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Related Experiment Video

Updated: Jan 30, 2026

Extinction Training During the Reconsolidation Window Prevents Recovery of Fear

Extinction Training During the Reconsolidation Window Prevents Recovery of Fear

Published on: August 24, 2012

Training professionals in a recovery-oriented methodology: a mixed method evaluation.

Neis Bitter¹, Diana Roeg^1,2, Chijs Van Nieuwenhuizen^1,2

¹Department of Social and Behavioural Sciences, Tranzo Scientific Center for Care and Welfare, Tilburg University, Tilburg, The Netherlands.

Scandinavian Journal of Caring Sciences

|January 18, 2019

Summary

Training in the Comprehensive Approach to Rehabilitation (CARe) improved recovery knowledge and practice fidelity. However, effects diminished over time, highlighting the need for better implementation strategies and professional development.

Keywords:

implementation mental health care model fidelity recovery-oriented care rehabilitation

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Last Updated: Jan 30, 2026

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Area of Science:

Rehabilitation science
Healthcare implementation science
Mental health services research

Background:

Recovery-oriented interventions face implementation challenges in practice.
The Comprehensive Approach to Rehabilitation (CARe) is a methodology designed to support recovery.
Evaluating the impact of CARe training on daily practice is crucial.

Purpose of the Study:

To evaluate the effect of CARe training on daily practice in sheltered and supported housing.
To gain insight into the experiences of professionals, management, and trainers during CARe implementation.
To identify barriers and facilitators impacting the CARe methodology's integration.

Main Methods:

Cluster-randomised controlled trial (RCT) involving 14 teams.
Eight teams received CARe methodology training.
Model fidelity and recovery knowledge were measured over 20 months, followed by stakeholder evaluations.

Main Results:

Intervention teams showed higher fidelity in 'recovery', 'strengths orientation', and 'training/coaching' at 10 months.
Slight, significant increases in recovery knowledge were observed at 10 and 20 months.
Moderate fidelity and some persistent organizational/societal barriers were noted, despite positive professional attitudes.

Conclusions:

CARe training enhanced fidelity and recovery knowledge, but effects were modest and decreased over time.
Tailored training and implementation strategies are needed to address identified barriers.
Further focus on professional development and translating theory into practice is recommended.