Training with tarantulas: A randomized feasibility and acceptability study using experiential learning to enhance exposure therapy training |
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| Affiliation: | 1. Department of Psychology, Temple University, 1701 N 13th St., Philadelphia, PA, 19122, USA;2. Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3rd Floor, Philadelphia, PA, 19104, USA;3. Hall-Mercer Community Mental Health Center, 245 S. 8th St., Philadelphia, PA, 19107, USA;4. Child Study Center, Virginia Polytechnic Institute and State University, 460 Turner St., Suite 207, Blacksburg, VA, 24060, USA;5. Department of Psychology, La Salle University, 1900 W. Olney Ave., Philadelphia, PA, 19141, USA;6. Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Drive, Philadelphia, PA, 19104, USA;7. Penn Implementation Science Center at the Leonard David Institute of Health Economics (PISCE @LDI), 3641 Locust Walk, Philadelphia, PA, 19104, USA;1. University of Southern California, Suzanne Dworak-Peck School of Social Work, Los Angeles CA. USC Center for Artificial Intelligence in Society, USC Center for Mindfulness Science, USC Institute for Addiction Science, United States;2. University of Southern California, Department of Psychology, USC Institute for Addiction Science, United States;3. University of Southern California, Keck School of Medicine, Department of Preventive Medicine, USC Institute for Addiction Science, Suzanne Dworak-Peck School of Social Work, United States;4. RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407, United States;5. University of Southern California, Keck School of Medicine, Department of Psychiatry and Behavioral Sciences, 2250 Alcazar Street, Suite 2200, Los Angeles, CA 90033, United States;1. ARQ Centrum’45, Diemen/Oegstgeest, the Netherlands;2. Department of Clinical Psychology & Experimental Psychopathology, University of Groningen, Groningen, the Netherlands;3. Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands;4. Department for Epidemiology, University Medical Center Groningen, University of Groningen, the Netherlands;1. Division of Medical Psychology, Department of Psychiatry, College of Medicine, University of Florida, 8491 NW 39th Avenue, Gainesville, FL 32606, USA;2. Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, P.O. Box 100165, Gainesville, FL 32610-0165, USA;3. Department of Pediatrics, College of Medicine, University of Florida, P.O. Box 100296, Gainesville, FL 32610-0296, USA;4. Department of Psychology, College of Liberal Arts and Sciences, University of Florida, P.O. Box 112250, Gainesville, FL 32611-2250, USA;1. Rogers Memorial Hospital, 34700 Valley Road, Oconomowoc, WI, 53066, United States;2. Warren Alpert Medical School, Brown University, 222 Richmond Street, Providence, RI, 02903, United States;3. University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, United States;4. University of Wollongong, School of Psychology, Northfields Avenue, Wollongong, NSW, 2522, Australia |
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| Abstract: | BackgroundAlthough exposure is a key evidence-based intervention for anxiety, it is infrequently used in clinical settings. This study employed a novel training strategy, experiential learning, to improve exposure implementation. This study aimed to assess the feasibility and acceptability of experiential training and preliminary training effectiveness.MethodsParticipants were 28 therapists who were randomized to (a) training-as-usual or (b) experiential training (training-as-usual plus a one-session treatment for fear of spiders). Workshops lasted one day and were followed by three months of weekly consultation.ResultsExperiential training was viewed as feasible and acceptable. Participants, including those who were fearful of spiders, had a positive response to the training and reported it to be useful. There was a significant increase in the number of exposures used by therapists receiving experiential training compared to training-as-usual at 1-month follow-up.ConclusionsA one-day training resulted in significant improvements in knowledge, attitudes toward exposure, and self-efficacy in using exposure. Preliminary findings suggest that experiential training resulted in greater use of exposure post-training compared to training-as-usual. Results provide evidence for the feasibility and acceptability of experiential training as a strategy to increase the use of evidence-based interventions. |
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| Keywords: | Therapist training Exposure therapy Anxiety Dissemination Implementation |
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