Category: Dissemination & Implementation Science
Shannon Wiltsey Stirman, Ph.D.
Associate Professor/Acting Deputy Director
Stanford University
Menlo Park, California
Debra Kaysen, ABPP, Ph.D.
Professor
Stanford University
Palo Alto, California
Shannon Wiltsey Stirman, Ph.D.
Associate Professor/Acting Deputy Director
Stanford University
Menlo Park, California
Amber Calloway, Ph.D.
Research Associate
The Penn Collaborative for CBT and Implementation Science, Perelman School of Medicine, University of Pennsylvania
Philadelphia, Pennsylvania
Nicole Gumport, Ph.D.
Postdoctoral Fellow
Stanford University
Stanford, California
Healthcare systems and communities are implementing evidence-based interventions (EBIs), but many experience challenges in supporting ongoing quality and fidelity. Treatment fidelity is a key implementation outcome (Proctor et al., 2010) and an important aspect of evaluating training success. Fidelity to CPT and to CBT for depression has also been associated with symptom improvement (Farmer et al., 2016; Keefe et al, 2021; Webb et al., 2010). However, after training, fidelity tends to decrease and therapists often make changes to the treatment without knowing whether those changes are effective (Cook et al., 2014, Thompson et al., 2018). This symposium will examine strategies to monitor and support fidelity to cognitive behavioral therapy (CBT) and cognitive processing therapy (CPT) in public and private mental health settings. To consider scalable strategies to monitor fidelity, we will present outcome data from studies on treatment fidelity and sustainability. The first study compares approaches to use materials collected in routine care to assess or support fidelity. CBT and CPT checklists and ratings of worksheets that were done in session were compared to observer ratings and associations with subsequent symptom change were examined. Dr. Gumport will present data on therapist self-reported checklists on adherence to CBT and CPT. Dr. Calloway will present data that examines whether CBT or CPT worksheets can be used to assess fidelity or predict subsequent symptom change. Using data from the active phase of a randomized trial from a study of strategies to sustain CPT fidelity, Dr. Wiltsey Stirman will present data on a comparison between fidelity or continuous quality improvement-oriented learning collaborative strategies to support sustained fidelity among therapists across different mental health systems in the United States and Canada. Dr. Kaysen will discuss implications for initial training and for strategies to support high-quality and effective provision of EBIs beyond initial implementation.
Presenter: Shannon Wiltsey Stirman, Ph.D. – Stanford University
Co-author: Erin Finley, PhD – UT Health San Antonio
Co-author: Jansey Lagdamen, B.S. – National Center for PTSD
Co-author: Jiyoung Song, PhD – University of California, Berkeley
Co-author: Tasoula Masina – Ryerson University
Co-author: Syed Aajmain, PhD – National Center for PTSD
Co-author: Taylor Loskot, PhD – VA National Center for PTSD and Stanford University
Co-author: Alayna Park, Ph.D. – University of Oregon
Co-author: Kera Swanson, MPH – National Center for PTSD
Co-author: Heidi La Bash, PhD – National Center for PTSD
Co-author: Jeanine Lane, PhD – Ryerson University
Co-author: Scott Roesch, PhD – San Diego State University
Co-author: Joan Cook, PhD – Yale School Of Medicine, Department Of Psychiatry
Co-author: Norman Shields, PhD – Royal canadian Mounted Police
Co-author: Candice M. Monson, Ph.D. – Ryerson University
Presenter: Amber Calloway, Ph.D. – The Penn Collaborative for CBT and Implementation Science, Perelman School of Medicine, University of Pennsylvania
Co-author: Samantha Hernandez, PhD – National Center for PTSD; Stanford University
Co-author: Jiyoung Song, PhD – University of California, Berkeley
Co-author: Alayna Park, Ph.D. – University of Oregon
Co-author: Kimberlye E. Dean, Ph.D. – Massachusetts General Hospital/Harvard Medical School
Co-author: Soo Jeong Youn, PhD – Harvard Medical School
Co-author: Robert DeRubeis, PhD – University of Pennsylvania
Co-author: Dawne Vogt, PhD – National Center for PTSD
Co-author: Luana Marques, PhD – Harvard Medical School
Co-author: Shannon Wiltsey Stirman, Ph.D. – Stanford University
Co-author: Torrey A. Creed, Ph.D. – Perelman School of Medicine at the University of Pennsylvania
Presenter: Nicole B. Gumport, Ph.D. – Stanford University
Co-author: Samantha Hernandez, PhD – National Center for PTSD; Stanford University
Co-author: Alayna Park, Ph.D. – University of Oregon
Co-author: Jiyoung Song, PhD – University of California, Berkeley
Co-author: Amber Calloway, Ph.D. – The Penn Collaborative for CBT and Implementation Science, Perelman School of Medicine, University of Pennsylvania
Co-author: Kimberlye E. Dean, Ph.D. – Massachusetts General Hospital/Harvard Medical School
Co-author: Dawne Vogt, PhD – National Center for PTSD
Co-author: Soo Young, Ph.D. – Harvard Medical School
Co-author: Clara Johnson, PhD – University of Washington, Seattle
Co-author: Robert DeRubeis, PhD – University of Pennsylvania
Co-author: Luana Marques, PhD – Harvard Medical School
Co-author: Torrey A. Creed, Ph.D. – Perelman School of Medicine at the University of Pennsylvania
Co-author: Shannon Wiltsey Stirman, Ph.D. – Stanford University