Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.

<h4>Background</h4>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 EBP...

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Main Authors: Jean-Daniel Carrier, Frances Gallagher, Alain Vanasse, Pasquale Roberge
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0264368
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author Jean-Daniel Carrier
Frances Gallagher
Alain Vanasse
Pasquale Roberge
author_facet Jean-Daniel Carrier
Frances Gallagher
Alain Vanasse
Pasquale Roberge
author_sort Jean-Daniel Carrier
collection DOAJ
description <h4>Background</h4>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.<h4>Objective</h4>Describe and classify the various strategies reported to improve access to CBT for anxiety disorders.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Implications</h4>This scoping review highlights gaps in implementation research regarding improving access to EBPTs that should be accounted for in future studies.
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spelling doaj.art-647090c00a534ed7b70b499dbecef1842022-12-22T02:24:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173e026436810.1371/journal.pone.0264368Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.Jean-Daniel CarrierFrances GallagherAlain VanassePasquale Roberge<h4>Background</h4>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.<h4>Objective</h4>Describe and classify the various strategies reported to improve access to CBT for anxiety disorders.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Implications</h4>This scoping review highlights gaps in implementation research regarding improving access to EBPTs that should be accounted for in future studies.https://doi.org/10.1371/journal.pone.0264368
spellingShingle Jean-Daniel Carrier
Frances Gallagher
Alain Vanasse
Pasquale Roberge
Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.
PLoS ONE
title Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.
title_full Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.
title_fullStr Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.
title_full_unstemmed Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.
title_short Strategies to improve access to cognitive behavioral therapies for anxiety disorders: A scoping review.
title_sort strategies to improve access to cognitive behavioral therapies for anxiety disorders a scoping review
url https://doi.org/10.1371/journal.pone.0264368
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