Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-23T14:19:04.189Z Has data issue: false hasContentIssue false
  • English
  • Français

Collaborative research: a case example of dissemination of CBT in primary care

Published online by Cambridge University Press:  21 June 2013

Fiona Mathieson ,
Sunny Collings ,
Anthony Dowell ,
Felicity Goodyear-Smith ,
James Stanley  and
Simon Hatcher
Fiona Mathieson*
Affiliation:
Department of Psychological Medicine, University of Otago, Wellington, New Zealand
Sunny Collings
Affiliation:
Population Mental Health Research Unit, University of Otago, Wellington, New Zealand
Anthony Dowell
Affiliation:
Department of Primary Health Care & General Practice, University of Otago, Wellington, New Zealand
Felicity Goodyear-Smith
Affiliation:
Department of General Practice & Primary Health Care, University of Auckland, Auckland, New Zealand
James Stanley
Affiliation:
Department of Primary Health Care & General Practice, University of Otago, Wellington, New Zealand
Simon Hatcher
Affiliation:
Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
*
*Author for correspondence: Ms. F. Mathieson, Department of Psychological Medicine, University of Otago, PO Box 7343, South Wellington 6242, New Zealand (email: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

While we now have a strong evidence base for cognitive behaviour therapy in managing mental health problems, the challenge is to disseminate it into real-world settings. Two dissemination approaches exist: the dominant ‘research to practice’ model, a linear sequence, taking interventions from the research laboratory and overcoming barriers so as to apply them in the real world and a more collaborative approach, in which researchers work together with clinicians and patients to adapt existing treatments for real-world settings. This article provides a detailed example of a collaborative approach to adapting cognitive behaviour therapy, by developing a very brief mental health intervention for patients in a primary-care (family doctor) setting.

Keywords

Cognitive behaviourdisseminationprimary care
Type
Service models and forms of delivery
Information
the Cognitive Behaviour Therapist , Volume 6 , 2013 , e4
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Recommended follow-up reading

Wandersman, A, Duffy, J, Flaspohler, P, Noonan, R, Lubell, K, Stillman, L, Saul, J (2008). Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. American Journal of Community Psychology 41, 171–181.Google Scholar

References

APA (1995). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Washington DC: American Psychiatric Association.Google Scholar
Baker, EA, Homan, S, Schonhoff, R, Kreuter, M (1999). Principles of practice for academic/practice/community research partnerships. American Journal of Preventive Medicine 16 (3 Suppl.), 86–93.CrossRefGoogle ScholarPubMed
Barkham, M, Shapiro, DA, Hardy, GE, Rees, A (1999). Psychotherapy in two-plus-one sessions: outcomes of a randomized controlled trial of cognitive-behavioral and psychodynamic-interpersonal therapy for subsyndromal depression. Journal of Consulting and Clinical Psychology 67, 201–211.Google Scholar
Blakely, CH, Mayer, JP, Gottschalk, RG, Schmitt, N, Davidson, WS, Roitman, DB, Emshoff, JG (1987). The fidelity-adaptation debate: implications for the implementation of public sector social programs. American Journal of Community Psychology 15, 253–268.CrossRefGoogle Scholar
Carlin, E (2012). The effect of a motivational interviewing style in cognitive therapy for depression. [Dissertation]. Dissertation Abstracts International, Section B: The Sciences and Engineering 72 (7-B), 4314.Google Scholar
Chorpita, BF, Yim, LM, Donkervoet, JC, Arensdorf, A, Amundsen, MJ, McGee, C, Morelli, P (2002). Toward large-scale implementation of empirically supported treatments for children: a review and observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice 9, 165–190.Google Scholar
Collings, S, Mathieson, F, Dowell, A, Stanley, J, Jenkin, G, Goodyear-Smith, F, Hatcher, S (2012). Acceptability of a guided self-help mental health intervention in general practice [Research Support, Non-U.S. Government]. Family Practice 29, 43–49.Google Scholar
Cornelius, JR, Douaihy, A, Bukstein, OG, Daley, DC, Wood, SD, Kelly, TM, Salloum, IM (2011). Evaluation of cognitive behavioral therapy/motivational enhancement therapy (CBT/MET) in a treatment trial of comorbid MDD/AUD adolescents. Addictive Behaviors 36, 843–848.Google Scholar
Crawford, MJ, Kessel, AS (1999). Not listening to patients – the use and misuse of patient satisfaction studies. International Journal of Social Psychiatry 45, 1–6.Google Scholar
Cuijpers, P, Smit, F, Willemse, G (2005). Predicting the onset of major depression in subjects with subthreshold depression in primary care: a prospective study. Acta Psychiatrica Scandinavica 111, 133–138.CrossRefGoogle ScholarPubMed
Dowell, A, Garrett, S, Collings, S, McBain, L, McKinlay, E, Stanley, J (2008). Evaluation of the Primary Mental Health Initiatives: summary report 2008. Wellington: Otago University Wellington and Ministry of Health.Google Scholar
Flaspohler, P, Duffy, J, Wandersman, A, Stillman, L, Maras, MA (2008). Unpacking prevention capacity: an intersection of research-to-practice models and community-centered models. American Journal of Community Psychology 41, 182–196.CrossRefGoogle ScholarPubMed
Forsner, T, Hansson, J, Brommels, M, Wistedt, AA, Forsell, Y (2010). Implementing clinical guidelines in psychiatry: a qualitative study of perceived facilitators and barriers. BMC Psychiatry 10, 8.CrossRefGoogle ScholarPubMed
Garland, AF, Plemmons, D, Koontz, L (2006). Research-practice partnership in mental health: lessons from participants. Administration and Policy in Mental Health and Mental Health Services Research 33, 517–528.Google Scholar
Gordon, S (2010). Mental health: development of a self-assessed measure of consumer recovery outcome. (Thesis submitted for the degree of Doctor of Philosophy in Psychological Medicine at the University of Otago, Dunedin, New Zealand.)Google Scholar
Gotham, HJ (2004). Diffusion of mental health and substance abuse treatments: development, dissemination, and implementation. Clinical Psychology: Science and Practice 11, 160–176.Google Scholar
Grimshaw, J, Eccles, M, Tetroe, J (2004). Implementing clinical guidelines: current evidence and future implications [Review]. Journal of Continuing Education in the Health Professions 24 (Suppl. 1), S31–37.Google Scholar
Happell, B, Roper, C (2007). Consumer participation in mental health research: articulating a model to guide practice. Australasian Psychiatry 15, 237–241.CrossRefGoogle Scholar
Heather, N, Smailes, D, Cassidy, P (2008). Development of a readiness ruler for use with alcohol brief interventions. Drug and Alcohol Dependence 98, 235–240.Google Scholar
Hoagwood, K, Burns, BJ, Weisz, JR (2002). A profitable conjunction: from science to service in children's mental health. In: Community Treatment for Youth: Evidence-based Interventions for Severe Emotional and Behavioral Disorders (ed. Burns, B. J. and Hoagwood, K.), pp. 327–338. New York: Oxford University Press.Google Scholar
Hodges, J (2005). Inclusion of mental health consumers on research teams. Psychiatric Services 56, 1158–1159.Google Scholar
Hunter, CL, Goodie, JL, Oordt, MS, Dobmeyer, AC (eds) (2009). Common behavioral and cognitive interventions in primary care: moving out of the specialty mental health clinic. In: Integrated Behavioral Health in Primary Care: Step by Step Guidance for Assessment and Intervention. Washington, DC: American Psychological Association.Google Scholar
Jorm, AF, Griffiths, KM (2006). Population promotion of informal self-help strategies for early intervention against depression and anxiety. Psychological Medicine 36, 3–6.CrossRefGoogle ScholarPubMed
Judd, L, Schettler, P, Akiskal, H (2002). The prevalence, clinical relevance and public health significance of subthreshold depressions. Psychiatric Clinics of North America 25, 685–698.Google Scholar
Kegeles, SM, Rebchook, GM, Hays, RB, Terry, MA, O'Donnell, L, Leonard, NR, Neumann, MS (2000). From science to application: the development of an intervention package. AIDS Education & Prevention 12 (5 Suppl.), 62–74.Google Scholar
Kessler, R, Zhao, S, Blazer, D, Swartz, M (1997). Prevalence, correlates, and course of minor depression in the national comorbidity survey. Journal of Affective Disorders 45, 19–30.Google Scholar
Kuyken, W, Padesky, CA, Dudley, R (2009). Collaborative Case Conceptualisation: Working Effectively with Clients in Cognitive-Behavioral Therapy. New York: Guilford Press.Google Scholar
Lehman, WE, Greener, JM, Simpson, D (2002). Assessing organizational readiness for change. Journal of Substance Abuse Treatment 22, 197–209.CrossRefGoogle ScholarPubMed
Liddle, HA, Rowe, CL, Quille, TJ, Dakof, GA, Mills, DS, Sakran, E, Biaggi, H (2002). Transporting a research-based adolescent drug treatment into practice. Journal of Substance Abuse Treatment 22, 231–243.Google Scholar
McKay, M (2010). Collaborating with consumers, providers, systems and communities to enhance child mental health services research. In: Childrens Mental Health Research (ed. Hoagwood, K., Jensen, P. and McKay, M.), pp. 14–39. Oxford University Press.Google Scholar
Mead, N, MacDonald, W, Bower, P, Lovell, K, Richards, D, Roberts, C, Bucknall A (2005). The clinical effectiveness of guided self-help versus waiting-list control in the management of anxiety and depression: a randomised controlled trial. Psychological Medicine 35, 1633–1643.Google Scholar
Miller, R (2003). Adapting an evidence-based intervention: tales of the Hustler Project. AIDS Education & Prevention 15 (1 Suppl. A), 127–138.Google Scholar
Miller, WL, Crabtree, BF, McDaniel, R, Stange, KC (1998). Understanding change in primary care practice using complexity theory. Journal of Family Practice 46, 369–376.Google ScholarPubMed
O'Donohue, WT, Draper, C (eds) (2011). The case for evidence-based stepped care as part of a reformed delivery system. In: Stepped Care and e-Health: Practical Applications to Behavioral Disorders, pp. 1–16. New York, NY: Springer Science + Business Media.Google Scholar
Oakley Browne, M, Wells, J, Scott, K (2006). Te Rau Hingengaro: The New Zealand Mental Health Survey. Wellington.Google ScholarPubMed
Pekarik, G (1996). Psychotherapy Abbreviation: A Practical Guide. New York, NY; England: Haworth Press Inc.Google Scholar
Sanson-Fisher, RW, Grimshaw, JM, Eccles, MP (2004). The science of changing providers’ behaviour: the missing link in evidence-based practice [Editorial]. Medical Journal of Australia 180, 205–206.Google Scholar
Schrank, B, Wallcraft, J (2009). Good practice guidance. In: Handbook of Service User Involvement in Mental Health Research (World Psychiatric Association) (ed. Wallcraft, J., Schrank, B., Amering, M.), pp. 243–247. Chichester, UK: Wiley-Blackwell.CrossRefGoogle Scholar
Seekles, W, van Straten, A, Beekman, A, van Marwijk, H, Cuijpers, P (2011 a). Effectiveness of guided self-help for depression and anxiety disorders in primary care: a pragmatic randomized controlled trial. Psychiatry Research 187, 113–120.Google Scholar
Seekles, W, van Straten, A, Beekman, A, van Marwijk, H, Cuijpers, P (2011 b). Stepped care treatment for depression and anxiety in primary care. a randomized controlled trial [Randomized Controlled Trial Research Support, Non-U.S. Governmentt]. Trials [Electronic Resource] 12, 171.CrossRefGoogle Scholar
Stanhope, V, Solomon, P (2008). Getting to the heart of recovery: methods for studying recovery and their implications for evidence-based practice. British Journal of Social Work 38, 885–899.CrossRefGoogle Scholar
Sullivan, G, Craske, MG, Sherbourne, C, Edlund, MJ, Rose, RD, Golinelli, D, Roy-Byrne, PP (2007). Design of the coordinated anxiety learning and management study: innovations in collaborative care for anxiety disorders. General Hospital Psychiatry 29, 379–387.CrossRefGoogle ScholarPubMed
Vangen, S, Huxham, C (2003). Nurturing collaborative relations: building trust in interorganisational collaboration. Journal of Applied Behaviour Science 39, 5–31.Google Scholar
Wandersman, A, Duffy, J, Flaspohler, P, Noonan, R, Lubell, K, Stillman, L, Saul, J (2008). Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. American Journal of Community Psychology 41, 171–181.Google Scholar
Weisz, JR, Hawley, KM, Pilkonis, PA, Woody, SR, Follette, WC (2000). Stressing the (other) three Rs in the search for empirically supported treatments: review procedures, research quality, relevance to practice and the public interest. Clinical Psychology: Science and Practice 7, 243–258.Google Scholar
Wells, K, Miranda, J, Bruce, ML, Alegria, M, Wallerstein, N (2004). Bridging community intervention and mental health services research. American Journal of Psychiatry 161, 955–963.CrossRefGoogle ScholarPubMed
Westen, D (2002). Manualizing manual development: Commentary [Comment/Reply]. Clinical Psychology: Science and Practice 9, 416–418.Google Scholar
Submit a response

Comments

No Comments have been published for this article.