Training Models for Implementing Evidence-Based Psychological Treatment A Cluster-Randomized Trial in College Counseling Centers

摘要

Question Does training college (university) counseling center therapists in an evidence-based treatment (interpersonal psychotherapy) using the train-the-trainer method vs an expert training method result in improved fidelity (adherence and competence)? Findings In this cluster-randomized trial that included 184 therapists from 24 college counseling centers, results indicated within group improvements in both adherence and competence; only competence differed between groups, favoring the train-the-trainer condition. Meaning Results support the effectiveness of the train-the-trainer approach; further, given its potential capability to train more therapists over time, it has the potential to facilitate widespread dissemination of evidence-based treatments.