What the problem may be with family intervention . . . and with dissemination more generally: A commentary

Kavanagh, David J. (2016) What the problem may be with family intervention . . . and with dissemination more generally: A commentary. Australian Psychologist, 51(1), pp. 69-72.

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While the two decades since the study by Kavanagh et al. (1993) has given additional insights into effective dissemination of family interventions, the accompanying papers show that progress remains limited. The effectiveness trial that triggered this series of papers offers a cautionary tale. Despite management support, 30–35 hr of workshop training and training of local supervisors who could act as champions, use of the full intervention was limited. In part, this seemed due to the demanding nature of the intervention and its incompatibility with practitioners’ roles, in part, to limitations in the training, among other factors. While the accompanying papers note these and other barriers to dissemination, they miss a more disturbing finding in the original paper: Practitioners said they were using several aspects in routine care, despite being unable to accurately describe what they were. This finding highlights the risks in taking practitioners’ reports of their practice in files or supervision sessions at face value and potentially has implications for reports of other clinical work. The fidelity of disseminated treatments can only be assured by audits of practice, accompanied by affirming but also corrective feedback.

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ID Code: 94267
Item Type: Journal Article
Refereed: Yes
Keywords: diffusion, dissemination, family intervention, schizophrenia, training
DOI: 10.1111/ap.12205
ISSN: 0005-0067
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Deposited On: 07 Apr 2016 23:53
Last Modified: 09 May 2016 05:05

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