title: Web-based therapist training on cognitive behavior therapy for anxiety disorders: a pilot study.
abstract: The need for clinicians to use evidence-based practices (such as cognitive behavior therapy [CBT]) is now well recognized. However, a gap exists between the need for empirically based treatments and their availability. This is due, in part, to a shortage of clinicians formally trained on CBT. To address this problem, we developed a Web-based therapist CBT training program, to increase accessibility to this training. The program uses a two-step approach: an interactive multimedia online tutorial for didactic training on CBT concepts, followed by live remote observation through a videoconference of trainees conducting CBT, with immediate feedback in real time during critical moments to enhance learning through iterative guidance and practice. Thirty-nine clinicians from around the county completed the online didactic training and 22 completed the live remote training. Results found a significant increase in knowledge of CBT concepts and a significant increase in clinical skills, as judged by a blind rater. User satisfaction was high for both the online tutorial and the videoconference training. Utilization of CBT by trainees increased after training. Results support the acceptability and effectiveness of this Web-based approach to training.
authors: Center for Telepsychology, Madison, WI 53717, USA. kobak@charter.net
authors: Kenneth A
authors: KA
authors: Kobak
authors: Michelle G
authors: MG
authors: Craske
authors: Raphael D
authors: RD
authors: Rose
authors: Kate
authors: K
authors: Wolitsky-Taylor
mesh_terms: D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000193:education*; D003258:Consumer Behavior; D004496:Education, Continuing; D020375:Education, Distance / Q000379:methods*; D055317:Evidence-Based Practice; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination; D020407:Internet; D008297:Male; D008875:Middle Aged; D017145:Models, Educational; D019212:Multimedia; D010865:Pilot Projects; D015397:Program Evaluation; D014481:United States; D049269:Videoconferencing; D000078329:Workforce
references: Am Psychol. 2007 Sep;62(6):563-74
references: 17874897
references: J Anxiety Disord. 2001 Jul-Aug;15(4):277-85
references: 11474814
references: Drug Alcohol Depend. 2000 Jan 1;57(3):225-38
references: 10661673
references: Psychotherapy (Chic). 2011 Jun;48(2):103-8
references: 21639653
references: Psychol Sci. 2006 Mar;17(3):249-55
references: 16507066
references: Am Psychol. 2002 Dec;57(12):1052-9
references: 12617064
references: J Clin Psychol. 2007 Mar;63(3):267-81
references: 17211876
references: J Anxiety Disord. 2009 Dec;23(8):1106-17
references: 19665347
references: Neurology. 2002 Feb 12;58(3):433-7
references: 11839844
references: J Clin Psychopharmacol. 2005 Oct;25(5):407-12
references: 16160614
references: J Nerv Ment Dis. 2007 Jun;195(6):521-31
references: 17568301
references: Psychol Bull. 2004 Jul;130(4):631-63
references: 15250817
references: J Subst Abuse Treat. 2009 Oct;37(3):219-27
references: 19339136
references: Behav Res Ther. 2009 Nov;47(11):902-9
references: 19664756
references: J Clin Psychol. 2012 Jan;68(1):8-23
references: 21901749
references: Am Psychol. 2006 May-Jun;61(4):271-85
references: 16719673
references: J Stud Alcohol. 2006 Nov;67(6):939-45
references: 17061013
references: Annu Rev Clin Psychol. 2007;3:137-58
references: 17716051
references: Am J Psychiatry. 1999 Nov;156(11):1819-21
references: 10553751
references: J Psychiatr Res. 2006 Apr;40(3):192-9
references: 16197959
references: Telemed J. 1998 Winter;4(4):313-21
references: 10220471
references: Behav Res Ther. 2009 Nov;47(11):921-30
references: 19695562
references: J Behav Ther Exp Psychiatry. 1996 Mar;27(1):1-9
references: 8814516
references: Clin Psychol Rev. 2006 Jan;26(1):17-31
references: 16199119
references: Schizophr Res. 2007 May;92(1-3):63-7
references: 17336501
references: Psychol Bull. 2005 Sep;131(5):785-95
references: 16187860
references: Psychiatr Serv. 2009 Mar;60(3):337-43
references: 19252046
references: Arch Gen Psychiatry. 2006 Aug;63(8):925-34
references: 16894069
references: Behav Res Ther. 2011 Jun;49(6-7):373-8
references: 21492829
references: Psychol Bull. 1992 Jul;112(1):155-9
references: 19565683