Abstract:
Effective training of mental health professionals is crucial for bridging the gap between research and practice when delivering cognitive behavioural therapy (CBT) and motivational interviewing (MI) within community settings. However, previous research has provided inconclusive evidence regarding the impact of training efforts. The current study aimed to systematically search, review and synthesize the literature on CBT and MI training to assess its effect on practitioner behavioural outcomes. Following prospective registration, a literature search was conducted for studies where mental health practitioners were exposed to training in face-to-face CBT or MI, reporting on at least one quantitative practitioner behavioural outcome. A total of 116 studies were eligible for the systematic review, and 20 studies were included in four meta-analyses. The systematic review highlights the need to establish psychometrically valid outcome measures for practitioner behaviour. Results of the meta-analyses suggest that training has a greater effect on practitioner behaviour change compared to receiving no training or reading a treatment manual. Training combined with consultation/supervision was found to be more effective than training alone, and no differences were found between face-to-face and online training. Results should be interpreted with caution due to methodological limitations in the primary studies, large heterogeneity, and small samples in the meta-analyses. Future directions are discussed.
摘要:
在社区环境中提供认知行为疗法(CBT)和动机访谈(MI)时,对心理健康专业人员进行有效培训对于弥合研究与实践之间的差距至关重要。然而,先前的研究提供了关于培训工作影响的不确定证据.当前的研究旨在系统地搜索,回顾并综合有关CBT和MI培训的文献,以评估其对从业者行为结局的影响。在预期注册之后,对心理健康从业者接受面对面CBT或MI培训的研究进行了文献检索,报告至少一个量化从业者行为结果。共有116项研究符合系统评价的条件,20项研究纳入4项荟萃分析.系统回顾强调了为从业者行为建立心理上有效的结果度量的必要性。荟萃分析的结果表明,与不接受培训或阅读治疗手册相比,培训对从业者行为改变的影响更大。与咨询/监督相结合的培训被发现比单独的培训更有效,在面对面训练和在线训练之间没有发现差异。由于主要研究的方法学限制,应谨慎解释结果。大的异质性,和荟萃分析中的小样本。讨论了未来的方向。