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Evaluation ViewAttendees 3

Program / Treatment Design
Symposia

Symposium 84 - Innovations to Evidence-Based Practices: Enhancing Engagement, Outcomes, and Access

Saturday, November 16, 2024
12:30 PM – 2:00 PM EST
Location: Franklin 2, Level 4, Downtown Marriott
CE: 1.5

Keywords: Adult, Treatment Development,
Level of Familiarity: Basic to moderate
Recommended Readings: Wolitzky-Taylor, K., LeBeau, R., Arnaudova, I., Barnes-Horowitz, N., Gong-Guy, E., Fears, S., ... & Craske, M. (2023). A novel and integrated digitally supported system of care for depression and anxiety: findings from an open trial. JMIR Mental Health, 10, e46200.,   Manber, R., Simpson, N., & Gumport, N. B. (2023). Perspectives on increasing the impact and reach of CBT-I. SLEEP, 46, zsad168.,   Harvey, A. G., Callaway, C. A., Zieve, G. G., Gumport, N. B., & Armstrong, C. C. (2022). Applying the science of habit formation to evidence-based psychological treatments for mental illness. Perspectives on Psychological Science, 17(2), 572- 589. https://doi.org/10.1177/1745691621995752,   Green Rosas, Y., McCabe, K. M., Zerr, A., Yeh, M., Gese, K., & Barnett, M. L. (2022). Examining English- and Spanish-speaking therapist behaviors in parent-child interaction therapy. International Journal of Environmental Research and Public Health, 19, 4474.,   Dvorak, R. D., Pearson, M. R., & Day, A. M. (2014). Ecological momentary assessment of acute alcohol use disorder symptoms: Associations with mood, motives, and use on planned drinking days. Experimental and Clinical Psychopharmacology, 22(4), 285-297.

Evidence-based practices (EBPs) can help improve symptoms of mental illness (e.g., Cusack et al., 2016; Edinger et al., 2021). However, there is room for improvement. Long-term outcomes of EBPs are variable (e.g., Cuijpers et al., 2020; Kazdin, 2018; McPherson & Senra, 2022; van der Zweerde et al., 2019). Moreover, many patients do not receive – or have limited access to – appropriate EBPs that align with their needs (e.g., Lee et al., 2021). Consistent with ABCT’s mission to improve well-being through behavioral and cognitive science and the 2024 convention themes of innovation and community engagement, the goal of this symposium is to present cutting-edge research on innovations to improve engagement, outcomes, and access to cognitive behavioral EBPs. Of note, the innovations highlighted in this symposium are “pantreatment” and “transdiagnotic” meaning that they could be applied to a wide range of treatments for patients presenting with different disorders (Barlow et al., 2004; Fairburn et al., 2003; Harvey et al., 2004). The first speaker will present data from a randomized clinical trial that utilized a novel, multivariate decision-making algorithm for triaging and adapting levels of mental health care for depression and anxiety. The second talk will present provider and patient data on feasibility, acceptability, and preliminary outcomes of integrating digital cognitive behavior therapy for insomnia in routine psychotherapy for depression and anxiety. The third speaker will present outcomes from a comparison of five empirically-supported strategies designed to change patients’ habits and symptoms, in the context of sleep problems. The fourth speaker will present qualitative data on bilingual therapists’ and trainers’ experiences of delivering Parent-Child Interaction Therapy to meet the needs of Spanish-speaking families. The fifth speaker will present an intervention paradigm and qualitative data from an ecological momentary intervention designed to help young adults with co-occurring mood/anxiety and alcohol use symptoms in real time. The discussant, a leader in the development and implementation of EBPs, will synthesize these findings; provide insights on developing EBP innovations that enhance outcomes, engagement, and access; and discuss critical directions for future research.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Describe the importance of innovations to improve outcomes, engagement, and access to EBPs.
  2. Identify several novel innovations that could be applied to a wide range of treatments and clinical presentations.
  3. Explain methods and analyses that can be used to evaluate novel innovations to EBPs.
  4. Describe outcomes and/or stakeholder feedback of several novel innovations to EBPs.
  5. Discuss limitations and future directions to improve outcomes, engagement, and access to EBPs via novel innovations.

Presentations:

  • 12:30 PM – 2:00 PM EST
    (SYM 84) Using a Predictive Algorithm for Triaging and Adapting Level of Psychological Care for Depression and Anxiety: Results from the STAND Program

    Speaker: Alainna Wen, Ph.D. (she/her/hers) – University of California Los Angeles

    Co-author: Kate Wolitzky-Taylor, Ph.D. – UCLA School of Medicine

    Co-author: Michelle G. Craske, Ph.D. – University of California, Los Angeles

  • 12:30 PM – 2:00 PM EST
    (SYM 84) Preliminary Evidence in Support of Integrating Digital Cognitive Behavior Therapy for Insomnia into Psychotherapy for Depression and Anxiety

    Speaker: Nicole B. Gumport, Ph.D. (she/her/hers) – Stanford University

    Co-author: Isabelle Tully, BS (she/her/hers) – Stanford University

    Co-author: Nicole Carmona, PhD – Stanford University

    Co-author: Shannon Wiltsey Stirman, Ph.D. – National Center for PTSD and Stanford University

    Co-author: Rachel Manber, PhD – Stanford University

  • 12:30 PM – 2:00 PM EST
    (SYM 84) How Can We Help Patients Change Their Habits? Testing the Impact of Five Strategies on Habits and Outcomes in the Context of Sleep Problems

    Speaker: Laurel D. Sarfan, PhD (she/her/hers) – University of California, Berkeley

    Co-author: Anne E. Milner, Ph.D. (she/her/hers) – University of California, Berkeley

    Co-author: Sondra Tiab, B.A. (she/her/hers) – University at Albany, State University of New York

    Co-author: Diya Tuli, BA in progress (she/her/hers) – University of California, Berkeley

    Co-author: Allison G. Harvey, Ph.D. (she/her/hers) – University of California Berkeley

  • 12:30 PM – 2:00 PM EST
    (SYM 84) Coaching Spanish-speaking Caregivers in PCIT: Therapist Perspectives and Recommendations

    Speaker: Yessica Green Rosas, Ph.D. (she/her/hers) – University of California San Francisco

    Co-author: Erika Luis Sanchez, Ph.D. (she/her/hers) – UCLA

    Co-author: Miya Barnett, Ph.D. (she/her/hers) – University of California Santa Barbara

  • 12:30 PM – 2:00 PM EST
    (SYM 84) A Qualitative Analysis of Young Adults' Perceptions of an Ecological Momentary Intervention for Drinking to Cope

    Speaker: Sarah E. Dreyer-Oren, Ph.D. (she/her/hers) – Alpert Medical School of Brown University

    Co-author: Bailey O'Keeffe, MS – Butler Hospital

    Co-author: Zainab Shah, BA – Butler Hospital

    Co-author: Eleanor Amer, BA – Butler Hospital

    Co-author: Abigail Fleurima, BS – Butler Hospital

    Co-author: Oyindamola Akinnusi, BS – Butler Hospital

    Co-author: Melissa Chery, BS – Butler Hospital

    Co-author: Heather Schatten, Ph.D. – Butler Hospital & Brown University

    Co-author: Michael Stein, M.D. (he/him/his) – Boston University

    Co-author: Ana Abrantes, Ph.D. – Butler Hospital/Alpert Medical School of Brown University