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Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
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An exposure-based implementation strategy to decrease clinician anxiety about implementing suicide prevention

Emily M Becker-Haimes1,2, Megan Brady3, Jesslyn Jamison3

  • 1Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3 Rd floor, Philadelphia, PA, 19104, USA. Emily.haimes@pennmedicine.upenn.edu.

Implementation Science Communications
|November 24, 2023
PubMed
Summary
This summary is machine-generated.

This study pilots an exposure-based implementation strategy (EBIS) to reduce clinician anxiety and improve self-efficacy in using suicide prevention practices. Results will inform future trials on improving evidence-based practice implementation.

Keywords:
Clinician anxietyEvidence-based implementation strategyExposure therapyImplementationSuicide prevention

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Area of Science:

  • Implementation Science
  • Mental Health Services Research
  • Behavioral Psychology

Background:

  • Clinician anxiety and low self-efficacy hinder the use of evidence-based suicide prevention practices.
  • Exposure therapy is a potential but untested method to address these barriers.
  • This project designs and pilots an exposure-based implementation strategy (EBIS) to improve suicide prevention EBP implementation.

Purpose of the Study:

  • To develop, refine, and pilot test an EBIS to target clinician anxiety and improve self-efficacy.
  • To prepare for a larger trial investigating the EBIS's effect on suicide prevention EBP implementation.
  • To assess the feasibility and acceptability of the EBIS in outpatient mental health settings.

Main Methods:

  • Participatory design methods and rapid cycle prototyping were used to develop and refine the EBIS.
  • A pilot randomized trial compared EBIS plus implementation as usual (IAU) versus IAU alone.
  • Outcomes included EBIS acceptability, feasibility, clinician anxiety, self-efficacy, and EBP adoption and fidelity.

Main Results:

  • The study assessed the feasibility and acceptability of the EBIS through questionnaires, interviews, and recruitment/retention rates.
  • Secondary outcomes measured the impact of EBIS on clinician anxiety, self-efficacy, and the adoption and fidelity of suicide prevention practices.
  • Mixed methods, including role-play observations and chart reviews, were employed to evaluate effectiveness.

Conclusions:

  • The study provides insights into targeting clinician anxiety and self-efficacy to improve suicide prevention EBP implementation.
  • Findings will inform a larger hybrid effectiveness-implementation trial.
  • The EBIS shows promise for enhancing the delivery of evidence-based suicide prevention care.