Journal article
Perceptions of Evidence-based Treatment among Youth and Caregivers Receiving Trauma Focused-Cognitive Behavioral Therapy
Journal of child and family studies, v 29(6), pp 1712-1722
01 Jun 2020
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives There is growing recognition that it is important to involve youth and caregivers in the implementation of evidence-based treatments (EBTs). This study explored how youth and caregivers who received trauma-focused cognitive-behavioral therapy (TF-CBT) in a public behavioral health system perceived the concept of EBT, their experience with treatment, their perceptions of TF-CBT, and whether their perceptions varied as a function of clinical improvement. Methods Participants were eight youth (aged 10-17) and nine caregivers/legal guardians who received TF-CBT in community mental health centers. Semi-structured interviews were conducted post-treatment and symptoms were assessed at pre- and post-treatment. An integrated approach was used to analyze the interview data and the reliable change index was used to assess whether youth and caregivers' impressions varied as a function of clinical improvement. Results Participants rarely had exposure to the term "evidence-based" and often had the misconception that evidence referred to personal experience. Youth and caregivers found the concept of receiving treatment supported by research appealing but did not like the specific term "evidence-based" and worried that treatment guided by research alone may not individualize to their needs. Personal stories were noted as a good way to market TF-CBT and the therapist emerged as an important advocate for promoting this treatment approach. Clinical improvement was associated with the perception of therapists as collaborative and with trauma narrative completion. Conclusions Findings suggest that language and how therapists communicate EBTs to youth and caregivers may be important for targeted implementation strategies.
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Details
- Title
- Perceptions of Evidence-based Treatment among Youth and Caregivers Receiving Trauma Focused-Cognitive Behavioral Therapy
- Creators
- Kelsie H. Okamura - University of PennsylvaniaLaura C. Skriner - University of PennsylvaniaEmily M. Becker-Haimes - Univ Penn, Philadelphia, PA 19104 USADanielle R. Adams - University of PennsylvaniaSara Becker - Brown UniversityHilary E. Kratz - University of PennsylvaniaKamilah Jackson - Philadelphia Dept Behav Hlth & Intellectual DisAb, Philadelphia, PA USASteve Berkowitz - Pennsylvania HospitalArturo Zinny - Philadelphia Dept Behav Hlth & Intellectual DisAb, Philadelphia, PA USALauren Cliggitt - Pennsylvania HospitalRinad S. Beidas - University of Pennsylvania
- Publication Details
- Journal of child and family studies, v 29(6), pp 1712-1722
- Publisher
- Springer Nature
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000521774500001
- Scopus ID
- 2-s2.0-85083379138
- Other Identifier
- 991021895805904721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Family Studies
- Psychiatry
- Psychology, Developmental