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Cognitive Behavioural Therapy Competency: Pilot Data from a Comparison of Multiple Perspectives

  • David C. Rozek (a1), Jamie L. Serrano (a2), Brigid R. Marriott (a3), Kelli S. Scott (a4), L. Brian Hickman (a5), Brittany M. Brothers (a4), Cara C. Lewis (a6) and Anne D. Simons (a7)...

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.

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Corresponding author

Correspondence to David C. Rozek, Department of Psychiatry, 383 Colorow, Salt Lake City, UT, USA. E-mail: david.rozek@utah.edu

References

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Brosan, L., Reynolds, S. and Moore, R. G. (2008). Self-evaluation of cognitive therapy performance: do therapists know how competent they are? Behavioural and Cognitive Psychotherapy, 36, 581587. https://doi.org/10.1017/S1352465808004438
Mathieson, F. M., Barnfield, T. and Beaumont, G. (2009). Are we as good as we think we are? Self-assessment versus other forms of assessment of competence in psychotherapy. the Cognitive Behaviour Therapist, 2, 4350. https://doi.org/10.1017/S1754470X08000081
Muse, K. and McManus, F. (2013). A systematic review of methods for assessing competence in cognitive-behavioural therapy. Clinical Psychology Review, 33, 484499. doi: 10.1016/j.cpr.2013. 01.010
Muse, K., McManus, F., Rakovshik, S. and Thwaites, R. (2017). Development and psychometric evaluation of the Assessment of Core CBT Skills (ACCS): an observation-based tool for assessing cognitive behavioral therapy competence. Psychological Assessment, 5, 542555.
Simons, A. D., Padesky, C. A., Montemarano, J., Lewis, C. C., Murakami, J., Lamb, K., DeVinney, S., Reid, M., Smith, D. A. and Beck, A. T. (2010). Training and dissemination of cognitive behavior therapy for depression in adults: a preliminary examination of therapist competence and client outcomes. Journal of Consulting and Clinical Psychology, 5, 751756. doi: 10.1037/a0020569
Young, J. and Beck, A. T. (1980). Cognitive Therapy Scale: Rating Manual. Unpublished manuscript, Center for Cognitive Therapy, University of Pennsylvania, Philadelphia, PA.

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Cognitive Behavioural Therapy Competency: Pilot Data from a Comparison of Multiple Perspectives

  • David C. Rozek (a1), Jamie L. Serrano (a2), Brigid R. Marriott (a3), Kelli S. Scott (a4), L. Brian Hickman (a5), Brittany M. Brothers (a4), Cara C. Lewis (a6) and Anne D. Simons (a7)...

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Cognitive Behavioural Therapy Competency: Pilot Data from a Comparison of Multiple Perspectives

  • David C. Rozek (a1), Jamie L. Serrano (a2), Brigid R. Marriott (a3), Kelli S. Scott (a4), L. Brian Hickman (a5), Brittany M. Brothers (a4), Cara C. Lewis (a6) and Anne D. Simons (a7)...
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