Common Barriers to the Dissemination of Exposure Therapy for Youth with Anxiety Disorders.
This study investigated the prevalence of common barriers to the use of exposure therapy (ET) in the treatment of youth with anxiety disorders, specifically examining both logistical limitations and negative beliefs about ET. Results from 230 practicing clinicians who treat youth with anxiety disorders found that the top three barriers were session length (56%), lack of training (48%), and concern about parent reaction (47%). Endorsement of barriers to ET was associated with less ET utilization and less optimal implementation of ET. Results suggest that several barriers, especially logistical limitations, must be addressed in order to improve the dissemination of ET.
OCD Institute for Children and Adolescents, McLean Hospital, Harvard Medical School, 23 Isaac St, Middleborough, MA, 02346, USA. areid@mclean.harvard.edu.
Adam M
AM
Reid
College of Medicine, University of Florida, 8491 NW 39th Ave, Gainesville, FL, 32606, USA.
Maria I
MI
Bolshakova
College of Medicine, University of Florida, 8491 NW 39th Ave, Gainesville, FL, 32606, USA.|College of Public Health and Health Professions, University of Florida, 1225 Center Drive, P.O. Box 100185, Gainesville, FL, 32611, USA.
Andrew G
AG
Guzick
College of Medicine, University of Florida, 8491 NW 39th Ave, Gainesville, FL, 32606, USA.
Alyka G
AG
Fernandez
College of Medicine, University of Florida, 8491 NW 39th Ave, Gainesville, FL, 32606, USA.|College of Public Health and Health Professions, University of Florida, 1225 Center Drive, P.O. Box 100185, Gainesville, FL, 32611, USA.
Catherine W
CW
Striley
College of Medicine, University of Florida, 8491 NW 39th Ave, Gainesville, FL, 32606, USA.|College of Public Health and Health Professions, University of Florida, 1225 Center Drive, P.O. Box 100185, Gainesville, FL, 32611, USA.
Gary R
GR
Geffken
College of Medicine, University of Florida, 8491 NW 39th Ave, Gainesville, FL, 32606, USA.|College of Public Health and Health Professions, University of Florida, 1225 Center Drive, P.O. Box 100185, Gainesville, FL, 32611, USA.|College of Liberal Arts and Sciences, University of Florida, 2014 Turlington Hall, P.O. Box 117300, Gainesville, FL, 32611, USA.
Joseph P
JP
McNamara
D000293:Adolescent; D001008:Anxiety Disorders / Q000628:therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007171:Implosive Therapy; D008297:Male; D010342:Patient Acceptance of Health Care; D057566:Self Report
Cognitive-behavioral therapy; Community; Evidenced-based practice; Session length; Training