TY  - JOUR
AU  - Fairburn, Christopher G
AU  - Allen, Elizabeth
AU  - Bailey-Straebler, Suzanne
AU  - O'Connor, Marianne E
AU  - Cooper, Zafra
PY  - 2017
DA  - 2017/06/16
TI  - Scaling Up Psychological Treatments: A Countrywide Test of the Online Training of Therapists
JO  - J Med Internet Res
SP  - e214
VL  - 19
IS  - 6
KW  - psychotherapy
KW  - training
KW  - dissemination
KW  - Internet
KW  - eating disorders
KW  - cognitive behavior therapy
AB  - Background: A major barrier to the widespread dissemination of psychological treatments is the way that therapists are trained. The current method is not scalable. Objective: Our objective was to conduct a proof-of-concept study of Web-centered training, a scalable online method for training therapists. Methods: The Irish Health Service Executive identified mental health professionals across the country whom it wanted to be trained in a specific psychological treatment for eating disorders. These therapists were given access to a Web-centered training program in transdiagnostic cognitive behavior therapy for eating disorders. The training was accompanied by a scalable form of support consisting of brief encouraging telephone calls from a nonspecialist. The trainee therapists completed a validated measure of therapist competence before and after the training. Results: Of 102 therapists who embarked upon the training program, 86 (84.3%) completed it. There was a substantial increase in their competence scores following the training (mean difference 5.84, 95% Cl –6.62 to –5.05; P<.001) with 42.5% (34/80) scoring above a predetermined cut-point indicative of a good level of competence. Conclusions: Web-centered training proved feasible and acceptable and resulted in a marked increase in therapist competence scores. If these findings are replicated, Web-centered training would provide a means of simultaneously training large numbers of geographically dispersed trainees at low cost, thereby overcoming a major obstacle to the widespread dissemination of psychological treatments. 
SN  - 1438-8871
UR  - http://www.jmir.org/2017/6/e214/
UR  - https://doi.org/10.2196/jmir.7864
UR  - http://www.ncbi.nlm.nih.gov/pubmed/28623184
DO  - 10.2196/jmir.7864
ID  - info:doi/10.2196/jmir.7864
ER  -