The quality of research exploring in-session measures of CBT competence: a systematic review

Author(s):  
Kathryn Rayson ◽  
Louise Waddington ◽  
Dougal Julian Hare

Abstract Background: Cognitive behavioural therapy (CBT) is in high demand due to its strong evidence base and cost effectiveness. To ensure CBT is delivered as intended in research, training and practice, fidelity assessment is needed. Fidelity is commonly measured by assessors rating treatment sessions, using CBT competence scales (CCSs). Aims: The current review assessed the quality of the literature examining the measurement properties of CCSs and makes recommendations for future research, training and practice. Method: Medline, PsychINFO, Scopus and Web of Science databases were systematically searched to identify relevant peer-reviewed, English language studies from 1980 onwards. Relevant studies were those that were primarily examining the measurement properties of CCSs used to assess adult 1:1 CBT treatment sessions. The quality of studies was assessed using a novel tool created for this study, following which a narrative synthesis is presented. Results: Ten studies met inclusion criteria, most of which were assessed as being ‘fair’ methodological quality, primarily due to small sample sizes. Construct validity and responsiveness definitions were applied inconsistently in the studies, leading to confusion over what was being measured. Conclusions: Although CCSs are widely used, we need to pay careful attention to the quality of research exploring their measurement properties. Consistent definitions of measurement properties, consensus about adequate sample sizes and improved reporting of individual properties are required to ensure the quality of future research.

2021 ◽  
Vol 10(1) (10(1)) ◽  
pp. 288-301
Author(s):  
Peter Onyonje Osiako ◽  
Viktória Szente

The quantity and quality of research output available on the subject of domestic tourism in Kenya is yet to be sufficiently documented. This review evaluates trends in the studies carried out on this subject and establishes perspectives revealed in these studies' findings. Methodologically, this is a conceptual review of integrative nature in which the reviewer summarized the findings of other studies conducted on domestic tourism in different parts of Kenya. Both published and unpublished works addressing domestic tourism in Kenya, and authored in the English language from January 1990 to August 2020 have been considered in the review. The reviewer used keywords to search relevant databases, arriving at thirty two pieces of work that were reviewed. The analysis focuses on themes covered by previous studies, methodologies used, and perspectives revealed in key findings. The review established a gap in existing literature in terms of quantity, quality, and scope, as discussed in the document. Recommendations are highlighted on ways to improve future research on domestic tourism in Kenya. This review will inform future approaches to research on domestic tourism in Kenya, for better policies and practice.


2018 ◽  
Vol 11 (1) ◽  
pp. 3-23 ◽  
Author(s):  
Hannes Lepschy ◽  
Hagen Wäsche ◽  
Alexander Woll

Background:Despite the popularity of football, the analysis of success factors in football remains a challenge. While reviews on performance indicators in football are available, none focuses solely on the identification of success factors and addresses the large and growing body of recent research up until 2016.Objective:To find out what determines success in football and to organize the body of literature, a systematic literature review analyzing existing studies with regard to success factors in football was undertaken.Methods:The studies included in this review had to deal with performance indicators related to success in football. The studies were published in 2016 or before. The initial search revealed 19,161 articles. Finally, sixty-eight articles were included in this review. The studies were clustered with regard to comparative analyses, predictive analyses and analyses of home advantage.Results:In total, 76 different variables were investigated in the reviewed papers. It appeared that the most significant variables are efficiency (number of goals divided by the number of shots), shots on goal, ball possession, pass accuracy/successful passes as well as the quality of opponent and match location. Moreover, new statistical methods were used to reveal interactions among these variables such as discriminant analysis, factor analysis and regression analysis. The studies showed methodological deficits such as clear operational definitions of investigated variables and small sample sizes.Conclusion:The review allows a comprehensive identification of critical success factors in football and sheds light on utilized methodological approaches. Future research should consider precise operational definitions of the investigated variables, adequate sample sizes and the involvement of situational variables as well as their interaction.


2021 ◽  
Vol 28 (1) ◽  
pp. 42-50
Author(s):  
Nicole M. Glenn ◽  
Lisa Allen Scott ◽  
Teree Hokanson ◽  
Karla Gustafson ◽  
Melissa A. Stoops ◽  
...  

Financial well-being describes when people feel able to meet their financial obligations, feel financially secure and are able to make choices that benefit their quality of life. Financial strain occurs when people are unable to pay their bills, feel stressed about money and experience negative impacts on their quality of life and health. In the face of the global economic repercussions of the COVID-19 pandemic, community-led approaches are required to address the setting-specific needs of residents and reduce the adverse impacts of widespread financial strain. To encourage evidence-informed best practices, a provincial health authority and community-engaged research centre collaborated to conduct a rapid review. We augmented the rapid review with an environmental scan and interviews. Our data focused on Western Canada and was collected prior to the pandemic (May–September 2019). We identified eight categories of community-led strategies to promote financial well-being: systems navigation and access; financial literacy and skills; emergency financial assistance; asset building; events and attractions; employment and educational support; transportation; and housing. We noted significant gaps in the evidence, including methodological limitations of the included studies (e.g. generalisability, small sample size), a lack of reporting on the mechanisms leading to the outcomes and evaluation of long-term impacts, sparse practice-based data on evaluation methods and outcomes, and limited intervention details in the published literature. Critically, few of the included interventions specifically targeted financial strain and/or well-being. We discuss the implications of these gaps in addition to possibilities and priorities for future research and practice. We also consider the results in relation to the COVID-19 pandemic and its economic consequences.


2019 ◽  
Vol 54 (1) ◽  
pp. 29-39
Author(s):  
John L. Luckner ◽  
Rashida Banerjee ◽  
Sara Movahedazarhouligh ◽  
Kaitlyn Millen

Current federal legislation emphasizes the use of programs, interventions, strategies, and activities that have been demonstrated through research to be effective. One way to increase the quantity and quality of research that guides practice is to conduct replication research. The purpose of this study was to undertake a systematic review of the replication research focused on self-determination conducted between 2007 and 2017. Using methods used by Cook and colleagues, we identified 80 intervention studies on topics related to self-determination, of which 31 were coded as replications. Intervention study trends, rate of replication studies, percentage of agreements between findings of original and replication studies, amount of author overlap, and types of research designs used are reported along with recommendations for future research.


Author(s):  
Rebecca Golenya ◽  
George D Chloros ◽  
Michalis Panteli ◽  
Peter V Giannoudis ◽  
Anthony Howard

Patient and public involvement involves ascertaining the opinions of and collaborating with patients and members of the public to holistically improve the quality of research. Patient and public involvement provides patients with a platform to use and share their lived experiences. This allows healthcare professionals to gain a deeper appreciation of the patient's perspective, which enables future research to be more patient centred and tailored to patients' requirements. Patient and public involvement aims to broadly encapsulate the opinions of the public, so ensuring diversity is recommended. This article provides a practical framework to increase diversity and engage hard-to-reach demographics in patient and public involvement. It highlights some common barriers to participation and methods for overcoming this, describes sampling frameworks and provides examples of how these have been adopted in practice.


2005 ◽  
Vol 86 (4) ◽  
pp. 491-501 ◽  
Author(s):  
Jeanette Harder

Child abuse and neglect is a problem of vast proportions. Research on the effectiveness of child abuse and neglect prevention programs is critical for the provision of effective and efficient services. This article is a critical analysis of the research methodologies on child abuse and neglect prevention programs at the secondary and tertiary levels as represented in the empirical literature. The article describes child abuse and neglect prevention programs, describes and analyzes the research conducted on these programs, and suggests ways to improve and validity of future research. There is a need for greater quantity and quality of research on child abuse and neglect prevention programs, including the increased use of comparison groups, larger sample sizes, and follow-up measurement.


2019 ◽  
Author(s):  
J.M. Gorriz ◽  
◽  
◽  

ABSTRACTIn the 70s a novel branch of statistics emerged focusing its effort in selecting a function in the pattern recognition problem, which fulfils a definite relationship between the quality of the approximation and its complexity. These data-driven approaches are mainly devoted to problems of estimating dependencies with limited sample sizes and comprise all the empirical out-of sample generalization approaches, e.g. cross validation (CV) approaches. Although the latter are not designed for testing competing hypothesis or comparing different models in neuroimaging, there are a number of theoretical developments within this theory which could be employed to derive a Statistical Agnostic (non-parametric) Mapping (SAM) at voxel or multi-voxel level. Moreover, SAMs could relieve i) the problem of instability in limited sample sizes when estimating the actual risk via the CV approaches, e.g. large error bars, and provide ii) an alternative way of Family-wise-error (FWE) corrected p-value maps in inferential statistics for hypothesis testing. In this sense, we propose a novel framework in neuroimaging based on concentration inequalities, which results in (i) a rigorous development for model validation with a small sample/dimension ratio, and (ii) a less-conservative procedure than FWE p-value correction, to determine the brain significance maps from the inferences made using small upper bounds of the actual risk.


Dementia ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 1858-1895 ◽  
Author(s):  
Catherine A Hebert ◽  
Kezia Scales

Background Dementia friendly initiatives share similarities with the age-friendly movement in a focus on active engagement and creating a good quality of life for older adults. Dementia friendly initiatives offer a welcoming optimistic narrative in dementia studies by embracing dignity, empowerment, and autonomy to enable well-being throughout the dementia trajectory. Purpose The purpose of this review is to explore the current science of dementia friendly initiatives, identify gaps, and inform future research. Method Quantitative, qualitative, and conceptual/theoretical peer-reviewed dementia friendly research literature were evaluated for their current evidence base and theoretical underpinnings. Results The dementia friendly initiatives research base is primarily qualitative and descriptive focused on environmental design, dementia awareness and education, and the development of dementia friendly communities. Person-centered care principles appear in dementia friendly initiatives centered in care settings. Strong interdisciplinary collaboration is present. Research is needed to determine the effect of dementia friendly initiatives on stakeholder-driven and community-based outcomes. Due to the contextual nature of dementia, the perspective of persons with dementia should be included as dementia friendly initiatives are implemented. Theory-based studies are needed to confirm dementia friendly initiative components and support rigorous evaluation. Dementia friendly initiatives broaden the lens from which dementia is viewed.


Author(s):  
Alasdair Whittle

This concluding chapter does not aim to be a magisterial overview or a comprehensive summary. The preceding chapters speak for themselves of the range and quality of research currently being carried out across north-west Europe relevant to the Mesolithic–Neolithic transition. Instead, the chapter offers some brief, personal reflections on what we are doing well and what we could still do better, and thus tries to define some of the continuing challenges for future research.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Brett Williams ◽  
Bronwyn Beovich

Abstract Background Empathy is an important characteristic to possess for healthcare professionals. It has been found to improve communication between professionals and patients and to improve clinical health outcomes. The Jefferson Scale of Empathy (JSE) was developed to measure this quality and has been used extensively, and psychometrically appraised, with a variety of cohorts and in different cultural environments. However, no study has been undertaken to systematically examine the methodological quality of studies which have assessed psychometric factors of the JSE. This systematic review will examine the quality of published papers that have reported on psychometric factors of the JSE. Methods A systematic review of studies which report on the psychometric properties of the JSE will be conducted. We will use a predefined search strategy to identify studies meeting the following eligibility criteria: original data is reported on for at least one of the psychometric measurement properties described in the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Risk of Bias checklist, examines the JSE in a healthcare cohort (using the student, physician or health profession versions of the JSE), and is published from January 2001 and in the English language. Conference abstracts, editorials and grey literature will be excluded. Six electronic databases (Medline, EMBASE, PsychInfo, PubMed, Web of Science and CINAHL) will be systematically searched for articles meeting these criteria and studies will be assessed for eligibility by two review authors. The methodological quality of included papers will be examined using the COSMIN Risk of Bias checklist. Discussion A narrative description of the findings will be presented along with summary tables. Recommendations for use of the JSE with various cohorts and circumstances will be offered which may inform future research in this field. Systematic review registration PROSPERO CRD42018111412


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