TY - JOUR A1 - Pfeiffer, Elisa A1 - Unterhitzenberger, Johanna A1 - Enderby, Pia A1 - Juusola, Aino A1 - Kostova, Zlatina A1 - Lindauer, Ramon J. L. A1 - Nuotio, Sanna-Kaija A1 - Samuelberg, Poa A1 - Jensen, Tine K T1 - The dissemination and implementation of trauma-focused cognitive behavioural therapy for children and adolescents in seven European countries JF - BMC Health Services Research N2 - Background There is broad scientific evidence for the effectiveness of individual trauma-focused evidence-based treatments (EBTs) such as “trauma-focused cognitive behavioural therapy” (TF-CBT) for children and adolescents with posttraumatic stress symptoms. However, there is a significant research-to-practice gap resulting in traumatized children in high-income countries in Europe having only very limited access to these treatments. The aim of this study was, therefore, to identify common barriers and successful dissemination and implementation (D&I) strategies of evidence-based trauma-focused treatments (in particular TF-CBT) in seven European countries. Methods For this study, we chose a mixed-method approach: an online survey among certified European TF-CBT trainers (N = 22) and the collection of country-based narratives from TF-CBT experts in different European countries (Finland, Germany, Italy, Netherlands, Norway, Sweden). Results Common modifiable barriers to the implementation of TF-CBT were identified on different levels (e.g. government or treatment level), and successful D&I strategies were highlighted across all countries, such as translations of materials. Additionally, the experts from the country narratives put together a broad overview of TF-CBT research in Europe. Conclusions The results of this study revealed that especially learning collaborations and the development of joint European efforts in funding and researching D&I strategies are crucial for future implementation of trauma-focused EBTs in Europe. KW - TF-CBT KW - Europe KW - dissemination KW - implementation KW - children and adolescents Y1 - 2024 U6 - https://doi.org/10.1186/s12913-024-11689-3 VL - 24 ER -