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Training with tarantulas: A randomized feasibility and acceptability study using experiential learning to enhance

Hannah E Frank¹, Emily M Becker-Haimes², Lara S Rifkin¹

¹Department of Psychology, Temple University, 1701 N 13th St., Philadelphia, PA, 19122, USA.

Journal of Anxiety Disorders

|September 29, 2020

Summary

Experiential training improved therapists' use of exposure therapy for anxiety. This novel approach was feasible, acceptable, and increased intervention implementation post-training.

Keywords:

Anxiety Dissemination Exposure therapy Implementation Therapist training

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Area of Science:

Psychology
Clinical Psychology
Anxiety Disorders

Background:

Exposure therapy is a key evidence-based intervention for anxiety but is underutilized in clinical practice.
A novel training strategy, experiential learning, was developed to enhance the implementation of exposure therapy.
The study assessed the feasibility, acceptability, and preliminary effectiveness of this experiential training approach.

Purpose of the Study:

To evaluate the feasibility and acceptability of experiential training for therapists.
To assess the preliminary effectiveness of experiential training in increasing the use of exposure therapy.
To determine if experiential training improves therapists' knowledge, attitudes, and self-efficacy regarding exposure therapy.

Main Methods:

Twenty-eight therapists were randomized into two groups: training-as-usual or experiential training.
Experiential training included a one-day workshop and a one-session treatment for fear of spiders, followed by three months of consultation.
Therapists in the experiential group received additional training beyond the standard approach.

Main Results:

Experiential training was found to be feasible and acceptable to therapists.
Participants reported positive responses and found the training useful, even those with a fear of spiders.
Therapists who underwent experiential training showed a significant increase in the number of exposures used compared to the control group at one-month follow-up.

Conclusions:

A one-day experiential training significantly enhanced therapists' knowledge, attitudes, and self-efficacy concerning exposure therapy.
Preliminary results indicate that experiential training leads to greater utilization of exposure therapy compared to traditional training methods.
The findings support the feasibility and acceptability of experiential training as an effective strategy to promote the use of evidence-based interventions for anxiety.