Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2022
2022
Historique:
received:
18
12
2020
accepted:
09
02
2022
entrez:
1
3
2022
pubmed:
2
3
2022
medline:
22
4
2022
Statut:
epublish
Résumé
Strategies to improve access to evidence-based psychological treatments (EBPTs) include but are not limited to implementation strategies. No currently available framework accounts for the full scope of strategies available to allow stakeholders to improve access to EBPTs. Anxiety disorders are common and impactful mental conditions for which EBPTs, especially cognitive-behavioral therapies (CBT), are well-established yet often hard to access. Describe and classify the various strategies reported to improve access to CBT for anxiety disorders. Scoping review with a keyword search of several databases + additional grey literature documents reporting on strategies to improve access to CBT for anxiety disorders. A thematic and inductive analysis of data based on grounded theory principles was conducted using NVivo. We propose to classify strategies to improve access to CBT for anxiety disorders as either "Contributing to the evidence base," "Identifying CBT delivery modalities to adopt in practice," "Building capacity for CBT delivery," "Attuning the process of access to local needs," "Engaging potential service users," or "Improving programs and policies." Each of these strategies is defined, and critical information for their operationalization is provided, including the actors that could be involved in their implementation. This scoping review highlights gaps in implementation research regarding improving access to EBPTs that should be accounted for in future studies.
Sections du résumé
BACKGROUND
Strategies to improve access to evidence-based psychological treatments (EBPTs) include but are not limited to implementation strategies. No currently available framework accounts for the full scope of strategies available to allow stakeholders to improve access to EBPTs. Anxiety disorders are common and impactful mental conditions for which EBPTs, especially cognitive-behavioral therapies (CBT), are well-established yet often hard to access.
OBJECTIVE
Describe and classify the various strategies reported to improve access to CBT for anxiety disorders.
METHODS
Scoping review with a keyword search of several databases + additional grey literature documents reporting on strategies to improve access to CBT for anxiety disorders. A thematic and inductive analysis of data based on grounded theory principles was conducted using NVivo.
RESULTS
We propose to classify strategies to improve access to CBT for anxiety disorders as either "Contributing to the evidence base," "Identifying CBT delivery modalities to adopt in practice," "Building capacity for CBT delivery," "Attuning the process of access to local needs," "Engaging potential service users," or "Improving programs and policies." Each of these strategies is defined, and critical information for their operationalization is provided, including the actors that could be involved in their implementation.
IMPLICATIONS
This scoping review highlights gaps in implementation research regarding improving access to EBPTs that should be accounted for in future studies.
Identifiants
pubmed: 35231039
doi: 10.1371/journal.pone.0264368
pii: PONE-D-20-39826
pmc: PMC8887746
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0264368Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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