0421 Do Online Trainings Really Work? One Year Follow-up of Providers Who Completed CBTI Training Through CBTIweb

Abstract Introduction Online trainings to learn new skills and interventions are growing in popularity for mental health practitioners. Such platforms show promise for exponentially improving dissemination of evidence-based treatments and subsequent accessibility for individuals in need of effective care. However, minimal research has been done on the long-term impact of these trainings. CBTIweb was developed to train providers in cognitive behavioral therapy for insomnia (CBTI) and launched on April 1, 2020. The aim of the present study was to assess retention of knowledge about insomnia and CBTI and implementation of CBTI by providers approximately one year following their completion of CBTIweb. Methods Providers who completed CBTIweb within the first three months following the launch (N = 624) were contacted via email. Upon consent they were asked to answer the same test questions that were given as part of the CBTIweb training and complete an online survey. The survey included number of patients receiving CBTI in past year, items related to self-efficacy for CBTI delivery, barriers to implementing CBTI into their practice, and desire for resources that would increase effective implementation. Results Of the 624 providers who were contacted, 233 completed the test questions and survey. The vast majority passed the test (87%) and reported using CBTI in their practice since completing training (73%). Self-efficacy was positively associated with CBTI use. The most commonly cited facilitator of implementation was ease of access to handouts and other web-based tools designed to improve interaction with patients. The most common barriers were time required to prepare for sessions, difficulty finding supervision, accommodating comorbid conditions, and low patient buy-in. Conclusion The majority of providers who completed CBTIweb retained the information they learned in the training and implemented CBTI into their practice, indicating this online training format is a useful avenue for disseminating and implementing CBTI and other evidence-based treatments. Development of resources that would streamline delivery of CBTI, including simplifying patient handouts to minimize therapist preparation time, would likely lead to an increase in use of CBTI. Other barriers, including accessibility of supervision and low patient buy-in, warrant further investigation. Support (if any) W8IXWH1710165