Feasibility and Satisfaction with Virtual Trainings for Evidence-Based Child Trauma Treatments during the COVID-19 Pandemic

Sufna G. John, Daryl T. Cooley, Allison B. Smith, L. Roberts, Elissa H. Dougherty, Glenn R. Mesman, Joy R. Pemberton, Karin L. Vanderzee, Janice K. Church, Chad M. Sievers
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Abstract

ABSTRACT The COVID-19 pandemic necessitated a change to virtual formats for evidence-based treatment trainings, including child trauma treatments. However, there has been limited research on trainee perceptions of virtual training. The present study examined trainee experiences in statewide dissemination of Child-Parent Psychotherapy (CPP), Trauma-Focused Cognitive Behavior Therapy (TF-CBT) and Parent–Child Interaction Therapy (PCIT) in both virtual and in-person formats. In all models, participants reported several benefits of virtual trainings related to pragmatics, balancing personal obligations, overall physical and emotional comfort, and increased access. Within treatment models, there were some relative weaknesses noted about virtual training compared to the in-person format. Virtual PCIT participants perceived lower knowledge gains and stated that the teaching format was not as conducive to learning. Virtual TF-CBT participants noted lower intention to use the treatment model and assessment measures. Virtual CPP participants did not note any perceived weaknesses. Despite these relative weaknesses noted, overall feasibility and satisfaction remained high across both formats, supporting virtual training as a feasible and acceptable format. Written feedback demonstrated significant variability in format preference, suggesting that multiple format options could create a more inclusive and accessible space. Lessons learned include increasing technological competencies and breaks, acknowledging the benefits and challenges of virtual training, and holding benevolence for trainees and trainers. The results of this study have implications for clinicians, trainers, and stakeholders seeking virtual dissemination and implementation methods.
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COVID-19大流行期间基于证据的儿童创伤治疗虚拟培训的可行性和满意度
摘要新冠肺炎大流行需要改变循证治疗培训的虚拟形式,包括儿童创伤治疗。然而,关于受训者对虚拟培训的看法的研究有限。本研究调查了受训者在全州范围内以虚拟和面对面形式传播儿童-父母心理治疗(CPP)、创伤集中认知行为治疗(TF-CBT)和父母-儿童互动治疗(PCIT)的经验。在所有模型中,参与者都报告了虚拟培训的几个好处,这些好处与语用学、平衡个人义务、整体身心舒适以及增加访问权限有关。在治疗模型中,与面对面的形式相比,虚拟训练存在一些相对的弱点。虚拟PCIT参与者认为知识收益较低,并表示教学形式不利于学习。虚拟TF-CBT参与者注意到使用治疗模型和评估措施的意愿较低。虚拟CPP参与者没有注意到任何明显的弱点。尽管指出了这些相对的弱点,但这两种形式的总体可行性和满意度仍然很高,支持虚拟培训成为一种可行和可接受的形式。书面反馈表明,格式偏好存在显著差异,这表明多种格式选项可以创造一个更具包容性和可访问性的空间。经验教训包括提高技术能力和休息时间,承认虚拟培训的好处和挑战,以及对受训者和培训师保持宽容。这项研究的结果对寻求虚拟传播和实施方法的临床医生、培训师和利益相关者具有启示。
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