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Becoming an eCoach: training therapists in online cognitive-behavioral therapy for chronic pain
Objective
Online cognitive-behavioral therapy (iCBT) is effective in supporting patients’ self-management. Since iCBT differs from face-to-face CBT on several levels, proper training of therapists is essential. This paper describes the development and evaluation of a therapist training based on theoretical domains that are known to influence implementation behavior, for an iCBT for chronic pain.
Methods
The training consists of 1.5 days and covers the implementation domains “knowledge”, “skills”, “motivation”, and “organization”, by focusing on the therapy’s rationale, iCBT skills, and implementation strategies. Using an evaluation questionnaire, implementation determinants (therapist characteristics, e-health attitude, and implementation domains) and iCBT acceptance were assessed among participants after training.
Results
Twenty-two therapists participated, who generally showed positive e-health attitudes, positive...
Show moreObjective
Online cognitive-behavioral therapy (iCBT) is effective in supporting patients’ self-management. Since iCBT differs from face-to-face CBT on several levels, proper training of therapists is essential. This paper describes the development and evaluation of a therapist training based on theoretical domains that are known to influence implementation behavior, for an iCBT for chronic pain.
Methods
The training consists of 1.5 days and covers the implementation domains “knowledge”, “skills”, “motivation”, and “organization”, by focusing on the therapy’s rationale, iCBT skills, and implementation strategies. Using an evaluation questionnaire, implementation determinants (therapist characteristics, e-health attitude, and implementation domains) and iCBT acceptance were assessed among participants after training.
Results
Twenty-two therapists participated, who generally showed positive e-health attitudes, positive implementation expectations, and high iCBT acceptance. Organizational aspects (e.g., policy regarding iCBT implementation) were rated neutrally.
Conclusions
An iCBT therapist training was developed and initial evaluations among participants showed favorable implementation intentions.
Practice implications
Therapists’ positive training evaluations are promising regarding the dissemination of iCBT in daily practice. Organizational support is vital and needs to be attended to when selecting organizations for iCBT implementation.
Show less- All authors
- Terpstra, J.A.; Vaart, R. van der; Spillekom- Koulil, S. van; Dam, A. van; Rosmalen, J.G.M.; Knoop, H.; Middendorp, H. van; Evers, A.W.M.
- Date
- 2018-04-07
- Journal
- Patient Education and Counseling
- Volume
- 101
- Issue
- 9
- Pages
- 1702 - 1707