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. Author manuscript; available in PMC: 2021 Jun 3.
Published in final edited form as: Clin Psychol (New York). 2020 Sep;27(3):e12330. doi: 10.1111/cpsp.12330

T A B L E 6.

Summary of results

Workshop type Conclusions Limitations
Workshop only
  • Demonstrated improvements in declarative knowledge and attitudes compared to baseline

  • Limited evidence for change in therapist behaviors

  • Primarily non-randomized, naturalistic designs

  • Mostly self-report and non-psychometrically evaluated measures

Workshop and consultation
  • Demonstrated improvements in therapist behaviors, including competence and self-reported intervention use, and in client symptoms compared to baseline

  • More participation in consultation calls led to better outcomes (e.g., adherence, skill, intervention use)

  • Following consultation, knowledge and attitudes did not improve above and beyond workshop only conditions

  • Few studies had comparison conditions

  • Many self-report and non-psychometrically evaluated measures

  • Limited data on sustainability

  • Variability in length and frequency of consultation calls

Online training
  • Demonstrated improvements in knowledge and skill relative to baseline; some demonstrated increases in intervention use

  • Generally comparable outcomes to in-person training

  • Inclusion of consultation led to better competence

  • Self-report measures of intervention use

  • Relatively short follow-up periods

  • Some studies showed lack of maintenance of gains

Train-the-trainer
  • Demonstrated improvements in competence, reaching adequate/proficient competence after training

  • Expert-led trainings resulted in higher proficiency than train-the- trainer condition

  • Variability in qualifications to be a trainer

  • Not all studies had comparison conditions

Intensive training
  • Demonstrated improvements in therapist knowledge, intervention use, and observer-rated competence

  • Few studies had comparison conditions

  • Variability in configuration, timing, and components of training

  • Resource and cost-intensive