Maintenance of Training Effects of Two Models for Implementing Evidence-Based Psychological Treatment

Ellen E. Fitzsimmons-Craft, Cara Bohon, G. Terence Wilson, Booil Jo, Sangeeta Mondal, Olivia Laing, R. Robinson Welch, Ramesh Raghavan, Enola K. Proctor, W. Stewart Agras, Denise E. Wilfley

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: The authors compared maintenance of training outcomes for two approaches to training college therapists in interpersonal psychotherapy (IPT): train the trainer versus expert training. METHODS: A cluster-randomized trial was conducted in 24 college counseling centers. Therapists were recruited from enrolled centers, and the therapists enrolled students with depression and eating disorder symptoms. The therapists (N=184) provided data during baseline, posttraining (during the 12 months of expert consultation offered to the expert training group), and maintenance (approximately 7 months after the expert consultation ended). Outcomes were therapist fidelity (i.e., adherence and competence) and IPT knowledge. RESULTS: Both groups showed within-group improvement from baseline to the maintenance period for adherence, competence, and IPT knowledge; however, the train-the-trainer group had greater improvement over time in adherence and competence. CONCLUSIONS: Given that the effects of the train-the-trainer approach were better maintained, and this model's potential to train more therapists over time, the train-the-trainer approach may help increase dissemination of evidence-based treatments such as IPT.

Original languageEnglish (US)
Pages (from-to)1451-1454
Number of pages4
JournalHospital and Community Psychiatry
Issue number12
StatePublished - Dec 1 2021


  • College mental health
  • Evidence-based treatment
  • Staff training
  • Sustainability
  • Train-the-trainer
  • Training

ASJC Scopus subject areas

  • Psychiatry and Mental health


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