The Association Between Clinician and Perceived Organizational Factors with Early Fidelity to Cognitive Processing Therapy for Posttraumatic Stress Disorder in a Randomized Controlled Implementation Trial.
A common metric for determining implementation success is the measurement of clinician adherence to, and competence in, delivering a psychotherapy. The present study examined clinician and organizational factors as predictors of early adherence and competence among 78 clinicians delivering cognitive processing therapy (CPT), an evidence-based psychotherapy (EBP) for posttraumatic stress disorder, in a randomized controlled implementation trial. Results indicated that clinicians' willingness to adopt an EBP if required to do so was significantly associated with early adherence and competence in CPT delivery. Level of clinician education was significantly associated with early competence in delivering CPT. Organizational factors did not predict early adherence or competence. Implications of the findings are discussed.
['Sijercic|Iris|I|', 'Lane|Jeanine E M|JEM|', 'Gutner|Cassidy A|CA|', 'Monson|Candice M|CM|', 'Stirman|Shannon Wiltsey|SW|']
D000328:Adult D001290:Attitude D002983:Clinical Competence D015928:Cognitive Behavioral Therapy D004522:Educational Status D005260:Female D019983:Guideline Adherence D006801:Humans D008297:Male D008875:Middle Aged D015279:Organizational Culture D017410:Practice Guidelines as Topic D013313:Stress Disorders, Post-Traumatic D016896:Treatment Outcome
Organizational factors Fidelity Cognitive processing therapy Clinician factors Dissemination Implementation outcomes