Becoming an eCoach: Training therapists in online cognitive-behavioral therapy for chronic pain |
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Authors: | Jessy A Terpstra Rosalie van der Vaart Saskia Spillekom-van Koulil Arno van Dam Judith GM Rosmalen Hans Knoop Henriët van Middendorp Andrea WM Evers |
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Institution: | 1. Institute of Psychology, Health, Medical and Neuropsychology Unit, Leiden University, Wassenaarseweg 52, PO Box 9555, 2300 RB, Leiden, The Netherlands;2. Radboud University Medical Center Nijmegen, Department of Medical Psychology Nijmegen, PO Box 9101, 6500 HB, The Netherlands;3. Tilburg University, Tilburg School of Social and Behavioral Sciences, PO Box 90153, 5000 LE, Tranzo, Tilburg, The Netherlands;4. University of Groningen, University Medical Center Groningen, Departments of Psychiatry and Internal Medicine, PO Box 30001, 9700 RB, Groningen, The Netherlands;5. Academic Medical Center, Department of Medical Psychology, PO Box 22660, 1100 DD, Amsterdam, The Netherlands;6. Leiden University Medical Center, Department of Psychiatry, PO Box 9600, 2300 RC, Leiden, The Netherlands |
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Abstract: | ObjectiveOnline 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.MethodsThe 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.ResultsTwenty-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.ConclusionsAn iCBT therapist training was developed and initial evaluations among participants showed favorable implementation intentions.Practice implicationsTherapists’ 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. |
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Keywords: | iCBT internet-based cognitive-behavioral therapy TDF Theoretical Domains Framework DIBQ Determinants of Implementation Behavior Questionnaire HR-QoL health-related quality of life MREC Medical Research Ethics Committee LUMC Leiden University Medical Center IBM SPSS Statistics 23 International Business Machines Corporation Statistical Package for the Social Science 23 E-health Therapist training Technology acceptance model Implementation Online cognitive-behavioral therapy |
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