The science of training in evidence-based treatments in the context of implementation programs: current status and prospects for the future.

摘要

Training plays a critical role within the broader implementation research agenda involving evidence-based treatments (EBTs). EBTs, interventions that have demonstrated client improvement within the context of controlled trials (Kazdin 2008), tend to be complex, multisession treatment packages that hinge largely on the provider's execution of a set of interventions with a satisfactory level of fidelity (Carroll et al. 2010; Chorpita and Regan 2009; Herschell et al. 2010). Although training alone is not sufficient to guarantee successful implementation, there is evidence that adequate training can reduce variations in provider behavior, improve fidelity, and ultimately, increase the quality of service delivery (Aarons et al. 2011; Feldstein et al. 2008; Fixsen et al. 2005; Stirman et al. 2004) above and beyond that provided by therapy as usual (Schoener et al. 2006; Simons et al. 2010).