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Therapist stuck points during training in cognitive processing therapy: Changes over time and associations with training outcomes

Publication ,  Journal Article
LoSavio, ST; Dillon, KH; Murphy, RA; Resick, PA
Published in: Professional Psychology: Research and Practice
August 1, 2019

Many practitioners have doubts or concerns about evidence-based treatments. The objective of this study was to evaluate such doubts and concerns, or therapist stuck points, during training in cognitive processing therapy (CPT). Data were collected from 57 therapists participating in a CPT Learning Collaborative. At three points during training, therapists were assessed for therapist stuck points related to CPT. Training outcomes were also assessed including therapists' completion of training requirements, fidelity to the CPT protocol, and ongoing use of CPT after training. Results indicated that therapist stuck points decreased during training (ds = 0.46-0.51, ps ≤ .001), especially among therapists attending a higher percentage of consultation calls. Therapist stuck points also predicted training outcomes. Higher therapist stuck points at the end of training and less reduction in therapist stuck points over the course of training predicted lower likelihood of completing training requirements (odds ratios, ORs = 0.89, ps = .005-.031). Less reduction in therapist stuck points also predicted worse fidelity (β=-0.31, p=.042). Finally, higher therapist stuck points at the beginning and end of training predicted lower likelihood of continued use of CPT (ORs = .84-91, ps ≤.031) and treating a lower number of CPT patients (rate ratios, RRs = 0.94-0.96, ps ≤ .047) at 12 months posttraining. Results suggest therapist stuck points are associated with worse training outcomes but also decrease during training. Practical suggestions are provided for therapists to identify and address their stuck points and for trainers, supervisors, and consultants to address stuck points of trainees.

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Published In

Professional Psychology: Research and Practice

DOI

EISSN

1939-1323

ISSN

0735-7028

Publication Date

August 1, 2019

Volume

50

Issue

4

Start / End Page

255 / 263

Related Subject Headings

  • Clinical Psychology
  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 1799 Other Psychology and Cognitive Sciences
  • 1701 Psychology
 

Citation

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LoSavio, S. T., Dillon, K. H., Murphy, R. A., & Resick, P. A. (2019). Therapist stuck points during training in cognitive processing therapy: Changes over time and associations with training outcomes. Professional Psychology: Research and Practice, 50(4), 255–263. https://doi.org/10.1037/pro0000224
LoSavio, S. T., K. H. Dillon, R. A. Murphy, and P. A. Resick. “Therapist stuck points during training in cognitive processing therapy: Changes over time and associations with training outcomes.” Professional Psychology: Research and Practice 50, no. 4 (August 1, 2019): 255–63. https://doi.org/10.1037/pro0000224.
LoSavio ST, Dillon KH, Murphy RA, Resick PA. Therapist stuck points during training in cognitive processing therapy: Changes over time and associations with training outcomes. Professional Psychology: Research and Practice. 2019 Aug 1;50(4):255–63.
LoSavio, S. T., et al. “Therapist stuck points during training in cognitive processing therapy: Changes over time and associations with training outcomes.” Professional Psychology: Research and Practice, vol. 50, no. 4, Aug. 2019, pp. 255–63. Scopus, doi:10.1037/pro0000224.
LoSavio ST, Dillon KH, Murphy RA, Resick PA. Therapist stuck points during training in cognitive processing therapy: Changes over time and associations with training outcomes. Professional Psychology: Research and Practice. 2019 Aug 1;50(4):255–263.

Published In

Professional Psychology: Research and Practice

DOI

EISSN

1939-1323

ISSN

0735-7028

Publication Date

August 1, 2019

Volume

50

Issue

4

Start / End Page

255 / 263

Related Subject Headings

  • Clinical Psychology
  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 1799 Other Psychology and Cognitive Sciences
  • 1701 Psychology