists themselves undergo exposures, has recently demonstrated feasibility, acceptability and preliminary effectiveness for increasing exposure use.

aimsThis study aimed to assess: (1) therapists' perceptions of experiential training and (2) barriers and facilitators to implementing exposure following training.

methodTherapists who underwent experiential training (

resultsResults highlight how therapist-level factors, such as clinician self-efficacy, interact with inner- and outer-setting factors. Participants reported positive perceptions of exposure after training; they noted that directly addressing myths about exposure and experiencing exposures themselves improved their attitudes toward exposure. Consistent with prior literature, issues such as insufficient supervisory support, organizational constraints, and client characteristics made it challenging to implement exposures. DISCUSSION: Results highlight the benefits of experiential training, while also highlighting the need to consider contextual determinants. Differences in responses across practice settings highlight areas for intervention and the importance of tailoring implementation strategies. Barriers that were specific to therapists who did

Indexed as

Implosive TherapyAllied Health PersonnelAnxiety DisordersHumansSelf Efficacyanxietyexposure therapyimplementationqualitativetherapy training

Identifiers

PMID36805734
PMCPMC11006093
OpenAlexW4321457348

What OpenQuestion holds

Textmetadata
LicenceTDM
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.