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Depression Research and Treatment
Volume 2012, Article ID 986547, 5 pages
Research Article

Sustained Adoption of an Evidence-Based Treatment: A Survey of Clinicians Certified in Problem-Solving Therapy

1Department of Psychiatry, University of California, San Francisco, CA 94143, USA
2Department of Psychiatry, Geisel School of Medicine at Dartmouth, NH 03755, USA

Received 30 April 2012; Accepted 1 August 2012

Academic Editor: Mark Williams

Copyright © 2012 Rebecca M. Crabb et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Training models that incorporate case supervision in addition to didactic instruction appear to be effective in maximizing clinicians’ proficiency in evidence-based treatments (EBTs). However, it is unknown the extent to which these models promote sustained adoption of EBTs. We describe the results of an online survey on post-training utilization of an EBT, problem-solving therapy (PST), among 40 clinicians highly trained in PST. Seventy-five percent of the survey’s 40 respondents reported that they continued to use PST in their clinical practices. Many PST-trained clinicians reported that they had modified the PST protocol in their clinical practices according to patient characteristics or preferences. Considering these results, we recommend emphasizing patient variability and treatment tailoring throughout the training process as a means for promoting clinicians’ sustained adoption of EBTs.