Competence feedback improves CBT competence in trainee therapists: A randomized controlled pilot study

Weck, Florian; Kaufmann, Yvonne M.; Höfling, Volkmar

doi:10.1080/10503307.2015.1132857

Cited by 43 publications

(36 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, different competence scales might provide more insight into the processes involved in successful treatment, which could help to identify the most important therapeutic skills and integrate them into therapist training and education. The use of competence rating scales to give therapists specific feedback improves therapeutic competence more than regular supervision, as shown in a study by Weck, Kaufmann, and Höfling (2016). Furthermore, different competence scales might be helpful for monitoring the dissemination of information in treatment manuals because they allow to determine which therapeutic competence will improve after treatment training.…”

Section: Discussionmentioning

confidence: 99%

Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

Dittmann

Müller‐Engelmann

Stangier

et al. 2017

Journal of Traumatic Stress

View full text Add to dashboard Cite

Although the assessment of therapeutic competence in psychotherapy research is essential for examining its possible associations with treatment outcomes, it is often neglected due to high costs and a lack of valid instruments. This study aimed to develop two therapeutic competence scales that assess disorder-specific and treatment-specific therapeutic competence, and to examine these scales' psychometric properties along with those of the already established Cognitive Therapy Scale (CTS) in a posttraumatic stress disorder (PTSD) sample. Using an inductive procedure, two rating scales for assessing disorder-specific and treatment-specific competence were constructed. The psychometric properties of these scales and those of the CTS were assessed in a sample of 30 videotaped sessions of eight patients from a multicenter study in which PTSD related to child abuse was treated using cognitive processing therapy. Two raters assessed therapeutic competence in 30 videotaped psychotherapy sessions. Interrater reliability, internal consistency, and content validity were determined. The scales (all items and total scores) demonstrated good to excellent interrater reliability, intraclass correlation coefficients (ICCs) = .67 to .97, and internal consistency, Cronbach's α = .73 to .92. The PTSD experts' ratings confirmed good internal validity. We found statistically significant associations with therapeutic adherence, r = .62 to .85; p < .001; and therapeutic alliance, r = .47, p < .001. These preliminary data imply that the two newly developed competence scales and the CTS can be reliably used to assess different types of therapeutic competence in PTSD samples and may be useful as possible predictors of treatment outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

Dittmann

Müller‐Engelmann

Stangier

et al. 2017

Journal of Traumatic Stress

View full text Add to dashboard Cite

show abstract

“…This is a key characteristic of training supervision, and its quick reduction post-qualification is noteworthy as therapists have higher and more complex caseloads. Only 1/7 non-competent therapists reported that supervision included feedback on audio recordings of therapy, possibly indicating the usefulness of ongoing review and feedback of actual therapy sessions after initial training (Bearman et al 2017;Weck et al 2017); however, competent and non-competent therapists did not differ significantly in post-training access to live supervision or in frequency of supervision overall. Small numbers and the lack of a control condition make conclusions difficult.…”

Section: Clinical Role and Supervisionmentioning

confidence: 97%

The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes

et al. 2018

View full text Add to dashboard Cite

The continued effectiveness of in-service psychological therapy training requires evaluation. This study assessed therapist competence and patient clinical outcome during cognitive behaviour therapy training and 12+ months post-training. Trainee competence was assessed using audio-recorded sessions rated on the Cognitive Therapy Scale Revised at the beginning (n = 33) and end of training (n = 45), and at least 12 months post-training (n = 45). Pre-to-posttreatment clinical outcome for trainees' patients during the course (n = 360) and post-training (n = 360) was evaluated using standardised self-report measures. The relationship between therapist competence and patient outcomes was explored. Trainees achieved competence during training (100%, n = 45) and largely maintained competence post-training (84%, n = 38). Patients demonstrated pre-to-posttreatment effect sizes between 1.38 and 1.89 and reliable improvement exceeding 80% during and after training. Competence was not significantly associated with patient outcome. Trainees predominantly maintained competence and achieved good clinical outcomes post-training. Structured training and continued use of regular supervision possibly supported retention of competence.

show abstract

“…Considering these findings, other perspectives should be taken into account as well. Comparisons to supervisor perceptions or assessment of therapeutic competencies and behavior by independent raters (Dennhag, Gibbons, Barber, Gallop, & Crits-Christoph, 2012, Weck, Kaufmann, & Höfling, 2016) could be methodologically useful. It should be noted that outcome measurement is a significant challenge in supervision research in general, with no universal agreement prevailing on what constitutes a positive outcome (Palomo, Beinart, & Cooper, 2010).…”

Section: Slqmentioning

confidence: 99%

Assessing therapist development: Reliability and validity of the Supervisee Levels Questionnaire (SLQ‐R)

2019

Self Cite

View full text Add to dashboard Cite

Background Therapist development is a crucial target for clinical training in order to ensure high‐quality psychotherapy. A major challenge in examining therapeutic development is the assessment of developmental processes. The Supervisee Levels Questionnaire (SLQ‐R) was analyzed in this study to examine its validity, reliability, and underlying dimensional structure. Method Seven hundred and sixty therapists participated in an online survey concerning their current psychotherapy training. The factor structure as well as the validity of the SLQ‐R were investigated using exploratory and confirmatory factor analysis. Results In line with the results of the exploratory factor analyses, a Bifactor ESEM (exploratory structural equation modeling) model with two factors and one global factor provided the best fit to the data. The two factors were labeled professional self‐confidence and professional insecurity. Conclusion Empirical support for reliability and validity of the new factor structure of the SLQ‐R was found. The instrument is useful for assessing the therapist's developmental level.

show abstract

Competence feedback improves CBT competence in trainee therapists: A randomized controlled pilot study

Cited by 43 publications

References 33 publications

Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

Disorder‐ and Treatment‐Specific Therapeutic Competence Scales for Posttraumatic Stress Disorder Intervention: Development and Psychometric Properties

The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes

Assessing therapist development: Reliability and validity of the Supervisee Levels Questionnaire (SLQ‐R)

Contact Info

Product

Resources

About