The survivability of dialectical behaviour therapy programmes: a mixed methods analysis of barriers and facilitators to implementation within UK healthcare settings

BMC Psychiatry
Joanne C KingMichaela A Swales

Abstract

Dialectical Behaviour Therapy (DBT) is an evidence-based intervention that has been included in the National Institute of Health and Care Excellence guidelines as a recommended treatment for Borderline Personality Disorder in the UK. However, implementing and sustaining evidence-based treatments in routine practice can be difficult to achieve. This study compared the survival of early and late adopters of DBT as well as teams trained via different training modes (on-site versus off-site), and explored factors that aided or hindered implementation of DBT into routine healthcare settings. A mixed-method approach was used. Kaplan-Meier survival analyses were conducted to quantify and compare survivability as a measure of sustainability between early and late implementers and those trained on- and off-site. An online questionnaire based on the Consolidated Framework for Implementation Research was used to explore barriers and facilitators in implementation. A quantitative content analysis of survey responses was carried out. Early implementers were significantly less likely to survive than late implementers, although, the effect size was small. DBT teams trained off-site were significantly more likely to survive. The effect size fo...Continue Reading

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Citations

May 30, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Evan A IliakisLois W Choi-Kain
Mar 13, 2020·Borderline Personality Disorder and Emotion Dysregulation·Lauren B QuetschBradley D Stein
Jul 8, 2020·Current Opinion in Psychology·Gabrielle S Ilagan, Lois W Choi-Kain
Jan 30, 2021·Current Opinion in Psychology·Andrew M Chanen, Katie Nicol

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