Maintenance of Training Effects of Two Models for Implementing Evidence-Based Psychological Treatment.

Abstract

OBJECTIVE\nThe authors compared maintenance of training outcomes for two approaches to training college therapists in interpersonal psychotherapy (IPT): train the trainer versus expert training.\n\n\nMETHODS\nA cluster-randomized trial was conducted in 24 college counseling centers. Therapists were recruited from enrolled centers, and the therapists enrolled students with depression and eating disorder symptoms. The therapists (N=184) provided data during baseline, posttraining (during the 12 months of expert consultation offered to the expert training group), and maintenance (approximately 7 months after the expert consultation ended). Outcomes were therapist fidelity (i.e., adherence and competence) and IPT knowledge.\n\n\nRESULTS\nBoth groups showed within-group improvement from baseline to the maintenance period for adherence, competence, and IPT knowledge; however, the train-the-trainer group had greater improvement over time in adherence and competence.\n\n\nCONCLUSIONS\nGiven that the effects of the train-the-trainer approach were better maintained, and this model s potential to train more therapists over time, the train-the-trainer approach may help increase dissemination of evidence-based treatments such as IPT.