Table 4.
Systems-contextual level: Training and therapist variables
References | n | EST | Patient | Therapist | Training | Active Elements | Outcome Variables | Design | Results |
---|---|---|---|---|---|---|---|---|---|
Brooker and Butterworth (1993) | 8 | BFT | Schizo. patients and their families | Community psychiatric nurses | 1. 2-day intro. 2. 1-week skills training using role-play and video-feedback |
1. Role-play 2. Videotaped feedback concerning progress in skills. |
1. Rated S 2. A |
Convenience sample; nonrandomized; 6- and 12-month f / u; no control group; SM | 1. Competent— very good S 2. 6-month f / u skill improved 3. Strengthen A held prior to training 4. Changed A to BFT as best tx 5. Increase in hours spent with family |
Chagnon et al. (2007) | 71 | SAM | At-risk youth | Community members | 3-day workshop | Role-play | 1. A 2. K 3. Rated S |
Randomized; comparison group; 6-month f / u; ICM and SM | 1. At post-training, improvement in A, K, and S 2. At f / u, A maintains but K and S decrease |
Rubel et al. (2000) | 44 | MI | Adult subst. abuse | Mental health therapists | 2-day workshop (didactic & experiential) & recommended manual | 1. Role-play 2. Fishbowl exercises |
1. K 2. Rated S 3. A* |
Convenience sample; nonrandomized; no f / u; no control group; ICM and SM | 1. K and S improved from pre- to post- training |
Saitz et al. (2000) | 70 | MI | Adult subst. abuse | Health-care providers | 200-min workshop (50 min didactic, 120 min role- play, 30 min discussion) | Role-plays with feedback | 1. Self-reported change in clinical practice 2. K** 3. A** 4. C** 5. S** |
Convenience sample; nonrandomized; no f / u; no control group; ICM | 1. Post-training overall A were higher 2. Self-report large impact on clinical practice 3. No change in K, S, or C |
Note. BFT, behavioral family therapy; schizo. schizophrenia; S, skill; A, attitudes; f / u, follow-up; SM, standardized measures; tx, treatment; SAM, Suicide Action Montreal; K, knowledge; ICM, investigator-created measures; MI, motivational interviewing;
A*, measured at pre, but does not appear to have been readministered at post; C, confidence;
only collected pre–post for a sample of the cohort.