title: A real world dissemination and implementation of Transdiagnostic Behavior Therapy (TBT) for veterans with affective disorders.
abstract: Dissemination and implementation of evidence-based psychotherapies is challenging in real world clinical settings. Transdiagnostic Behavior Therapy (TBT) for affective disorders was developed with dissemination and implementation in clinical settings in mind. The present study investigated a voluntary local dissemination and implementation effort, involving 28 providers participating in a four-hour training on TBT. Providers completed immediate (n=22) and six-month follow-up (n=12) training assessments and were encouraged to collect data on their TBT patients (delivery fidelity was not investigated). Findings demonstrated that providers endorsed learning of and interest in using TBT after the training. At six-months, 50% of providers reported using TBT with their patients and their perceived effectiveness of TBT to be very good to excellent. Submitted patient outcome data evidenced medium to large effect sizes. Together, these findings provide preliminary support for the effectiveness of a real world dissemination and implementation of TBT.
authors.affiliation: Mental Health Service, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, United States; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States. Electronic address: grosd@musc.edu.
authors.forename: Daniel F
authors.initials: DF
authors.lastname: Gros
authors.affiliation: Mental Health Service, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, United States; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States.
authors.forename: Derek D
authors.initials: DD
authors.lastname: Szafranski
authors.affiliation: Mental Health Service, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, United States.
authors.forename: Sarah D
authors.initials: SD
authors.lastname: Shead
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D006801:Humans; D019964:Mood Disorders / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000523:psychology*
keywords: Dissemination; Implementation; TBT; Transdiagnostic Behavior Therapy; Veterans; Veterans Affairs Medical Center