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From training to practice: a survey study of clinical challenges in implementing cognitive behavioural therapy in Norway

Published online by Cambridge University Press:  06 August 2015

Annette Kjøge ,
Tone Turtumøygard ,
Torkil Berge  and
Terje Ogden
Annette Kjøge*
Affiliation:
Telemark Hospital, Skien, Norway University of Oslo, Oslo, Norway
Tone Turtumøygard
Affiliation:
University of Oslo, Oslo, Norway
Torkil Berge
Affiliation:
Community Mental Health Centre Vinderen, Diakonhjemmet Hospital, Oslo, Norway
Terje Ogden
Affiliation:
The Norwegian Centre for Child Behavioural Development, University of Oslo, Norway
*
*Author for correspondence: Ms. A. Kjøge, Sykehuset Telemark, 3710 Skien, Norway (email: [email protected]).
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Abstract

This study examines potential barriers to the implementation of CBT as perceived by therapists participating in the training programmes of the Norwegian Association for Cognitive and Behavioural Therapy (NACBT). Based on a questionnaire to members of the NACBT, a factor analysis identified five underlying dimensions of implementation barriers. A one-way analysis of variance was conducted to examine differences in how barriers were perceived by therapists working in medicine, mental health and social services. A multiple regression analysis was performed to examine the relationship between the barriers and the therapists’ global satisfaction with CBT. The five factor-based barriers identified were related to Therapeutic skills, Aspects of the workplace, Supervision, Training, and Clients. Problems related to Supervision and Therapeutic skills were reported to be the most important obstacles. Nurses and others working at psychiatric wards reported the largest number, and psychologists and others working with outpatients, reported the lowest number of barriers. The study highlights the importance of implementation quality in the process of linking training and practice of CBT in Norway. Even if aspects of the training programmes were perceived to be among the smallest threats to implementation, training was not sufficient in order for candidates to implement CBT in clinical practice.

Keywords

Cognitive behaviour therapyimplementationimplementation barrierssupervisiontherapist satisfaction
Type
Education and supervision
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e16
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Recommended follow-up reading

Fixsen, DL, Naoom, SF, Blase, KA, Friedman, RM, Wallace, F (2005). Implementation research: a synthesis of the literature (http://cfs.cbcs.usf.edu/_docs/publications/NIRN_Monograph_Full.pdf).Google Scholar
Kauth, MR, Greer, S, Blevins, D, Cully, JA, Landes, RD, Said, Q, Teasdale, TA (2010). Employing external facilitation to implement cognitive behavioral therapy in VA clinics: a pilot study. Implementation Science 5, 75.CrossRefGoogle ScholarPubMed

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