Randomized trial comparing Internet-based training in cognitive behavioural therapy theory, assessment and formulation to delayed-training control

ObjectiveThere is a need for effective, scalable methods of training clinicians in evidence-based interventions, particularly for populations with significant barriers to accessing traditional methods of training (e.g., developing economies, non-English speaking geographically dispersed populations). Hence this study examined the effectiveness of Internet-based training (IBT) in cognitive behavioural therapy (CBT) theory, assessment and formulation for participants in Russia with limited previous knowledge or training in CBT.MethodParticipants (N = 63) were randomized to either immediate IBT (approximately three hours over the course of one month) or a delayed training control group. Participants were assessed immediately prior to and following the training/delay on (a) standardized role-play of a CBT assessment and (b) ability to construct CBT formulation of the role-play ‘patient’. In addition the feasibility and acceptability of the training was assessed.ResultsResponses indicated that translated and subtitled IBT training was perceived by participants to be feasible and acceptable. Following the training those allocated to IBT scored significantly higher on measures of CBT assessment and formulation skills (between group effects sizes of d = 0.77–1.10) than those allocated to the control group. Participants reported IBT to be a feasible and acceptable form of CBT dissemination. An adaptation of the CTS used to rate a standardized role-play assessment demonstrated good inter-rater reliability.ConclusionsIBT may be an effective and scalable method of CBT dissemination with particular potential for training CBT skills in populations with significant barrier to accessing traditional methods of training.

► Standardized role-play assessments of clinical skills rated with an adaptation of the CTS.
► Translated and subtitled IBT training is rated as feasible and acceptable.
► IBT is successful in training basic CBT skills.
► IBT group scored higher than control group on measures of CBT skill and knowledge.
► Significant impact of IBT for participants with and without prior exposure to CBT training.