title: Behavioral Rehearsal for Analogue Fidelity: Feasibility in a State-Funded Children's Mental Health Initiative.
abstract: A substantial number of evidence-based treatments (EBTs) are available, but are delivered infrequently in public mental health. To improve the quality of care, some states and systems have focused on EBT training; however, these efforts have rarely included objective measurement of clinician fidelity because of feasibility issues. The primary goal of the current study was evaluating the feasibility of the behavioral rehearsal (BR) method to assess "analogue fidelity" in a children's mental health quality improvement initiative. Results indicated low-but representative-clinician participation. Participants demonstrated greatest improvement at post-training with maintenance or decreases at 6-months (post-consultation). Implications for future use of BR are discussed.
authors.affiliation: Department of Psychology, University of Washington, 335 Guthrie Hall, Box 351525, Seattle, WA, 98195, USA. dorsey2@uw.edu.
authors.forename: Shannon
authors.identifier: http://orcid.org/0000-0001-6240-0294
authors.initials: S
authors.lastname: Dorsey
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
authors.forename: Aaron R
authors.initials: AR
authors.lastname: Lyon
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Pullmann
authors.affiliation: Department of Psychology, University of Washington, 335 Guthrie Hall, Box 351525, Seattle, WA, 98195, USA.
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Jungbluth
authors.affiliation: Department of Psychology, University of Washington, 335 Guthrie Hall, Box 351525, Seattle, WA, 98195, USA.|Harborview Center for Sexual Assault and Traumatic Stress, Seattle, USA.
authors.forename: Lucy
authors.initials: L
authors.lastname: Berliner
authors.affiliation: Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
authors.forename: Rinad
authors.initials: R
authors.lastname: Beidas
mesh_terms: D000328:Adult; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000592:standards*; D055317:Evidence-Based Practice; D005380:Financing, Government; D019983:Guideline Adherence; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D058996:Quality Improvement / Q000458:organization & administration*; D013219:State Government
keywords: Behavioral rehearsal; Consultation; Fidelity; Implementation; Training