Implementation of Evidence-based Treatments for On-campus Eating Disorders

Although there have been major advances in developing evidence-based psychotherapies, the
adoption of such treatments by community therapists has been slow. One of the problems is the
difficulty therapists in practice have in learning how to conduct an evidence-based
psychotherapy. Hence, this study will investigate two methods of teaching therapists
interpersonal therapy (IPT), an evidence based treatment for eating disorders and depression,
at 40 college or University counseling centers.

Current approaches to training therapists to conduct new treatments typically consist of a
one or two day workshop delivered by an expert and provision of a manual for the therapy in
question. Recent reviews have concluded that while workshops increase therapists' knowledge,
their impact on skills may be short-lived without further consultation. Thus, investigators
will supplement IPT training manuals and workshops by offering monthly consultation calls to
participating therapists for 12 months following the workshop. The consultation calls are not
designed to be case supervision per se. Rather, they are to be seen as extended training on
IPT. This training condition is referred to as expert consultation.

The second training strategy, referred to as train-the-trainer, features expertise capacity
building within each organization. There is a strong theoretical case for this implementation
strategy as it is based on the principles of social cognitive theory, featuring active
learning via modeling, feedback on performance, building self-efficacy, and supportive
interactions among therapists developing IPT skills. This 'train-the-trainer' approach
involves active learning which centers around development of an internal coach and champion,
and has been recommended as the most effective means of changing actual therapist behaviors
rather than just attitudes and self-reported proficiency. Roth et al. have made the case that
effective implementation of evidence-based treatment in routine clinical services requires
that the training approximate that which characterized the research context (e.g., continuing
feedback and supervision and monitoring of treatment fidelity). Our train-the-trainer
strategy offers a practical means of accomplishing this goal.

Inclusion Criteria:

- Currently employed in a participating university counseling center

- Providing regular student-client services