David C Rozek1, Jamie L Serrano2, Brigid R Marriott3, Kelli S Scott4, L Brian Hickman5, Brittany M Brothers4, Cara C Lewis6, Anne D Simons7. 1. University of Utah. 2. VA Roseburg Healthcare System. 3. University of Missouri-Columbia. 4. Indiana University Bloomington. 5. University of Washington St Louis. 6. Kaiser Permanente Washington Health Research Institute,Indiana University BloomingtonandUniversity of Washington. 7. University of OregonandOregon Research Institute.
Abstract
BACKGROUND: Measurement of cognitive behavioural therapy (CBT) competency is often resource intensive. A popular emerging alternative to independent observers' ratings is using other perspectives for rating competency. AIMS: This pilot study compared ratings of CBT competency from four perspectives - patient, therapist, supervisor and independent observer using the Cognitive Therapy Scale (CTS). METHOD: Patients (n = 12, 75% female, mean age 30.5 years) and therapists (n = 5, female, mean age 26.6 years) completed the CTS after therapy sessions, and clinical supervisor and independent observers rated recordings of the same session. RESULTS: Analyses of variance revealed that therapist average CTS competency ratings were not different from supervisor ratings, and supervisor ratings were not different from independent observer ratings; however, therapist ratings were higher than independent observer ratings and patient ratings were higher than all other raters. CONCLUSIONS: Raters differed in competency ratings. Implications for potential use and adaptation of CBT competency measurement methods to enhance training and implementation are discussed.
BACKGROUND: Measurement of cognitive behavioural therapy (CBT) competency is often resource intensive. A popular emerging alternative to independent observers' ratings is using other perspectives for rating competency. AIMS: This pilot study compared ratings of CBT competency from four perspectives - patient, therapist, supervisor and independent observer using the Cognitive Therapy Scale (CTS). METHOD:Patients (n = 12, 75% female, mean age 30.5 years) and therapists (n = 5, female, mean age 26.6 years) completed the CTS after therapy sessions, and clinical supervisor and independent observers rated recordings of the same session. RESULTS: Analyses of variance revealed that therapist average CTS competency ratings were not different from supervisor ratings, and supervisor ratings were not different from independent observer ratings; however, therapist ratings were higher than independent observer ratings and patient ratings were higher than all other raters. CONCLUSIONS: Raters differed in competency ratings. Implications for potential use and adaptation of CBT competency measurement methods to enhance training and implementation are discussed.
Authors: Anne D Simons; Christine A Padesky; Jeremy Montemarano; Cara C Lewis; Jessica Murakami; Kristen Lamb; Sharon DeVinney; Mark Reid; David A Smith; Aaron T Beck Journal: J Consult Clin Psychol Date: 2010-10