Increasing psychotherapists' adoption and implementation of the evidence-based practice of progress monitoring

Behav Res Ther. 2016 Jan;76:24-31. doi: 10.1016/j.brat.2015.11.004. Epub 2015 Nov 14.


Evidence-based practices (EBPs) reach consumers slowly because practitioners are slow to adopt and implement them. We hypothesized that giving psychotherapists a tool + training intervention that was designed to help the therapist integrate the EBP of progress monitoring into his or her usual way of working would be associated with adoption and sustained implementation of the particular progress monitoring tool we trained them to use (the Depression Anxiety Stress Scales on our Online Progress Tracking tool) and would generalize to all types of progress monitoring measures. To test these hypotheses, we developed an online progress monitoring tool and a course that trained psychotherapists to use it, and we assessed progress monitoring behavior in 26 psychotherapists before, during, immediately after, and 12 months after they received the tool and training. Immediately after receiving the tool + training intervention, participants showed statistically significant increases in use of the online tool and of all types of progress monitoring measures. Twelve months later, participants showed sustained use of any type of progress monitoring measure but not the online tool.

Keywords: Adoption; Dissemination; Evidence-based practice; Implementation; Progress monitoring.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Evidence-Based Practice
  • Female
  • Health Personnel / education*
  • Health Personnel / trends
  • Humans
  • Information Dissemination / methods
  • Male
  • Online Systems
  • Psychotherapy / methods*
  • Psychotherapy / trends
  • Therapy, Computer-Assisted / methods
  • Therapy, Computer-Assisted / trends