Table 2.
Characteristics of Studies Evaluating the Implementation of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT)
| Author, year | Quality | Methods | Setting | EBP | Participants |
|---|---|---|---|---|---|
| Implementation strategies: training/education, facilitation, and audit/feedback | |||||
|
Cully, 201036 Kauth, 201037 |
Moderate High |
Quantitative Mixed-methods |
US, VHA | CBT | 28 providers in 20 clinics were trained in CBT for depression, 12 received external facilitation (10 clinics) and 11 did not (10 clinics) |
| Karlin, 201215 | Moderate | Quantitative | US, VHA | CBT | 221 providers in national training program for CBT for depression; 356 patients who received CBT from trainees during consultation phase |
|
Karlin, 201316 Manber, 201317 |
ModerateModerate | Quantitative | US, VHA | CBT | 207 providers trained in national program for CBT for insomnia (193 completed program);182 patients who received CBT from trainees |
| Mignogna, 201435 | Moderate | Quantitative | US, VHA | CBT | 9 mental health providers (embedded in primary care at 2 sites) who received online training in CBT for anxiety and depression |
| Stewart, 201514 | Moderate | Quantitative | US, VHA | CBT | 71 providers trained in national program for CBT for chronic pain (60 completed training); 148 patients received CBT from trainees |
| Walser, 201318 | High | Quantitative | US, VHA | ACT | 391 providers trained in national program for ACT (334 completed training); 745 patients who received ACT from trainees |
| Implementation strategies: training/education and audit/feedback | |||||
| Ruzek, 201440 | Moderate | Quantitative | US, VHA | CBT | 139 mental health providers randomized to CBT training as usual (n = 51), internet training modules only (n = 46), and internet training with telephone consultation (n = 42) |
| Hepner, 201138 | Moderate | Quantitative |
US, community clinics |
CBT | 5 addiction counsellors in Los Angeles County trained in group CBT for depression; 113 patients who attended ≥ 1 CBT session and responded to survey |
| Implementation strategies: training/education | |||||
| Curran, 201534 | High | Qualitative | US, VHA | CBT | 8 counselors (7 substance use disorder clinics) who completed online training in CBT for depression |
| Implementation strategy: access to new funding | |||||
| Clark, 200939 | Low | Quantitative | UK | CBT | Patients at primary care clinic, most referred for in-person CBT for depression or anxiety |
EBP, evidence-based psychotherapy; UK, United Kingdom; US, United States; VHA, Veterans Health Administration