title: Randomized trial of web-based training to promote counselor use of cognitive behavioral therapy skills in client sessions.
abstract: METHODS
  The authors designed and delivered an innovative Web course on cognitive behavioral therapy (CBT), a specific empirically based treatment, to a diverse group of addiction counselors and supervisors in 54 addiction units across the country, and conducted a randomized controlled trial of its effectiveness with 127 counselors. The primary focus of the trial was to assess "adequate adherence to CBT practice" after training as judged by raters blinded to training condition who listened to audiotapes of actual client sessions. Counselors who passed were judged to satisfy 2 criteria: (a) low pass or greater on at least 1 of 3 "CBT-generic skills" assessing session structure; and (b) low pass or greater on at least 1 of 3 "CBT-specific skills" related to use of functional analysis, cognitive skills practice, or behavioral skills practice.
  
  
  RESULTS
  Although the counselors' use of CBT skills in sessions increased after Web course training, it was not statistically significant and not larger than the gain of control-group counselors trained with a written CBT manual.
authors.affiliation: Schneider Institutes for Health Policy, Heller School, Brandeis University, Waltham, MA 02454, USA. larson@brandeis.edu
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Larson
authors.forename: Maryann
authors.initials: M
authors.lastname: Amodeo
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Locastro
authors.forename: Jordana
authors.initials: J
authors.lastname: Muroff
authors.forename: Lauren
authors.initials: L
authors.lastname: Smith
authors.forename: Eric
authors.initials: E
authors.lastname: Gerstenberger
mesh_terms: D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000193:education*; D003376:Counseling / Q000193:education*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged