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. Author manuscript; available in PMC: 2010 Sep 25.
Published in final edited form as: Clin Psychol (New York). 2010 Mar;17(1):1–30. doi: 10.1111/j.1468-2850.2009.01187.x

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.