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Abstract

Introduction: Despite the need for greater training in evidence-based interventions for the treatment of anxiety in primary care behavioral health (PCBH), there are limited data on which interventions are desired by behavioral healthcare consultants (BHCs). The objective of this study was to identify which interventions BHCs desired more training in when treating anxiety in PCBH practice, and to examine if this preference was associated with theoretical orientation. Method: We conducted an online survey of PCBH providers regarding their training preferences for treatment of anxiety symptoms. The final sample comprised 291 BHCs recruited from e-mail listservs of national professional organizations. Providers reported their primary theoretical orientation as well as the top three interventions they wanted more training in from a list of 17 interventions. Results: BHCs most frequently endorsed training needs for Acceptance and Commitment Therapy (ACT; 63%), mindfulness (43%) and exposure (31%) interventions. Results were independent of theoretical orientation. Discussion: Clear training needs emerged for ACT, mindfulness, and exposure interventions in PCBH. Based on these results, further training should be given to implement these interventions in real world settings. Novel research strategies should also focus on implementing more complex CBT interventions in real-world PCBH settings. These results suggest implications for clinical training, intervention design, and future implementation efforts.

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