The Relationship Between Therapist Competence and Homework Compliance in Maintenance Cognitive Therapy for Recurrent Depression: Secondary Analysis of a Randomized Trial

Weck, Florian; Richtberg, Samantha; Esch, Sebastian; Höfling, Volkmar; Stangier, Ulrich

doi:10.1016/j.beth.2012.09.004

Cited by 40 publications

(36 citation statements)

References 30 publications

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“…This was consistent with other studies showing no direct correlation between homework adherence and initial symptom severity (Bryant et al, 1999; Burns & Spangler, 2000) or other participant variables (Weck et al, 2013). …”

Section: Discussionsupporting

confidence: 92%

Just showing up is not enough: Homework adherence and outcome in cognitive–behavioral therapy for cocaine dependence.

Decker

Kiluk

Frankforter

et al. 2016

Journal of Consulting and Clinical Psychology

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Objective Homework in cognitive behavioral therapy (CBT) provides opportunities to practice skills. In prior studies, homework adherence was associated with improved outcome across a variety of disorders. Few studies have examined whether the relationship between homework adherence and outcome is maintained after treatment end or is independent of treatment attendance. Method This study combined data from four randomized clinical trials of CBT for cocaine dependence to examine relationships among homework adherence, participant variables, and cocaine use outcomes during treatment and at follow-up. The dataset included only participants who attended at least two CBT sessions to allow for assignment and return of homework (N = 158). Results Participants returned slightly less than half (41.1%) of assigned homework. Longitudinal random effects regression suggested a greater reduction in cocaine use during treatment and through 12 month follow-up for participants who completed half or more of assigned homework (3 way interaction F(2, 910.69) = 4.28, p = .01). In multiple linear regression, the percentage of homework adherence was associated with greater number of cocaine-negative urine toxicology screens during treatment, even when accounting for baseline cocaine use frequency and treatment attendance; at three-months follow-up, multiple logistic regression indicated homework adherence was associated with cocaine-negative urine toxicology screen, controlling for baseline cocaine use and treatment attendance. Conclusions These results extend findings from prior studies regarding the importance of homework adherence by demonstrating associations among homework and cocaine use outcomes during treatment and up to 12 months after, independent of treatment attendance and baseline cocaine use severity.

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Section: Discussionsupporting

confidence: 92%

Just showing up is not enough: Homework adherence and outcome in cognitive–behavioral therapy for cocaine dependence.

Decker

Kiluk

Frankforter

et al. 2016

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

show abstract

“…Participant personality traits such as compliance or conscientiousness may also be important. Other factors implicated in CBT homework completion, namely motivation to change (Helbig & Fehm, 2004), teacher competence and reviewing of home assignments (Weck, Richtberg, Esch, Höfling, & Stangier, 2013) might be investigated in MBCT/MBSR. Study level factors including therapist adherence to MBSR or MBCT protocols, or indeed an interaction between these factors, might also be relevant.…”

Section: Discussionmentioning

confidence: 99%

Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants' mindfulness practice and its association with outcomes

Parsons

Crane

Parsons

et al. 2017

Behaviour Research and Therapy

441

305

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Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) emphasize the importance of mindfulness practice at home as an integral part of the program. However, the extent to which participants complete their assigned practice is not yet clear, nor is it clear whether this practice is associated with positive outcomes.For this systematic review and meta-analysis, searches were performed using Scopus and PubMed for studies published through to the end of 2015, reporting on formal home practice of mindfulness by MBSR or MBCT participants.Across 43 studies (N = 1427), the pooled estimate for participants' home practice was 64% of the assigned amount, equating to about 30 minutes per day, six days per week [95% CI 60–69%]. There was substantial heterogeneity associated with this estimate. Across 28 studies (N = 898), there was a small but significant association between participants’ self-reported home practice and intervention outcomes (r = 0·26, 95% CI 0·19,–0·34).MBSR and MBCT participants report completing substantial formal mindfulness practice at home over the eight-week intervention, albeit less than assigned amounts. There is a small but significant association between the extent of formal practice and positive intervention outcomes for a wide range of participants.

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“…Users reported liking the app because it contains modality-specific homework that can be tailored to their own needs. Novel formats, such as virtual reality apps to create immersive environments, have been experimented with as a tool for facilitating exposure in the treatment of anxiety disorders with mostly positive feedback [64-66]. Apps that provide elements of biofeedback (such as heart rate monitoring via colorimetry of users' faces using the mobile phone's camera), have recently begun to be deployed.…”

Section: A Proposed List Of Essential Features For Mobile Apps That Omentioning

confidence: 99%

Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps

Tang

Kreindler

2017

JMIR Ment Health

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Cognitive behavioral therapy (CBT) is one of the most effective psychotherapy modalities used to treat depression and anxiety disorders. Homework is an integral component of CBT, but homework compliance in CBT remains problematic in real-life practice. The popularization of the mobile phone with app capabilities (smartphone) presents a unique opportunity to enhance CBT homework compliance; however, there are no guidelines for designing mobile phone apps created for this purpose. Existing literature suggests 6 essential features of an optimal mobile app for maximizing CBT homework compliance: (1) therapy congruency, (2) fostering learning, (3) guiding therapy, (4) connection building, (5) emphasis on completion, and (6) population specificity. We expect that a well-designed mobile app incorporating these features should result in improved homework compliance and better outcomes for its users.

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The Relationship Between Therapist Competence and Homework Compliance in Maintenance Cognitive Therapy for Recurrent Depression: Secondary Analysis of a Randomized Trial

Cited by 40 publications

References 30 publications

Just showing up is not enough: Homework adherence and outcome in cognitive–behavioral therapy for cocaine dependence.

Just showing up is not enough: Homework adherence and outcome in cognitive–behavioral therapy for cocaine dependence.

Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants' mindfulness practice and its association with outcomes

Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps

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