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Mind the gap: Improving the dissemination of CBT
R Shafran1, D M Clark, C G Fairburn
1School of Psychology and Clinical Language Science, University of Reading, Berkshire RG6 6AL, UK. r.shafran@reading.ac.uk
Behaviour Research and Therapy
|August 12, 2009
Summary
Evidence-based psychological treatments are not consistently used or delivered effectively in routine care. This paper identifies barriers to disseminating these treatments and proposes solutions to improve clinical practice.
Area of Science:
- Psychology
- Psychiatry
- Clinical Practice
Background:
- Empirically supported psychological treatments exist for many psychiatric disorders.
- Current clinical practice shows a gap in the consistent delivery of these evidence-based treatments.
- There are concerns regarding the quality of delivery even when treatments are provided.
Purpose of the Study:
- To identify barriers hindering the dissemination of evidence-based psychological treatments.
- To propose strategies for overcoming these identified barriers.
- To bridge the gap between psychological research findings and clinical application.
Main Methods:
- Literature review on barriers to evidence-based psychological treatment dissemination.
- Analysis of factors affecting treatment implementation in routine care.
- Synthesis of proposed solutions from existing research.
Main Results:
- Key barriers include systemic, organizational, and individual factors.
- Lack of training, resources, and time impede adoption.
- Patient and therapist preferences can also influence implementation.
Conclusions:
- Addressing barriers requires multi-level interventions.
- Improving dissemination enhances the quality of mental healthcare.
- Bridging the research-practice gap is crucial for patient outcomes.
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