Dabblers, bedazzlers, or total makeovers: Clinician modification to a CBT approach

Abstract

Clinician modification to evidence-based practices (EBP) has largely been discouraged; however, emerging views highlight the possibility for modification to improve EBP fit and sustainability. Very little is known about factors that predict modification. This study examined the prevalence, types, reasons for, and predictors of clinician modification to a comprehensive cognitive-behavioral therapy (CBT) approach. Results indicated that modification was common and reasons were most often attributed to client needs or clinician preference or style. Clinician confidence in their ability to deliver the intervention and their intent to modify predicted the number of modifications performed.