Table 1.
Qualitative Nodes
Node | Example |
---|---|
Attitudes: Attitudes refer to a thought, belief, or statement that a therapist has towards evidence-based practices, CBT, or the Coping Cat. | “Prior to training, I really felt that the relaxation component took priority over CBT aspects, and I feel differently about that now. I do feel that the CBT is crucial” |
Practice change: A statement that refers to a change in practice following training (i.e., doing things differently than before). Note this includes specifically adding or augmenting their practice with CBT. | (Did the way you work with your clients change?) “Um somewhat, not a lot, but I did use more of the relaxation only prior to training” |
Barriers: Anything that might have gotten in the way in the implementation of CBT for child anxiety. | “A lot of them don't finish exposures” |
Facilitators: Anything that might have helped/facilitated implementation of CBT for child anxiety. | “The coping cat program was very helpful in identifying kind of a structure to your therapy sessions and a lot of good ideas and activities” |
Adaptation: Changes, modifications, or adaptation that the therapist makes to make CBT fit their practice, setting, or client population better. | “..or kids with autism, I use a lot of visual support because they are very visual learned, so we may write a social story about how to handle different situations and they read it immediately, and we have little visual supports like a little book marker” |
Organizational factors: Anything related to their organizational setting that impacts how they implement CBT for child anxiety (i.e., administrative support, champion leader, not enough resources). | “A barrier is...kids having to leave class, or being away from the teachers setting, sometimes you are going to run into teachers who are not going to be supportive” |
Self-efficacy: Therapist's confidence in their own ability to deliver CBT for child anxiety. | “I feel very confident in using CBT to treat anxiety for adults and adolescents” |
Eclecticism: Therapist usage of a variety of treatment modalities (e.g., CBT plus family therapy, psychodynamicism, play therapy). | “I guess there are some psychodynamic principles that get engrained in some longstanding complex cases, but I would almost entirely identify myself as CBT” |
Client factors: Anything that pertains to the client and/or their family (i.e., comorbidity, motivation, resistance) that may have impacted implementation of evidence-based practice | “We would start the exposures and they would feel like they were so much better and they wouldn't want to go all the way up the ladder” |
Evidence-based practice language: “Buzzwords” that suggest that the therapist is knowledgeable about evidence-based practices more generally (not just related to CBT for child anxiety) | “Ultimately, it came down to prolonged exposure as the part of the mechanism of change” |
Treatment factors: Anything that is specific to the treatment modality being used (i.e., CBT for child anxiety and/or Coping Cat) | “In vivo exposures...learning thoughts and coming up with alternative thoughts” |
Consultation: When they discuss the consultation provided through the study | “I actually liked the consultation calls” |
Note. CBT = cognitive-behavioral therapy