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

Published online by Cambridge University Press:  02 November 2017

David C. Rozek*
Affiliation:
University of Utah
Jamie L. Serrano
Affiliation:
VA Roseburg Healthcare System
Brigid R. Marriott
Affiliation:
University of Missouri-Columbia
Kelli S. Scott
Affiliation:
Indiana University Bloomington
L. Brian Hickman
Affiliation:
University of Washington St Louis
Brittany M. Brothers
Affiliation:
Indiana University Bloomington
Cara C. Lewis
Affiliation:
Kaiser Permanente Washington Health Research Institute, Indiana University Bloomington and University of Washington
Anne D. Simons
Affiliation:
University of Oregon and Oregon Research Institute
*
Correspondence to David C. Rozek, Department of Psychiatry, 383 Colorow, Salt Lake City, UT, USA. E-mail: david.rozek@utah.edu

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.

Type
Brief Clinical Reports
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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References

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