| Neurofeedback is a variant of biofeedback that involves training of brain activity by means of operant conditioning via visual and auditory feedback. Within the burgeoning field of cognitive neuroscience, recent research has supported neurofeedback as both a complementary and alternative therapy and an evidenced-based practice for a variety of conditions, including attention deficit disorder, epilepsy, substance disorders, and traumatic brain injury. Neurofeedback can be complementary to other treatment modalities such as counseling and drug therapy and can be delivered across a variety of settings, including within a collaborative primary care setting. Despite these advantages, implementing and sustaining neurofeedback as a service into such settings comes with its own set of challenges and barriers. Through the use of Peek's three-world view model of implementation, this dissertation addressed the clinical, financial, operational, and educational barriers and facilitators of implementing and sustaining a neurofeedback program within a collaborative primary care setting. Results of this study identified the barriers and facilitators of implementation neurofeedback into a primary setting. From this, guidelines emerged to address particular barriers during the implementation process to help ensure implementation, sustainability, and harmony between each of the worlds. An implementation manual was included to offer a more succinct guide to implementation. |
