Transportability From Research to Practice Settings | Self-Directed Cognitive-Behavioral Therapy
One barrier to utilization of CBT may be doubts that the results
of RCTs will generalize to service settings. Differences may exist
between research- and service-oriented settings in clientele, resources,
and treatment providers; therefore, it is important to extend research
on CBT into more practice-oriented settings. A study of 81
community mental health center (CMHC) patients showed that they
achieved as much benefit from a 15-session CBT protocol as participants in
stringently controlled efficacy studies (Wade et al. 1998).
In the CMHC sample, 87% of CBT completers were panic free
at posttreatment. These patients manifested significant improvement
on measures of anxiety, agoraphobia, and depression and decreased
their use of benzodiazepines. These results suggest that the benefits
of CBT are not restricted to clinicians or patients who are willing
to conform to the stringent formats that accompany research studies.