Open AccessKernels vs. Ears, and Other Questions for a Science of Treatment Dissemination
Author(s) -
Weisz John R.,
Ugueto Ana M.,
Herren Jenny,
Afienko Sara R.,
Rutt Christopher
Publication year - 2011
Publication title -
clinical psychology: science and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 105
eISSN - 1468-2850
pISSN - 0969-5893
DOI - 10.1111/j.1468-2850.2010.01233.x
Subject(s) - upstream (networking) , intervention (counseling) , downstream (manufacturing) , clinical practice , public relations , medicine , medical education , psychology , political science , business , marketing , nursing , computer science , computer network
[Clin Psychol Sci Prac 18: 41–46, 2011] Combining intervention diffusion with change in clinical practice and public policy is an ambitious agenda. The impressive effort in Hawaii can be instructive, highlighting questions for a science of treatment dissemination. Among these questions, some of the most important are the following: (a) Who should be targeted for change? (e.g., “downstream” clinicians in practice, “upstream” clinicians in training, consumers, “brokers,” policy makers, or payers?); (b) What should be disseminated? (e.g., full evidence‐based protocols, specific treatment elements or “kernels”?); and (c) Which procedures maximize change? (e.g., what combination and duration of teaching, supervision, consultation, and other support?). Ultimately, change efforts need to assess what aspects of practice were actually altered, what measurable impact the changes had on clinical outcomes, and what changes in practices and outcomes can be sustained over time.