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Pragmatic Recommendations to Address Challenges in Disseminating Evidenced-Based Treatment Guidelines
Journal article   Peer reviewed

Pragmatic Recommendations to Address Challenges in Disseminating Evidenced-Based Treatment Guidelines

Evan M. Forman, Brandon A. Gaudiano and James D. Herbert
Canadian psychology = Psychologie canadienne, v 57(3)
01 Aug 2016

Abstract

Psychology Psychology, Multidisciplinary Social Sciences
Over the past several decades, a number of different systems have been developed to help clinicians select a psychological treatment most likely to benefit a particular patient according to the best available scientific evidence. These systems include empirically supported treatment lists, treatment registries, evidence-based practice guidelines, empirically based principles of change, large-scale treatment guidelines, and a meta-analytic-based treatment recommendation system. Each system has individual pros and cons. However, no system has solved the problem of dissemination or achieved widespread adoption. In fact, the impact of these systems on clinicians, policymakers, and the public-as well as the impact on the clinical care that patients receive-is relatively limited. We argue that, without bold initiatives, the current state of affairs is likely to remain, resulting in most consumers receiving subpar treatment. Examples of such initiatives include directly targeting consumers (e.g., through paid advertising, media promotion, and use of high-traffic Websites), leveraging influences on clinician behavior (e.g., by changing payment and licensure systems, by requiring direct demonstration of competence in utilizing evidence-based treatments, and by using the threat of lawsuits), incentivizing psychology training programs to make changes (e.g., by drastically increasing the specificity and rigor of accreditation standards) and making the guidelines more useful (e.g., by providing easy-to-access treatment resources, reducing complexity and incorporating clinician input in the design of treatment recommendations).

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10 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychology, Multidisciplinary
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