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Behavior Therapy Seminar Series: A Model for Teaching Evidence- Based Practice Thad R. Leffingwell, Ph.D. Oklahoma Sta

Behavior Therapy Seminar Series: A Model for Teaching Evidence- Based Practice Thad R. Leffingwell, Ph.D. Oklahoma State University . What is the BTSS?. Major project in context of graduate Behavior Therapy course Student/instructor teams prepare 2.5-hour workshops for classmates,

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Behavior Therapy Seminar Series: A Model for Teaching Evidence- Based Practice Thad R. Leffingwell, Ph.D. Oklahoma Sta

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  1. Behavior Therapy Seminar Series:A Model for Teaching Evidence- Based PracticeThad R. Leffingwell, Ph.D. Oklahoma State University

  2. What is the BTSS? • Major project in context of graduate Behavior Therapy course • Student/instructor teams prepare 2.5-hour workshops for classmates, 4-6 workshops in total • Involve expertise of faculty • Multimedia archiving on CD

  3. Objectives of BTSS • Students learn about empirically-supported treatments • Students learn about one treatment in depth • Students learn how to conduct training • Students learn how to learn about treatment research evidence and procedures • Students learn how to create and present (practitioner-friendly) systematic reviews • Provide service to broader psychology community (?)

  4. Workshop Format • Modeled after “beginner level”workshop at professional meetings (like ABCT) • Content of workshop similar across topics – Theoretical and technical overview – Review of empirical support – Case demonstration/vignettes • Supplemental Materials –“Quick scan”table of empirical studies – Consumer-oriented “fact sheet”summarizing treatment and evidence-base

  5. Evaluation of Empirical Studies • Provided with guide for evaluating methodology and evaluation of empirical studies • Based upon Borkovek’s(1993) classic article and CONSORT guidelines (new Behar & Borkovec, 2005) • Borrowed Consumer Report’s style of representing poor ( ), good ( ), and excellent ( ) characteristics – Design – Methodology – Sample Characteristics – Therapist Characteristics – Dependent Variable Considerations – Data Analysis

  6. Methodology • Minimal specification of treatment; statistical control of client variables in absence of random assignment • Treatment manual; session parameters specified and controlled; expectancy/credibility checks • Adherence ratings; expert supervision or ratings of competence

  7. Finger-tapping Desensitization and Reprocessing Therapy (FTDR) Quick-scan table summarizing empirical findings. Study Design Method Sample Therapist Effects Dependent Variable Analyses Results Comments Wellington All improved Small, exploratory study using & * + ~ ~ ~ + 3 of 6 PSTD- multiple - baseline design. Herskowitz free post-tx Promising results, but flaws limit (1995) confidence without replication. Seymour FTDR>TAU, Randomized trial w/ treatment & * + + @ + + 89% improved manual, more diverse traumas, Butz at post-test no information about therapists, (1997) Immediate post-test only Note: FTDR = Finger-tapping Desensitization and Reprocessing, TAU = treatment as usual, * = Excellent, + = Good, ~ = Fair to Poor, - = Below minimum standards, @ = no information available

  8. Empirical Support Suggested Outline • What studies have been done? • Does the treatment appear to have support for short-term efficacy? • Does the treatment appear to have support for long-term efficacy? • Is any evidence available for treatment effectiveness? • How does the treatment compare to alternative treatments? • Who does the treatment work for? (gender, diagnosis, severity, comorbidity, etc.) • Is there any evidence why the treatment works? (mechanisms, principles of change) • Where is the research heading? What important questions remain? • (Consider clinical significance as well as statistical significance in answers)

  9. “Fact Sheet” Content • Description of treatment • Non-technical description of efficacy data (clinical significance) • Risks and benefits of treatment • Alternatives to treatment • May be useful as treatment induction and/or informed consent procedures

  10. BTSS Recent Topics 2003 • CBT for Bulimia Nervosa • Multisystemic Therapy for Antisocial Youth • CBT for Cocaine Dependence • Parent Management Training for ADHD 2004 • Anger Management Training • Dialectical Behavior Therapy • CBT for Generalized Anxiety Disorder • Parent-child Interaction Therapy 2005 • Integrative Behavioral Couple Therapy • Seeking Safety Treatment for PTSD/Substance Abuse • CBT for OCD • PSST/PMT for CD

  11. For more information...... Concurrent discussion groups thad.leffingwell@okstate.edu http://psychology.okstate.edu/faculty/leffingwell/btss/

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