title: Training primary care staff to deliver a computer-assisted cognitive-behavioral therapy program for anxiety disorders.
abstract: OBJECTIVE
  This paper describes the training approach used with primary care staff to deliver an evidence-based computer-assisted cognitive-behavioral therapy (CBT) program for anxiety disorders within a collaborative care treatment delivery model.
  
  
  METHODS
  We describe the training and proficiency evaluation procedures utilized in the Coordinated Anxiety Learning and Management (CALM) study, a large multisite study of collaborative care for anxiety disorders in primary care. Training incorporated readings, didactic presentations, video demonstrations of CBT skills, role-plays, computer-assisted practice, CBT training cases and ongoing group supervision provided by study psychologists.
  
  
  RESULTS
  Proficiency training case data from 15 clinicians are presented. The anxiety clinical specialists (ACSs) were highly proficient at delivering the CBT component of the CALM intervention. The ACSs also provided Likert-scale ratings and open-ended responses about their experiences with the training. Overall, the training was rated very positively and was described as very thorough, indicating a high level of acceptability to clinicians. Recommendations for future training are described.
  
  
  CONCLUSIONS
  Primary care staff with none or minimal prior CBT experience can be trained to deliver a computer-assisted, evidence-based treatment for anxiety disorders. The implications for dissemination and transportability of evidenced-based interventions are discussed.
authors.affiliation: Department of Psychology, University of California, Los Angeles, CA 90095-1563, USA. rose@psych.ucla.edu
authors.forename: Raphael D
authors.initials: RD
authors.lastname: Rose
authors.forename: Ariel J
authors.initials: AJ
authors.lastname: Lang
authors.forename: Stacy Shaw
authors.initials: SS
authors.lastname: Welch
authors.forename: Laura
authors.initials: L
authors.lastname: Campbell-Sills
authors.forename: Denise A
authors.initials: DA
authors.lastname: Chavira
authors.forename: Greer
authors.initials: G
authors.lastname: Sullivan
authors.forename: Cathy
authors.initials: C
authors.lastname: Sherbourne
authors.forename: Alexander
authors.initials: A
authors.lastname: Bystritsky
authors.forename: Murray B
authors.initials: MB
authors.lastname: Stein
authors.forename: Peter P
authors.initials: PP
authors.lastname: Roy-Byrne
authors.forename: Michelle G
authors.initials: MG
authors.lastname: Craske
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000193:education*; D003194:Computer-Assisted Instruction; D003625:Data Collection; D004521:Educational Measurement; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D011320:Primary Health Care; D014481:United States