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Table 1 Anticipated EBIS components and rationale

From: An exposure-based implementation strategy to decrease clinician anxiety about implementing suicide prevention evidence-based practices: protocol for development and pilot testing (Project CALMER)

EBIS component

Rationale

1. Psychoeducation

Obtain clinician buy-in, explain how anxiety can interfere with suicide EBP delivery, normalize clinician anxious experience, increase motivation to build insight into one’s own anxiety

2. Assessment/hierarchy building

Identify tailored exposure practice targets that best match an individual clinician’s fears, continue to build insight into one’s own anxiety and how it may influence clinical practice

3. Exposure practice

Provide exposure to feared outcomes to foster clinician self-efficacy in managing high-risk patients, facilitate clinician practice managing anxiety in high-risk encounters

4. Relapse/prevention application to clinical practice

Transition “learning” about one’s ability to manage high-risk encounters to clinical practice within ongoing consultation; continue to use an exposure frame to support implementation