Although evidence-based treatments (EBTs) for youth trauma have been developed, trauma-informed EBTs are rarely used in community settings. Clinician concerns about evidence-based trauma treatment may be a barrier to adoption and delivery. However, few instruments to assess clinician beliefs about specific EBTs, such as trauma-focused cognitive behavior therapy (TF-CBT) are available. This study evaluated an instrument of clinician concerns about TF-CBT, the TF-CBT Therapist Stuck Points questionnaire, in a sample of community mental health clinicians training in a year-long TF-CBT community-based learning collaborative. The 26 items in the instruments, which aim to assess clinician views on child trauma treatment and TF-CBT, indicate preliminary psychometric support (i.e., item-total correlations, internal consistency, negative correlations with measures of attitudes towards evidence-based practice). Scores on the TF-CBT Therapist Stuck Points questionnaire revealed that, on average, clinicians expressed concerns about having children talk about their trauma in session, the effectiveness of certain TF-CBT components, and whether to involve caregivers in treatment. Clinician doubts could be targeted during a TF-CBT implementation effort and clinical supervision to facilitate treatment delivery. Implications for assessing TF-CBT specific beliefs during implementation are discussed.

中文翻译：

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测量临床医生关于以创伤为中心的认知行为疗法的阻滞点：TF-CBT 阻滞点问卷

尽管已经开发出针对青少年创伤的循证治疗 (EBT)，但在社区环境中很少使用以创伤为基础的 EBT。临床医生对基于证据的创伤治疗的担忧可能是采用和交付的障碍。然而，很少有工具可以评估临床医生对特定 EBT 的信念，例如以创伤为中心的认知行为疗法 (TF-CBT)。本研究评估了临床医生对 TF-CBT 关注的工具，即 TF-CBT 治疗师阻滞点问卷，在为期一年的基于 TF-CBT 社区的学习协作培训中的社区心理健康临床医生样本中。工具中的 26 个项目旨在评估临床医生对儿童创伤治疗和 TF-CBT 的看法，表明初步的心理测量支持（即项目-总相关性、内部一致性、与对循证实践的态度测量呈负相关）。TF-CBT 治疗师阻滞点问卷的分数显示，平均而言，临床医生对让孩子在治疗中谈论他们的创伤、某些 TF-CBT 组件的有效性以及是否让护理人员参与治疗表示担忧。在 TF-CBT 实施工作和临床监督期间，可以针对临床医生的疑虑，以促进治疗的实施。讨论了在实施过程中评估 TF-CBT 特定信念的意义。以及是否让护理人员参与治疗。在 TF-CBT 实施工作和临床监督期间，可以针对临床医生的疑虑，以促进治疗的实施。讨论了在实施过程中评估 TF-CBT 特定信念的意义。以及是否让护理人员参与治疗。在 TF-CBT 实施工作和临床监督期间，可以针对临床医生的疑虑，以促进治疗的实施。讨论了在实施过程中评估 TF-CBT 特定信念的意义。