Effects of Training in Cognitive Behavioural Therapy and Motivational Interviewing on Mental Health Practitioner Behaviour: A Systematic Review and Meta‐Analysis
ABSTRACT Effective training of mental health professionals is crucial for bridging the gap between research and practice when delivering cognitive behavioural therapy (CBT) and motivational interviewing (MI) within community settings. However, previous research has provided inconclusive evidence reg...
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creator | Ragnarsson, Emma Högberg Reinebo, Gustaf Ingvarsson, Sara Lindgren, Annika Beckman, Maria Alfonsson, Sven Hedman‐Lagerlöf, Maria Rahm, Christoffer Sahlin, Hanna Stenfors, Terese Sörman, Karolina Jansson‐Fröjmark, Markus Lundgren, Tobias |
description | ABSTRACT
Effective training of mental health professionals is crucial for bridging the gap between research and practice when delivering cognitive behavioural therapy (CBT) and motivational interviewing (MI) within community settings. However, previous research has provided inconclusive evidence regarding the impact of training efforts. The current study aimed to systematically search, review and synthesize the literature on CBT and MI training to assess its effect on practitioner behavioural outcomes. Following prospective registration, a literature search was conducted for studies where mental health practitioners were exposed to training in face‐to‐face CBT or MI, reporting on at least one quantitative practitioner behavioural outcome. A total of 116 studies were eligible for the systematic review, and 20 studies were included in four meta‐analyses. The systematic review highlights the need to establish psychometrically valid outcome measures for practitioner behaviour. Results of the meta‐analyses suggest that training has a greater effect on practitioner behaviour change compared to receiving no training or reading a treatment manual. Training combined with consultation/supervision was found to be more effective than training alone, and no differences were found between face‐to‐face and online training. Results should be interpreted with caution due to methodological limitations in the primary studies, large heterogeneity, and small samples in the meta‐analyses. Future directions are discussed. |
doi_str_mv | 10.1002/cpp.3003 |
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Effective training of mental health professionals is crucial for bridging the gap between research and practice when delivering cognitive behavioural therapy (CBT) and motivational interviewing (MI) within community settings. However, previous research has provided inconclusive evidence regarding the impact of training efforts. The current study aimed to systematically search, review and synthesize the literature on CBT and MI training to assess its effect on practitioner behavioural outcomes. Following prospective registration, a literature search was conducted for studies where mental health practitioners were exposed to training in face‐to‐face CBT or MI, reporting on at least one quantitative practitioner behavioural outcome. A total of 116 studies were eligible for the systematic review, and 20 studies were included in four meta‐analyses. The systematic review highlights the need to establish psychometrically valid outcome measures for practitioner behaviour. Results of the meta‐analyses suggest that training has a greater effect on practitioner behaviour change compared to receiving no training or reading a treatment manual. Training combined with consultation/supervision was found to be more effective than training alone, and no differences were found between face‐to‐face and online training. Results should be interpreted with caution due to methodological limitations in the primary studies, large heterogeneity, and small samples in the meta‐analyses. Future directions are discussed.</description><identifier>ISSN: 1063-3995</identifier><identifier>ISSN: 1099-0879</identifier><identifier>EISSN: 1099-0879</identifier><identifier>DOI: 10.1002/cpp.3003</identifier><identifier>PMID: 38855846</identifier><language>eng</language><publisher>England: John Wiley and Sons, Limited</publisher><subject>Behavior modification ; Cognitive behavioral therapy ; Cognitive Behavioral Therapy - methods ; cognitive behavioural therapy ; consultation ; Health Personnel - education ; Health Personnel - psychology ; Humans ; Medical personnel ; Mental Disorders - psychology ; Mental Disorders - therapy ; Mental health ; Mental health care ; Meta-analysis ; motivational interviewing ; Motivational Interviewing - methods ; Reviews ; supervision ; Systematic review ; Training</subject><ispartof>Clinical psychology and psychotherapy, 2024-05, Vol.31 (3), p.e3003-n/a</ispartof><rights>2024 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2024 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3513-8ae7f3601ecccc4afbb1824daaed719cdf4717621be89b2ffbc4441e3c5984533</citedby><cites>FETCH-LOGICAL-c3513-8ae7f3601ecccc4afbb1824daaed719cdf4717621be89b2ffbc4441e3c5984533</cites><orcidid>0009-0004-0890-0174 ; 0000-0002-9370-1863 ; 0000-0001-6605-8924</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcpp.3003$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcpp.3003$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,780,784,885,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38855846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:158459130$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Ragnarsson, Emma Högberg</creatorcontrib><creatorcontrib>Reinebo, Gustaf</creatorcontrib><creatorcontrib>Ingvarsson, Sara</creatorcontrib><creatorcontrib>Lindgren, Annika</creatorcontrib><creatorcontrib>Beckman, Maria</creatorcontrib><creatorcontrib>Alfonsson, Sven</creatorcontrib><creatorcontrib>Hedman‐Lagerlöf, Maria</creatorcontrib><creatorcontrib>Rahm, Christoffer</creatorcontrib><creatorcontrib>Sahlin, Hanna</creatorcontrib><creatorcontrib>Stenfors, Terese</creatorcontrib><creatorcontrib>Sörman, Karolina</creatorcontrib><creatorcontrib>Jansson‐Fröjmark, Markus</creatorcontrib><creatorcontrib>Lundgren, Tobias</creatorcontrib><title>Effects of Training in Cognitive Behavioural Therapy and Motivational Interviewing on Mental Health Practitioner Behaviour: A Systematic Review and Meta‐Analysis</title><title>Clinical psychology and psychotherapy</title><addtitle>Clin Psychol Psychother</addtitle><description>ABSTRACT
Effective training of mental health professionals is crucial for bridging the gap between research and practice when delivering cognitive behavioural therapy (CBT) and motivational interviewing (MI) within community settings. However, previous research has provided inconclusive evidence regarding the impact of training efforts. The current study aimed to systematically search, review and synthesize the literature on CBT and MI training to assess its effect on practitioner behavioural outcomes. Following prospective registration, a literature search was conducted for studies where mental health practitioners were exposed to training in face‐to‐face CBT or MI, reporting on at least one quantitative practitioner behavioural outcome. A total of 116 studies were eligible for the systematic review, and 20 studies were included in four meta‐analyses. The systematic review highlights the need to establish psychometrically valid outcome measures for practitioner behaviour. Results of the meta‐analyses suggest that training has a greater effect on practitioner behaviour change compared to receiving no training or reading a treatment manual. Training combined with consultation/supervision was found to be more effective than training alone, and no differences were found between face‐to‐face and online training. Results should be interpreted with caution due to methodological limitations in the primary studies, large heterogeneity, and small samples in the meta‐analyses. 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Effective training of mental health professionals is crucial for bridging the gap between research and practice when delivering cognitive behavioural therapy (CBT) and motivational interviewing (MI) within community settings. However, previous research has provided inconclusive evidence regarding the impact of training efforts. The current study aimed to systematically search, review and synthesize the literature on CBT and MI training to assess its effect on practitioner behavioural outcomes. Following prospective registration, a literature search was conducted for studies where mental health practitioners were exposed to training in face‐to‐face CBT or MI, reporting on at least one quantitative practitioner behavioural outcome. A total of 116 studies were eligible for the systematic review, and 20 studies were included in four meta‐analyses. The systematic review highlights the need to establish psychometrically valid outcome measures for practitioner behaviour. Results of the meta‐analyses suggest that training has a greater effect on practitioner behaviour change compared to receiving no training or reading a treatment manual. Training combined with consultation/supervision was found to be more effective than training alone, and no differences were found between face‐to‐face and online training. Results should be interpreted with caution due to methodological limitations in the primary studies, large heterogeneity, and small samples in the meta‐analyses. Future directions are discussed.</abstract><cop>England</cop><pub>John Wiley and Sons, Limited</pub><pmid>38855846</pmid><doi>10.1002/cpp.3003</doi><tpages>31</tpages><orcidid>https://orcid.org/0009-0004-0890-0174</orcidid><orcidid>https://orcid.org/0000-0002-9370-1863</orcidid><orcidid>https://orcid.org/0000-0001-6605-8924</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Behavior modification Cognitive behavioral therapy Cognitive Behavioral Therapy - methods cognitive behavioural therapy consultation Health Personnel - education Health Personnel - psychology Humans Medical personnel Mental Disorders - psychology Mental Disorders - therapy Mental health Mental health care Meta-analysis motivational interviewing Motivational Interviewing - methods Reviews supervision Systematic review Training |
title | Effects of Training in Cognitive Behavioural Therapy and Motivational Interviewing on Mental Health Practitioner Behaviour: A Systematic Review and Meta‐Analysis |
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