Measuring Adherence to Key Teaching Techniques in an Evidence-Based Treatment: A Comparison of Caregiver, Therapist, and Behavior Observation Ratings

2019 ◽  
Vol 28 (2) ◽  
pp. 92-103 ◽  
Author(s):  
Amy D. Herschell ◽  
Lauren B. Quetsch ◽  
David J. Kolko
Keyword(s):  
Treatment Adherence ◽  
Behavioral Therapy ◽  
Treatment Session ◽  
Behavior Observation ◽  
Therapist Adherence ◽  
Who Code ◽  
Observer Ratings ◽  
And Behavior ◽  
Caregiver Report ◽  
Therapy Sessions

Traditionally, treatment adherence has been measured in outcome studies by highly trained, independent raters who code audio- or video-taped treatment sessions to understand therapists’ adherence to preestablished treatment session components. Unfortunately, this method of assessing treatment adherence is time-, labor-, and cost-intensive, and does not translate well to community settings. This study compared expert-coded behavior observations, therapist and caregiver report of therapists’ adherence to nine teaching technique items assessed in treatment sessions using Alternatives for Families: A Cognitive Behavioral Therapy (AF-CBT) to determine whether other raters (outside of traditional expert coders) could effectively and accurately measure therapist adherence. A total of 533 therapy sessions were coded across experts ( n = 2), therapists ( n = 20), and caregivers ( n = 42). Outcomes indicated strikingly different ratings across all reporters suggesting that therapist and caregiver reports may be supplement to, but not substitute for, observer ratings.

Therapist adherence is associated with outcome in cognitive–behavioral therapy for bulimia nervosa.

Psychotherapy ◽  
2017 ◽  
Vol 54 (2) ◽  
pp. 195-200 ◽  
Author(s):  
Sofie Folke ◽  
Sarah I. F. Daniel ◽  
Matthias Gondan ◽  
Susanne Lunn ◽  
Louise Tækker ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Bulimia Nervosa ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Therapist Adherence

Concordance between clinician, supervisor and observer ratings of therapeutic competence in CBT and treatment as usual: does clinician competence or supervisor session observation improve agreement?

2019 ◽  
Vol 48 (3) ◽  
pp. 350-363 ◽  
Author(s):  
EB Caron ◽  
Michela A. Muggeo ◽  
Heather R. Souer ◽  
Jeffrey E. Pella ◽  
Golda S. Ginsburg
Keyword(s):  
Behavioral Therapy ◽  
Training Methods ◽  
Rater Training ◽  
Treatment As Usual ◽  
School Based ◽  
Audio Recordings ◽  
Evidence Based Treatments ◽  
Therapeutic Competence ◽  
Observer Ratings ◽  
The Cost

AbstractBackground:Lowering the cost of assessing clinicians’ competence could promote the scalability of evidence-based treatments such as cognitive behavioral therapy (CBT).Aims:This study examined the concordance between clinicians’, supervisors’ and independent observers’ session-specific ratings of clinician competence in school-based CBT and treatment as usual (TAU). It also investigated the association between clinician competence and supervisory session observation and rater agreement.Method:Fifty-nine school-based clinicians (90% female, 73% Caucasian) were randomly assigned to implement TAU or modular CBT for youth anxiety. Clinicians rated their confidence after each therapy session (n = 1898), and supervisors rated clinicians’ competence after each supervision session (n = 613). Independent observers rated clinicians’ competence from audio recordings (n = 395).Results:Patterns of rater discrepancies differed between the TAU and CBT groups. Correlations with independent raters were low across groups. Clinician competence and session observation were associated with higher agreement among TAU, but not CBT, supervisors and clinicians.Conclusions:These results support the gold standard practice of obtaining independent ratings of adherence and competence in implementation contexts. Further development of measures and/or rater training methods for clinicians and supervisors is needed.

scholarly journals Possibility of psychotherapeutic interventions for people with abnormal sexual preferences

2015 ◽  
Vol 10 (2) ◽  
pp. 53-66
Author(s):  
S.V. Babina ◽  
N.V. Dvoryanchikov
Keyword(s):  
Behavioral Therapy ◽  
Sexual Preference ◽  
Sexual Disorders ◽  
Psychotherapeutic Intervention ◽  
Scientific Publications ◽  
Sexual Preferences ◽  
Psychotherapeutic Interventions ◽  
Psychopharmacological Treatment ◽  
Progress Notes ◽  
And Behavior

The paper studies the possibility of interventions for people with abnormal sexual preferences. Authors reviewed domestic and foreign scientific publications described the treatment of sexual disorders and the basic directions of the therapy, and indicated its positive and negative aspects. We have studied progress notes and etiology of "personality disorders and behavior in adulthood" disease class, "disorders of sexual preference" disease subsection and analyzed the efficiency of the psychopharmacological treatment, cognitive-behavioral therapy, and psychotherapy for each violation of sexual preference. The most productive methods of psychotherapeutic intervention were identified. This analysis allows making the most appropriate scheme of psychological correction and treatment for persons with abnormalities of sexual preference.

scholarly journals Effects of the physical and social environment on youth cognitive performance

2020 ◽  
Author(s):  
Wesley J Meredith ◽  
Carlos Cardenas-Iniguez ◽  
Marc Berman ◽  
Monica Rosenberg
Keyword(s):  
Individual Differences ◽  
Cognitive Performance ◽  
Cognitive Abilities ◽  
Sociodemographic Factors ◽  
National Database ◽  
Brain Functioning ◽  
Unique Variance ◽  
Children's Home ◽  
And Behavior ◽  
Caregiver Report

Individual differences in children’s cognitive abilities impact life and health outcomes. What factors influence these individual differences during development? Here we test whether children’s environments predict cognitive performance, independent of well- characterized socioeconomic effects. We analyzed data from 9002 9–10-year-olds from the Adolescent Brain Cognitive Development Study, an ongoing longitudinal study with community samples across the U.S.A. Using youth- and caregiver-report questionnaires and national database registries (e.g., neighborhood crime, walkability), we defined principal components summarizing children’s home, school, neighborhood, and cultural environments. In two independent samples (ns = 3475, 5527), environmental components explained unique variance in children’s general cognitive ability, executive functioning, and learning/memory abilities. Furthermore, increased neighborhood enrichment was associated with a decreased relationship between sociodemographics and general cognitive abilities. Thus, the environment explains unique variance in cognitive performance in development and should be considered alongside sociodemographic factors to understand brain functioning and behavior.

scholarly journals Rewriting One Patient’s Story of Disrupted Sleep

2019 ◽  
pp. 161-172
Author(s):  
Samantha Domingo ◽  
Michelle L. Drerup
Keyword(s):  
Social Support ◽  
Treatment Adherence ◽  
Relaxation Training ◽  
Behavioral Therapy ◽  
Treatment Options ◽  
Cognitive Restructuring ◽  
Sleep Hygiene ◽  
Sleep Restriction ◽  
Insomnia Disorder

This chapter covers treatment options for individuals with chronic insomnia disorder. We describe the effectiveness of cognitive behavioral therapy for insomnia (CBT-i) and various modalities of delivery of the treatment. CBT-i is an alternative treatment for insomnia that has been demonstrated to be as successful as pharmacological therapies in the short term, and more effective in the long term. CBT-i comprises sleep restriction, stimulus control, relaxation training, sleep hygiene, and cognitive restructuring. The authors examine group CBT-i as a way to increase social support and enhance treatment adherence. Computerized CBT-i is a newer option to provide increased access to this treatment.

, Positive CBT: Individual and Group Treatment Protocols for Positive Cognitive Behavioral Therapy

2021 ◽  
Author(s):  
Fredrike Bannink ◽  
Nicole Geschwind
Keyword(s):  
Group Treatment ◽  
Behavioral Therapy ◽  
Treatment Protocol ◽  
Cognitive Behavioral ◽  
Individual Treatment ◽  
Treatment Protocols ◽  
Self Compassion ◽  
The Individual ◽  
And Behavior ◽  
Solution Focused

Positive CBT integrates positive psychology and solution-focused brief therapy within a cognitive-behavioral framework. It focuses not on reducing what is wrong, but on building what's right. This fourth wave CBT, developed by Fredrike Bannink, is now being applied worldwide for various psychological disorders. An introductory chapter explores the three approaches incorporated in positive CBT. Next, the book presents research into the individual treatment protocol for use with clients with major depressive disorder by Nicole Geschwind and colleagues at Maastricht University. The last chapters describe two 8-session treatment protocols for positive CBT, one for use with individuals and one for use with groups. The treatment protocols provide therapists with a step-by-step guide on how to apply positive CBT with individual clients and in group therapy. This approach goes beyond symptom reduction and instead focuses on the client’s preferred future, on finding exceptions to problems and identifying competencies. Topics such as self-compassion, optimism, gratitude, and behavior maintenance are explored. In addition to the protocols, two workbooks for clients are available online for download by therapists.

scholarly journals Prevention of postpartum suicidality in Israel

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Anat Brunstein Klomek
Keyword(s):  
At Risk ◽  
Soviet Union ◽  
Former Soviet Union ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Behavioral Therapy ◽  
Risk Groups ◽  
Entire Family ◽  
Mental Health Settings ◽  
And Behavior

Abstract Postpartum suicidality in Israel had not been systematically studied until the recent important investigation by Glasser and colleagues. The authors review rates, trends, and characteristics of postpartum women who considered, attempted, or completed suicide in Israel. This commentary argues that, although postpartum suicidality is relatively rare, it is extremely tragic—not just for the women, but for the entire family and community. The main aim of this commentary is to emphasize that preventive efforts should continue and expand, especially among at-risk groups. At-risk groups include the youngest age group, postpartum Arab women, and postpartum former Soviet Union immigrants. Identification of women at risk or suffering from postpartum depression (PPD) is mandated in Israel. Efforts should include broader screening for various types of suicide ideation and behavior. Assessments should specifically include passive suicide ideation, active suicide ideation with method, intent, and plan, as well as various types of suicide attempts and preparatory behaviors. In addition, specific interventions formulated on evidence-based psychotherapies should be provided in family practice, obstetric, and pediatric settings. These settings are less stigmatized in comparison to mental health settings. Potential therapies can be (among others) Cognitive Behavioral Therapy (CBT) and Interpersonal Psychotherapy (IPT), which are effective in preventing perinatal depression.

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