The Association Between Clinician and Perceived Organizational Factors with Early Fidelity to Cognitive Processing Therapy for Posttraumatic Stress Disorder in a Randomized Controlled Implementation Trial

A common metric for determining implementation success is the measurement of clinician adherence to, and competence in, delivering a psychotherapy. The present study examined clinician and organizational factors as predictors of early adherence and competence among 78 clinicians delivering cognitive...

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Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 2020, Vol.47 (1), p.8-18
Main Authors: Sijercic, Iris, Lane, Jeanine E. M., Gutner, Cassidy A., Monson, Candice M., Stirman, Shannon Wiltsey
Format: Article
Language:English
Subjects:
Adherence
Adult
Attitude
Clinical Competence - standards
Clinical Psychology
Clinical trials
Cognition
Cognitive Behavioral Therapy - organization & administration
Cognitive Behavioral Therapy - standards
Competence
Educational Status
Female
Fidelity
Guideline Adherence
Health Administration
Health Informatics
Humans
Implementation
Male
Measurement
Medicine
Medicine & Public Health
Mental health care
Middle Aged
Organizational aspects
Organizational Culture
Organizational factors
Original Article
Post traumatic stress disorder
Practice Guidelines as Topic
Psychiatry
Psychotherapy
Public Health
Randomization
Stress Disorders, Post-Traumatic - therapy
Treatment Outcome
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Summary:A common metric for determining implementation success is the measurement of clinician adherence to, and competence in, delivering a psychotherapy. The present study examined clinician and organizational factors as predictors of early adherence and competence among 78 clinicians delivering cognitive processing therapy (CPT), an evidence-based psychotherapy (EBP) for posttraumatic stress disorder, in a randomized controlled implementation trial. Results indicated that clinicians’ willingness to adopt an EBP if required to do so was significantly associated with early adherence and competence in CPT delivery. Level of clinician education was significantly associated with early competence in delivering CPT. Organizational factors did not predict early adherence or competence. Implications of the findings are discussed.
ISSN:0894-587X
1573-3289
DOI:10.1007/s10488-019-00966-7