ror.org/007y6q934
Abstracts
Résumé
La formation massive d’intervenants en santé mentale figure parmi les moyens proposés pour améliorer l’accès aux traitements fondés sur les données probantes pour divers troubles mentaux courants. Si les technologies de communication et de diffusion des connaissances (visioconférence, plateformes Web) peuvent aider à rendre la formation plus accessible dans le temps et dans l’espace, il est nécessaire de bien évaluer leur apport au développement des compétences chez les intervenants.
Objectifs Établir comment les technologies sont utilisées pour optimiser la formation des intervenants et quels sont les effets des formations en ligne sur l’acquisition des connaissances et habiletés cliniques.
Méthode Une revue rapide de la littérature a été réalisée. Pour être incluses, les études devaient concerner une formation en ligne destinée aux intervenants en pratique clinique active, porter sur le traitement d’un trouble mental courant ou d’une toxicomanie et comporter une mesure objective des connaissances ou des habiletés cliniques. Les études ont été analysées et comparées en fonction des méthodes et activités d’apprentissage intégrant les technologies numériques.
Résultats Vingt études ont été recensées. Les méthodes d’apprentissage passives, impliquant peu ou pas d’interactivité, prédominent dans les formations en ligne en mode asynchrone (FLA), alors que les activités permettant un niveau élevé d’interaction avec le formateur, comme les jeux de rôle ou la supervision, se retrouvent dans les formations en mode synchrone. Acquisition des connaissances : les FLA semblent efficaces pour améliorer les connaissances des intervenants sur une période d’au moins 6 mois. La formation en salle ou l’ajout d’une activité de supervision ne produisent pas de résultats d’apprentissage supérieurs à la FLA. Acquisition des habiletés : aucune conclusion ne peut être tirée quant aux effets des formations en ligne, asynchrones, synchrones ou mixtes, car les résultats sont partagés, voire contradictoires.
Conclusion En considérant la faible qualité méthodologique des études analysées qui limite la nature et la portée des conclusions de la présente recension, les résultats des études permettent d’avancer que les FLA qui comportent des technologies interactives de base, telles que des quiz en ligne, peuvent constituer un moyen simple et efficace pour améliorer les connaissances des intervenants en santé mentale.
Mots-clés :
- troubles mentaux courants,
- traitements fondés sur les données probantes,
- formation,
- formation en ligne,
- technologies
Abstract
Massive training of mental health providers is one of the proposed means of improving access to evidence-based treatment for a variety of common mental disorders. While communication and knowledge dissemination technologies (videoconferencing, web platforms) can help make training more accessible in time and space, their contribution to the development of skills among providers needs to be carefully evaluated.
Objectives Establish how technologies are used to optimize the training of practitioners and what are the effects of online training on the acquisition of clinical knowledge and skills.
Method A quick review of the literature was conducted. In order to be included, studies had to concern online training intended for providers in active clinical practice, deal with the treatment of a common mental disorder or addiction, and include an objective measure of clinical knowledge or skills. The studies were analyzed and compared in terms of learning methods and activities incorporating digital technologies.
Results Twenty studies were identified. Passive learning methods, involving little or no interactivity, are predominant in asynchronous mode online training (AOT), while activities that allow a high level of interaction with the trainer, such as role-playing or supervision, are found in synchronous mode training. Knowledge acquisition: AOTs appear to be effective in improving the knowledge of the trainees for at least six months. Classroom training or the addition of supervision does not produce learning outcomes that are superior to the AOT. Skill acquisition: No conclusions can be drawn about the effects of online, asynchronous, synchronous or blended training, as the results are mixed or even contradictory.
Conclusion Considering the low methodological quality of the studies analyzed, which limits the nature and scope of the conclusions of this review, the results of the studies suggest that AOTs that include basic interactive technologies, such as online quizzes, can be a simple and effective way to improve clinical knowledge of mental health practitioners.
Keywords:
- common mental disorders,
- evidence-based treatment,
- training,
- online training,
- technologies
Appendices
Bibliographie
- Beidas, R. S. et Kendall, P. C. (2010). Training therapists in evidence-based practice : A critical review of studies from a systems-contextual perspective. Clinical psychology : A Publication of the Division of Clinical Psychology of the American Psychological Association, 17(1), 1-30. https://doi.org/10.1111/j.1468-2850.2009.01187.x10.1111/j.1468-2850.2009.01187.x Google Scholar Search this bibliographic reference on Google Scholar
- Bennett-Levy, J., Hawkins, R., Perry, H., Cromarty, P. et Mills, J. (2012). Online cognitive behavioural therapy training for therapists : Outcomes, acceptability, and impact of support. Australian Psychologist, 47(3), 174-182. https://doi.org/10.1111/j.1742-9544.2012.00089.x10.1111/j.1742-9544.2012.00089.x Google Scholar Search this bibliographic reference on Google Scholar
- Bernard, R. M., Borokhovski, E., Schmid, R. F., Tamim, R. M. et Abrami, P. C. (2014). A meta-analysis of blended learning and technology use in higher education : From the general to the applied. Journal of Computing in Higher Education, 26(1), 87-122. https://doi.org/10.1007/s12528-013-9077-310.1007/s12528-013-9077-3 Google Scholar Search this bibliographic reference on Google Scholar
- Boswell, J. F., Constantino, M. J. et Goldfried, M. R. (2020). A proposed makeover of psychotherapy training : Contents, methods, and outcomes. Clinical Psychology : Science and Practice, 27(3), e12340. https://doi.org/10.1111/cpsp.1234010.1111/cpsp.12340 Google Scholar Search this bibliographic reference on Google Scholar
- Calder, R., Ainscough, T., Kimergård, A., Witton, J. et Dyer, K. R. (2017). Online training for substance misuse workers : A systematic review. Drugs : Education, Prevention and Policy, 24(6), 430-442. https://doi.org/10.1080/09687637.2017.131811310.1080/09687637.2017.1318113 Google Scholar Search this bibliographic reference on Google Scholar
- Cook, D. A., Levinson, A. J., Garside, S., Dupras, D. M., Erwin, P. J. et Montori, V. M. (2008). Internet-based learning in the health professions : A meta-analysis. JAMA, 300(10), 1181-1196. https://doi.org/10.1001/jama.300.10.118110.1001/jama.300.10.1181 Google Scholar Search this bibliographic reference on Google Scholar
- Cook, D. A., Levinson, A. J., Garside, S., Dupras, D. M., Erwin, P. J. et Montori, V. M. (2010). Instructional design variations in Internet-based learning for health professions education : A systematic review and meta-analysis. Academic Medicine, 85(5), 909-922. https://10.1097/ACM.0b013e3181d6c319 Google Scholar Search this bibliographic reference on Google Scholar
- Cooper, Z., Bailey-Straebler, S., Morgan, K. E., O’Connor, M. E., Caddy, C., Hamadi, L. et Fairburn, C. G. (2017). Using the Internet to train therapists : Randomized comparison of two scalable methods. Journal of Medical Internet Research, 19(10), e355. https://doi.org/10.2196/jmir.833610.2196/jmir.8336 Google Scholar Search this bibliographic reference on Google Scholar
- Fairburn, C. G., Allen, E., Bailey-Straebler, S., O’Connor, M. E. et Cooper, Z. (2017). Scaling up psychological treatments : A countrywide test of the online training of therapists. Journal of Medical Internet Research, 19(6), e214. https://doi.org/10.2196/jmir.786410.2196/jmir.7864 Google Scholar Search this bibliographic reference on Google Scholar
- Frank, H., Becker-Haimes, E. et Kendall, P. (2020). Therapist training in evidence-based interventions for mental health : A systematic review of training approaches and outcomes. Clinical Psychology : Science and Practice. https://doi.org/10.1111/cpsp.1233010.1111/cpsp.12330 Google Scholar Search this bibliographic reference on Google Scholar
- Harned, M. S., Dimeff, L. A., Woodcock, E. A., Kelly, T., Zavertnik, J., Contreras, I. et Danner, S. M. (2014). Exposing clinicians to exposure : A randomized controlled dissemination trial of exposure therapy for anxiety disorders. Behavior Therapy, 45(6), 731-744. https://doi.org/10.1016/j.beth.2014.04.00510.1016/j.beth.2014.04.005 Google Scholar Search this bibliographic reference on Google Scholar
- Harned, M. S., Dimeff, L. A., Woodcock, E. A. et Skutch, J. M. (2011). Overcoming barriers to disseminating exposure therapies for anxiety disorders : A pilot randomized controlled trial of training methods. Journal of Anxiety Disorders, 25(2), 155-163. https://doi.org/10.1016/j.janxdis.2010.08.01510.1016/j.janxdis.2010.08.015 Google Scholar Search this bibliographic reference on Google Scholar
- Harvey, A. G. et Gumport, N. B. (2015). Evidence-based psychological treatments for mental disorders : Modifiable barriers to access and possible solutions. Behaviour Research and Therapy, 68, 1-12. https://doi.org/10.1016/j.brat.2015.02.00410.1016/j.brat.2015.02.004 Google Scholar Search this bibliographic reference on Google Scholar
- Herschell, A. D., Kolko, D. J., Baumann, B. L. et Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments : A review and critique with recommendations. Clinical Psychology Review, 30(4), 448-466. https://doi.org/10.1016/j.cpr.2010.02.00510.1016/j.cpr.2010.02.005 Google Scholar Search this bibliographic reference on Google Scholar
- Jackson, C. B., Quetsch, L. B., Brabson, L. A. et Herschell, A. D. (2018). Web-based training methods for behavioral health providers : A systematic review. Administration and Policy in Mental Health, 45(4), 587-610. https://doi.org/10.1007/s10488-018-0847-010.1007/s10488-018-0847-0 Google Scholar Search this bibliographic reference on Google Scholar
- Kobak, K. A., Craske, M. G., Rose, R. D. et Wolitsky-Taylor, K. (2013). Web-based therapist training on cognitive behavior therapy for anxiety disorders : A pilot study. Psychotherapy, 50(2), 235-247. https://doi.org/10.1037/a003056810.1037/a0030568 Google Scholar Search this bibliographic reference on Google Scholar
- Kobak, K. A., Lipsitz, J. D., Markowitz, J. C. et Bleiberg, K. L. (2017). Web-based therapist training in interpersonal psychotherapy for depression : Pilot study. Journal of Medical Internet Research, 19(7), e257. https://doi.org/10.2196/jmir.796610.2196/jmir.7966 Google Scholar Search this bibliographic reference on Google Scholar
- Kobak, K. A., Wolitzky-Taylor, K., Craske, M. G. et Rose, R. D. (2017). Therapist training on cognitive behavior therapy for anxiety disorders using Internet-based technologies. Cognitive Therapy and Research, 41(2), 252-265. https://doi.org/10.1007/s10608-016-9819-410.1007/s10608-016-9819-4 Google Scholar Search this bibliographic reference on Google Scholar
- Lapalme, M., Moreault, B., Fansi, A. et Jehanno, C. (2017). Accès équitable aux services de psychothérapie au Québec. Institut national d’excellence en santé et service sociaux (INESSS). https://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/ServicesSociaux/INESSS_Acces-equitable-psychotherapie.pdf10.1080/08897077.2012.746255 Google Scholar Search this bibliographic reference on Google Scholar
- Larson, M. J., Amodeo, M., Locastro, J. S., Muroff, J., Smith, L. et Gerstenberger, E. (2013). Randomized trial of web-based training to promote counselor use of cognitive behavioral therapy skills in client sessions. Substance Abuse, 34(2), 179-187. https://doi.org/10.1080/08897077.2012.74625510.1080/08897077.2012.746255 Google Scholar Search this bibliographic reference on Google Scholar
- Lesage, A. et Émond, V. (2012). Surveillance des troubles mentaux au Québec : prévalence, mortalité et profil d’utilisation des services. Gouvernement du Québec, Institut de la statistique du Québec (ISQ). 10.1016/j.jsat.2010.12.004 Google Scholar Search this bibliographic reference on Google Scholar
- Mallonee, S., Phillips, J., Holloway, K. et Riggs, D. (2018). Training providers in the use of evidence-based treatments : A comparison of in-person and online delivery modes. Psychology Learning & Teaching, 17(1), 61-72. https://doi.org/10.1177/147572571774467810.1177/1475725717744678 Google Scholar Search this bibliographic reference on Google Scholar
- Martino, S., Canning-Ball, M., Carroll, K. M. et Rounsaville, B. J. (2011). A criterion-based stepwise approach for training counselors in motivational interviewing. Journal of Substance Abuse Treatment, 40(4), 357-365. https://doi.org/10.1016/j.jsat.2010.12.00410.1016/j.jsat.2010.12.004 Google Scholar Search this bibliographic reference on Google Scholar
- Mathieson, F., Barnfield, T. et Beaumont, G. (2009). Are we as good as we think we are ? Self-assessment versus other forms of assessment of competence in psychotherapy. The Cognitive Behaviour Therapist, 2(1), 43-50. https://doi.org/10.1017/S1754470X0800008110.1017/S1754470X08000081 Google Scholar Search this bibliographic reference on Google Scholar
- Nathan, P. E. et Gorman, J. M. (2015). A guide to treatments that work (4e éd.). Oxford University Press.10.1093/med:psych/9780195304145.001.0001 Google Scholar Search this bibliographic reference on Google Scholar
- Puspitasari, A., Kanter, J. W., Murphy, J., Crowe, A. et Koerner, K. (2013). Developing an online, modular, active learning training program for behavioral activation. Psychotherapy, 50(2), 256-265. https://doi.org/10.1037/a003005810.1037/a0030058 Google Scholar Search this bibliographic reference on Google Scholar
- Rakovshik, S. G., McManus, F., Vazquez-Montes, M., Muse, K. et Ougrin, D. (2016). Is supervision necessary ? Examining the effects of internet-based CBT training with and without supervision. Journal of Consulting and Clinical Psychology, 84(3), 191-199. https://doi.org/10.1037/ccp000007910.1037/ccp0000079 Google Scholar Search this bibliographic reference on Google Scholar
- Rawson, R. A., Rataemane, S., Rataemane, L., Ntlhe, N., Fox, R. S., McCuller, J. et Brecht, M. L. (2013). Dissemination and implementation of cognitive behavioral therapy for stimulant dependence : A randomized trial comparison of 3 approaches. Substance Abuse, 34(2), 108-117. https://doi.org/10.1080/08897077.2012.69144510.1080/08897077.2012.691445 Google Scholar Search this bibliographic reference on Google Scholar
- Rosen, R. C., Ruzek, J. I. et Karlin, B. E. (2017). Evidence-based training in the era of evidence-based practice : Challenges and opportunities for training of PTSD providers. Behaviour Research and Therapy, 88, 37-48. https://doi.org/10.1016/j.brat.2016.07.00910.1016/j.brat.2016.07.009 Google Scholar Search this bibliographic reference on Google Scholar
- Ruzek, J. I., Rosen, R. C., Garvert, D. W., Smith, L. D., Sears, K. C., Marceau, L., Harty, B. et Stoddard, A. M. (2014). Online self-administered training of PTSD treatment providers in cognitive-behavioral intervention skills : Results of a randomized controlled trial. Journal of Traumatic Stress, 27(6), 703-711. https://doi.org/10.1002/jts.2197710.1002/jts.21977 Google Scholar Search this bibliographic reference on Google Scholar
- Sansen, L. M., Saupe, L. B., Steidl, A., Fegert, J. M., Hoffmann, U. et Neuner, F. (2020). Development and randomized-controlled evaluation of a web-based training in evidence-based trauma therapy. Professional Psychology : Research and Practice, 51(2), 115-124. https://doi.org/10.1037/pro000026210.1037/pro0000262 Google Scholar Search this bibliographic reference on Google Scholar
- Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F. et Carroll, K. M. (2005). We don’t train in vain : A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73(1), 106-115. https://doi.org/10.1037/0022-006X.73.1.10610.1037/0022-006X.73.1.106 Google Scholar Search this bibliographic reference on Google Scholar
- Smith, T., Landes, S., Lester-Williams, K., Day, K., Batdorf, W., Brown, G., Trockel, M., Smith, B., Chard, K., Healy, E. et Weingardt, K. (2017). Developing alternative training delivery methods to improve psychotherapy implementation in the U.S. Department of Veterans Affairs. Training and Education in Professional Psychology, 11. https://doi.org/10.1037/tep000015610.1037/tep0000156 Google Scholar Search this bibliographic reference on Google Scholar
- Tricco, A. C., Antony, J., Zarin, W., Strifler, L., Ghassemi, M., Ivory, J., Perrier, L., Hutton, B., Moher, D. et Straus, S. E. (2015). A scoping review of rapid review methods. BMC Medicine, 13, 224. https://doi.org/10.1186/s12916-015-0465-610.1186/s12916-015-0465-6 Google Scholar Search this bibliographic reference on Google Scholar
- Valenstein-Mah, H., Greer, N., McKenzie, L., Hansen, L., Strom, T. Q., Wiltsey Stirman, S., Wilt, T. J. et Kehle-Forbes, S. M. (2020). Effectiveness of training methods for delivery of evidence-based psychotherapies : A systematic review. Implementation Science, 15(1), 40. https://doi.org/10.1186/s13012-020-00998-w10.1186/s13012-020-00998-w Google Scholar Search this bibliographic reference on Google Scholar
- Vasiliadis, H.-M., Dezetter, A., Lesage, A. et Drapeau, M. (2015). Améliorer l’accès aux psychothérapies au Québec et au Canada : réflexions et expériences de pays francophones. Santé mentale au Québec, 40(4), 15-30. https://doi.org/10.7202/1036090ar
10.7202/1036090ar
Google Scholar
Search this bibliographic reference on Google Scholar
- Weingardt, K. R., Cucciare, M. A., Bellotti, C. et Lai, W. P. (2009). A randomized trial comparing two models of web-based training in cognitive-behavioral therapy for substance abuse counselors. Journal of Substance Abuse Treatment, 37(3), 219-227. https://doi.org/10.1016/j.jsat.2009.01.00210.1016/j.jsat.2009.01.002 Google Scholar Search this bibliographic reference on Google Scholar
- Zhao, Y., Lei, J., Yan, B., Lai, C. et Tan, S. (2005). What makes the difference ? A practical analysis of research on the effectiveness of distance education. The Teachers College Record, 107(8), 1836-1884. https://doi.org/10.1111/j.1467-9620.2005.00544.x10.1111/j.1467-9620.2005.00544.x Google Scholar Search this bibliographic reference on Google Scholar