Development of the Cognitive Therapy Adherence and Competence Scale

Barber, Jacques P.; Liese, Bruce S.; Abrams, Michael J.

doi:10.1093/ptr/kpg019

Cited by 154 publications

(168 citation statements)

References 21 publications

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“…This could be achieved by breaking down the global evaluations of therapist competence used here to more finely grained operationalizations of all the main dimensions of therapist competence [e.g. [28]], and by using aggregated ratings of clients’ perceptions of therapists’ competence across the full course of therapy. Moreover, to some degree, therapist competence changes over time and varies across patients [e.g.…”

Section: Discussionmentioning

confidence: 99%

Therapist Competence, Comorbidity and Cognitive-Behavioral Therapy for Depression

Kuyken

Tsivrikos

2008

Psychother Psychosom

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Background: Therapist competence has consistently been associated with therapy outcomes, although the nature of this relationship varies considerably across studies. Method: In a naturalistic process-outcome study, 69 clients presenting with depression were treated by 1 of 18 cognitive-behavioral therapists in a ‘real world’ outpatient clinic. Using triangulated measures of therapists’ competence, we hypothesized that greater therapist competence would be associated with improved cognitive-behavioral therapy (CBT) outcomes for clients diagnosed with depression. We hypothesized that the variation in the research to date on therapist competence and CBT for depression outcomes may be due to the moderating effects of complexity of client presentation, in terms of comorbidity. Results: We replicated the previous finding that comorbidity compromises CBT for depression outcomes, but found that greater therapist competence was associated with improved outcomes, regardless of clients’ comorbidity. Conclusions: Therapist competence is associated with improved therapy outcomes, and therapists who are more competent have better patient outcomes regardless of the degree of patient comorbidity.

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Section: Discussionmentioning

confidence: 99%

Therapist Competence, Comorbidity and Cognitive-Behavioral Therapy for Depression

Kuyken

Tsivrikos

2008

Psychother Psychosom

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“…Cognitive Therapy Adherence-Competence Scale (CTACS; Barber, Liese, & Abrams, 2003;Liese, Barber, & Beck, 1995). The 21-item CTACS is a new scale developed for this project that was derived from the Cognitive Therapy Scale (Young & Beck, 1980).…”

Section: Methodsmentioning

confidence: 99%

“…Because adherence to specific techniques does not necessarily ensure that the treatment was delivered appropriately, the NIDA CCTS implemented therapist competence scales to allow for the assessment of how skillfully the techniques were implemented (Barber, Liese, & Abrams, 2003;Barber, Krakauer, Calvo, Badgio, & Faude, 1997;Barber, Mercer, Krakauer, & Calvo, 1996). The NIDA CCTS represents the first major clinical trial in which, in addition to adherence ratings, competence scales rated by independent judges have been implemented for all of the individual treatment conditions.…”

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confidence: 99%

Therapists' adherence and competence and treatment discrimination in the NIDA Collaborative Cocaine Treatment Study

et al. 2003

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The National Institute on Drug Abuse Collaborative Cocaine Treatment Study was designed to assess the efficacy of four different psychosocial interventions (cognitive therapy, supportive-expressive dynamic therapy, and individual and group drug counseling) for cocaine dependence. This report addresses the treatment integrity and discriminability of the three individual treatments. Therapists' adherence and competence for all three individual treatments during early and late sessions were rated reliably by three sets of independent expert judges (one set of expert clinicians for each treatment condition). Results indicated that therapists and counselors made use of the therapeutic techniques described in their respective treatment manuals rather than those from different treatment manuals. Thus, treatments were easily discriminable by the independent judges.

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“…Adherence and competence have been assessed for different forms of therapies simultaneously, including supportive expressive therapy , CT for depression (Barber, Liese, & Abrams, 2003), individual drug counseling (Barber, Mercer, Krakauer, & Calvo, 1996), dynamic therapy (Barber et al, 2004;Barber, Krakauer, Calvo, Badgio, & Faude, 1997), and PE (Schnurr et al, 2005(Schnurr et al, , 2007. In the scales developed by Carroll et al (2000), , and Barber et al (1997Barber et al ( , 2003Barber et al ( , 2004, raters are asked to assess the extent to which a technique was delivered (adherence) on a 5-or 7-point Likert scale, and how well it was done (competence), thus enabling separate reporting of adherence and competence as continuous variables.…”

Section: S S U E S I N T H E M E a S U R E M E N T O F A D H E R E mentioning

confidence: 99%

Considerations in treatment integrity: Implications and recommendations for PTSD research

Barber

Triffleman

Marmar

2007

Journal of Traumatic Stress

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In this article, the authors address the rationale for and uses of treatment integrity measurement in psychotherapy research, focusing on therapists' adherence and competence in trauma and posttraumatic stress disorder treatment research. The following issues are examined: (a) distinctions between adherence monitoring, performed contemporaneously with ongoing study treatments, and adherence evaluation, and the implications for outcomes analysis; (b) simultaneous measurement of adherence and competence; (c) selection of sessions for adherence/competence assessment and the need for concurrent outcome measurement, and (d) the association between therapist adherence, competence, alliance and treatment outcome. Recommendations regarding common problems in the implementation of adherence and competence measurement are made throughout. The article concludes with a summary of steps and considerations in decision-making with regard to treatment integrity.

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Development of the Cognitive Therapy Adherence and Competence Scale

Cited by 154 publications

References 21 publications

Therapist Competence, Comorbidity and Cognitive-Behavioral Therapy for Depression

Therapist Competence, Comorbidity and Cognitive-Behavioral Therapy for Depression

Therapists' adherence and competence and treatment discrimination in the NIDA Collaborative Cocaine Treatment Study

Considerations in treatment integrity: Implications and recommendations for PTSD research

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