Do empirically supported treatments generalize to private practice? A benchmark study of a cognitive-behavioural group treatment programme for social phobia
Article first published online: 24 DEC 2010
2006 The British Psychological Society
British Journal of Clinical Psychology
Volume 45, Issue 1, pages 33–48, March 2006
How to Cite
Gaston, J. E., Abbott, M. J., Rapee, R. M. and Neary, S. A. (2006), Do empirically supported treatments generalize to private practice? A benchmark study of a cognitive-behavioural group treatment programme for social phobia. British Journal of Clinical Psychology, 45: 33–48. doi: 10.1348/014466505X35146
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- Received 19 January 2004; revised version received 19 August 2004
Objectives. There is much debate as to whether the treatment effects achieved in well-controlled studies such as randomized controlled trials (RCTs) are generalizable to more ‘naturalistic’ clinical populations, such as that seen in private practice. The current study sought to examine this issue in relation to social phobia.
Design. A benchmarking strategy was used to compare the effectiveness of a cognitive-behaviour therapy group programme for social phobia that was developed and evaluated in a research unit, to that of a private practice population.
Methods. Fifty-eight participants from a university research unit and 54 participants from an independent private practice who met the principal diagnostic criteria for social phobia completed the 10-session group programme. Symptom severity was measured at pre-treatment, post-treatment, and 3 months after treatment.
Results. No significant treatment differences were found between the research unit and private practice groups. Both groups showed significant treatment effects that were maintained at 3-month follow-up.
Conclusion. These findings suggest that treatments developed for RCTs are potentially transportable to private practice settings.