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Gepubliceerd in: Cognitive Therapy and Research 3/2019

18-01-2019 | Original Article

The Factor Structure of the Cognitive Therapy Rating Scale (CTRS) in a Sample of Community Mental Health Clinicians

Auteurs: Nicholas W. Affrunti, Torrey A. Creed

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 3/2019

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Abstract

Treatment fidelity is an essential outcome of implementation research. The gold standard measure for Cognitive-Behavioral Therapy (CBT) fidelity is the Cognitive Therapy Rating Scale (CTRS). Despite its widespread use in research and training programs, the structure of the CTRS has not been examined in a sample of community mental health clinicians with adult and child clients. The current study addressed this gap. The sample consisted of 355 clinicians and 1298 CBT sessions scored using the CTRS. High interrater reliability was observed and factor analysis yielded separate structures for child and adult treatment sessions. These structures were not consistent with previous factor analyses conducted on the scale. Findings suggest that the CTRS is a reliable measure of CBT in community mental health settings but that its structure may depend on the clinical population measured. Additionally, the factor structure can provide guidance for delivering feedback in training and supervision settings.
Literatuur
go back to reference Aarons, G. A., Miller, E. A., Green, A. E., Perrott, J. A., & Bradway, R. (2012). Adaptation happens: A qualitative case study of implementation of the incredible years evidence-based parent training programme in a residential substance abuse treatment programme. Journal of Children’s Services, 7, 233–245.CrossRef Aarons, G. A., Miller, E. A., Green, A. E., Perrott, J. A., & Bradway, R. (2012). Adaptation happens: A qualitative case study of implementation of the incredible years evidence-based parent training programme in a residential substance abuse treatment programme. Journal of Children’s Services, 7, 233–245.CrossRef
go back to reference Arbuckle, J. L. (2012). Amos (Version 21.0) [Computer Program]. Chicago: IBM SPSS. Arbuckle, J. L. (2012). Amos (Version 21.0) [Computer Program]. Chicago: IBM SPSS.
go back to reference Beavers, A. S., Lounsbury, J. W., Richards, J. K., Huck, S. W., Skolits, G. J., & Esquivel, S. L. (2013). Practical considerations for using exploratory factor analysis in educational research. Practical Assessment, Research & Evaluation, 18, 1–13. Beavers, A. S., Lounsbury, J. W., Richards, J. K., Huck, S. W., Skolits, G. J., & Esquivel, S. L. (2013). Practical considerations for using exploratory factor analysis in educational research. Practical Assessment, Research & Evaluation, 18, 1–13.
go back to reference Beck, A. T., & Haigh, E. A. (2014). Advances in cognitive theory and therapy: The generic cognitive model. Annual Review of Clinical Psychology, 10, 1–24.CrossRef Beck, A. T., & Haigh, E. A. (2014). Advances in cognitive theory and therapy: The generic cognitive model. Annual Review of Clinical Psychology, 10, 1–24.CrossRef
go back to reference Branson, A., Shafran, R., & Myles, P. (2015). Investigating the relationship between competence and patient outcome with CBT. Behaviour research and therapy, 68, 19–26.CrossRef Branson, A., Shafran, R., & Myles, P. (2015). Investigating the relationship between competence and patient outcome with CBT. Behaviour research and therapy, 68, 19–26.CrossRef
go back to reference Byrne, B. M. (2004). Testing for multigroup invariance using AMOS graphics: A road less traveled. Structural Equation Modeling, 11, 272–300.CrossRef Byrne, B. M. (2004). Testing for multigroup invariance using AMOS graphics: A road less traveled. Structural Equation Modeling, 11, 272–300.CrossRef
go back to reference Chavira, D. A., Golinelli, D., Sherbourne, C., Stein, M. B., Sullivan, G., Bystritsky, A., … Bumgardner, K. (2014). Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care. Journal of Consulting and Clinical Psychology, 82, 392–403.CrossRef Chavira, D. A., Golinelli, D., Sherbourne, C., Stein, M. B., Sullivan, G., Bystritsky, A., … Bumgardner, K. (2014). Treatment engagement and response to CBT among Latinos with anxiety disorders in primary care. Journal of Consulting and Clinical Psychology, 82, 392–403.CrossRef
go back to reference Chu, B. C., & Kendall, P. C. (2009). Therapist responsiveness to child engagement: flexibility within manual-based CBT for anxious youth. Journal of Clinical Psychology, 65, 736–754.CrossRef Chu, B. C., & Kendall, P. C. (2009). Therapist responsiveness to child engagement: flexibility within manual-based CBT for anxious youth. Journal of Clinical Psychology, 65, 736–754.CrossRef
go back to reference Cook, J. M., Dinnen, S., Thompson, R., Simiola, V., & Schnurr, P. P. (2014). Changes in implementation of two evidence-based psychotherapies for PTSD in VA residential treatment programs: A national investigation. Journal of Traumatic Stress, 27, 137–143.CrossRef Cook, J. M., Dinnen, S., Thompson, R., Simiola, V., & Schnurr, P. P. (2014). Changes in implementation of two evidence-based psychotherapies for PTSD in VA residential treatment programs: A national investigation. Journal of Traumatic Stress, 27, 137–143.CrossRef
go back to reference Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10, 1–9. Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10, 1–9.
go back to reference Creed, T. A., Frankel, S. A., German, R. E., Green, K. L., Jager-Hyman, S., Taylor, K. P., … Williston, M. A. (2016a). Implementation of transdiagnostic cognitive therapy in community behavioral health: The Beck Community Initiative. Journal of Consulting and Clinical Psychology, 84, 1116–1126.CrossRef Creed, T. A., Frankel, S. A., German, R. E., Green, K. L., Jager-Hyman, S., Taylor, K. P., … Williston, M. A. (2016a). Implementation of transdiagnostic cognitive therapy in community behavioral health: The Beck Community Initiative. Journal of Consulting and Clinical Psychology, 84, 1116–1126.CrossRef
go back to reference Creed, T. A., Jager-Hyman, S., Pontoski, K., Feinberg, B., Rosenberg, Z., Evans, A. C., Hurford, M. O., & Beck, A. T. (2013). The Beck Initiative: A strength-based approach to training school-based mental health staff in cognitive therapy. International Journal of Emotional Education, 5, 49–66. Creed, T. A., Jager-Hyman, S., Pontoski, K., Feinberg, B., Rosenberg, Z., Evans, A. C., Hurford, M. O., & Beck, A. T. (2013). The Beck Initiative: A strength-based approach to training school-based mental health staff in cognitive therapy. International Journal of Emotional Education, 5, 49–66.
go back to reference Creed, T. A., Stirman, S. W., Evans, A. C., & Beck, A. T. (2014). A model for implementation of cognitive therapy in community mental health: The Beck Initiative. Behavior Therapist, 37, 56–64. Creed, T. A., Stirman, S. W., Evans, A. C., & Beck, A. T. (2014). A model for implementation of cognitive therapy in community mental health: The Beck Initiative. Behavior Therapist, 37, 56–64.
go back to reference Creed, T. A., Wolk, C. B., Feinberg, B., Evans, A. C., & Beck, A. T. (2016b). Beyond the label: Relationship between community therapists’ self-report of a cognitive behavioral therapy orientation and observed skills. Administration and Policy in Mental Health and Mental Health Services Research, 43, 36–43. https://doi.org/10.1007/s10488-014-0618-5.CrossRef Creed, T. A., Wolk, C. B., Feinberg, B., Evans, A. C., & Beck, A. T. (2016b). Beyond the label: Relationship between community therapists’ self-report of a cognitive behavioral therapy orientation and observed skills. Administration and Policy in Mental Health and Mental Health Services Research, 43, 36–43. https://​doi.​org/​10.​1007/​s10488-014-0618-5.CrossRef
go back to reference Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., … Atkins, D. C. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658–670.CrossRef Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., … Atkins, D. C. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74, 658–670.CrossRef
go back to reference Dobson, K. S., Shaw, B. F., & Vallis, T. M. (1985). Reliability of a measure of the quality of cognitive therapy. British Journal of Clinical Psychology, 24, 295–300.CrossRef Dobson, K. S., Shaw, B. F., & Vallis, T. M. (1985). Reliability of a measure of the quality of cognitive therapy. British Journal of Clinical Psychology, 24, 295–300.CrossRef
go back to reference Essock, S. M., Nossel, I. R., McNamara, K., Bennett, M. E., Buchanan, R. W., Kreyenbuhl, J. A., … Dixon, L. B. (2015). Practical monitoring of treatment fidelity: examples from a team-based intervention for people with early psychosis. Psychiatric Services, 66, 674–676.CrossRef Essock, S. M., Nossel, I. R., McNamara, K., Bennett, M. E., Buchanan, R. W., Kreyenbuhl, J. A., … Dixon, L. B. (2015). Practical monitoring of treatment fidelity: examples from a team-based intervention for people with early psychosis. Psychiatric Services, 66, 674–676.CrossRef
go back to reference Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network. Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.
go back to reference Forand, N. R., Evans, S., Haglin, D., & Fishman, B. (2011). Cognitive behavioral therapy in practice: Treatment delivered by trainees at an outpatient clinic is clinically effective. Behavior Therapy, 42, 612–623.CrossRef Forand, N. R., Evans, S., Haglin, D., & Fishman, B. (2011). Cognitive behavioral therapy in practice: Treatment delivered by trainees at an outpatient clinic is clinically effective. Behavior Therapy, 42, 612–623.CrossRef
go back to reference Fuggle, P., Dunsmuir, S., & Curry, V. (2012). CBT with children, young people and families. London: Sage. Fuggle, P., Dunsmuir, S., & Curry, V. (2012). CBT with children, young people and families. London: Sage.
go back to reference Garety, P. A., Craig, T. K., Iredale, C. H., Basit, N., Fornells-Ambrojo, M., Halkoree, R., … Zala, D. (2017). Training the frontline workforce to deliver evidence-based therapy to people with psychosis: Challenges in the GOALS study. Psychiatric Services, 69, 9–11.CrossRef Garety, P. A., Craig, T. K., Iredale, C. H., Basit, N., Fornells-Ambrojo, M., Halkoree, R., … Zala, D. (2017). Training the frontline workforce to deliver evidence-based therapy to people with psychosis: Challenges in the GOALS study. Psychiatric Services, 69, 9–11.CrossRef
go back to reference German, R. E., Adler, A., Frankel, S. A., Stirman, S. W., Pinedo, P., Evans, A. C., … Creed, T. A. (2017). Testing a web-based, trained-peer model to build capacity for evidence-based practices in community mental health systems. Psychiatric Services, 69, 286–292.CrossRef German, R. E., Adler, A., Frankel, S. A., Stirman, S. W., Pinedo, P., Evans, A. C., … Creed, T. A. (2017). Testing a web-based, trained-peer model to build capacity for evidence-based practices in community mental health systems. Psychiatric Services, 69, 286–292.CrossRef
go back to reference Ginsburg, G. S., Becker, K. D., Drazdowski, T. K., & Tein, J. Y. (2012). Treating anxiety disorders in inner city schools: Results from a pilot randomized controlled trial comparing CBT and usual care. Child & Youth Care Forum, 41, 1–19.CrossRef Ginsburg, G. S., Becker, K. D., Drazdowski, T. K., & Tein, J. Y. (2012). Treating anxiety disorders in inner city schools: Results from a pilot randomized controlled trial comparing CBT and usual care. Child & Youth Care Forum, 41, 1–19.CrossRef
go back to reference Hamilton, J. D., Kendall, P. C., Gosch, E., Furr, J. M., & Sood, E. (2008). Flexibility within fidelity. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 987–993.CrossRef Hamilton, J. D., Kendall, P. C., Gosch, E., Furr, J. M., & Sood, E. (2008). Flexibility within fidelity. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 987–993.CrossRef
go back to reference Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30, 448–466.CrossRef Herschell, A. D., Kolko, D. J., Baumann, B. L., & Davis, A. C. (2010). The role of therapist training in the implementation of psychosocial treatments: A review and critique with recommendations. Clinical Psychology Review, 30, 448–466.CrossRef
go back to reference Hofmann, S. G., Asmundson, G. J., & Beck, A. T. (2013). The science of cognitive therapy. Behavior Therapy, 44, 199–212.CrossRef Hofmann, S. G., Asmundson, G. J., & Beck, A. T. (2013). The science of cognitive therapy. Behavior Therapy, 44, 199–212.CrossRef
go back to reference Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36, 427–440.CrossRef Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36, 427–440.CrossRef
go back to reference Hogue, A., Henderson, C. E., Dauber, S., Barajas, P. C., Fried, A., & Liddle, H. A. (2008). Treatment adherence, competence, and outcome in individual and family therapy for adolescent behavior problems. Journal of Consulting and Clinical Psychology, 76, 544–555.CrossRef Hogue, A., Henderson, C. E., Dauber, S., Barajas, P. C., Fried, A., & Liddle, H. A. (2008). Treatment adherence, competence, and outcome in individual and family therapy for adolescent behavior problems. Journal of Consulting and Clinical Psychology, 76, 544–555.CrossRef
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.CrossRef
go back to reference Huang, F. L. (2016). Alternatives to multilevel modeling for the analysis of clustered data. The Journal of Experimental Education, 84, 175–196.CrossRef Huang, F. L. (2016). Alternatives to multilevel modeling for the analysis of clustered data. The Journal of Experimental Education, 84, 175–196.CrossRef
go back to reference Jacobson, N. S., & Gortner, E. T. (2000). Can depression be de-medicalized in the 21st century: Scientific revolutions, counter-revolutions and the magnetic field of normal science. Behaviour Research and Therapy, 38, 103–117.CrossRef Jacobson, N. S., & Gortner, E. T. (2000). Can depression be de-medicalized in the 21st century: Scientific revolutions, counter-revolutions and the magnetic field of normal science. Behaviour Research and Therapy, 38, 103–117.CrossRef
go back to reference Kazantzis, N., Clayton, X., Cronin, T. J., Farchione, D., Limburg, K., & Dobson, K. S. (2018). The Cognitive Therapy Scale and Cognitive Therapy Scale-Revised as measures of therapist competence in cognitive behavior therapy for depression: Relations with short and long term outcome. Cognitive Therapy and Research, 42, 385–397.CrossRef Kazantzis, N., Clayton, X., Cronin, T. J., Farchione, D., Limburg, K., & Dobson, K. S. (2018). The Cognitive Therapy Scale and Cognitive Therapy Scale-Revised as measures of therapist competence in cognitive behavior therapy for depression: Relations with short and long term outcome. Cognitive Therapy and Research, 42, 385–397.CrossRef
go back to reference Keen, A. J., & Freeston, M. H. (2008). Assessing competence in cognitive-behavioural therapy. The British Journal of Psychiatry, 193, 60–64.CrossRef Keen, A. J., & Freeston, M. H. (2008). Assessing competence in cognitive-behavioural therapy. The British Journal of Psychiatry, 193, 60–64.CrossRef
go back to reference Landis, R., Edwards, B. D., & Cortina, J. (2009). Correlated residuals among items in the estimation of measurement models. In C. E. Lance & R. J. Vandenberg (Eds.), Statistical and methodological myths and urban legends: Doctrine, verity, and fable in the organizational and social sciences (pp. 195–214). New York, NY: Routledge. Landis, R., Edwards, B. D., & Cortina, J. (2009). Correlated residuals among items in the estimation of measurement models. In C. E. Lance & R. J. Vandenberg (Eds.), Statistical and methodological myths and urban legends: Doctrine, verity, and fable in the organizational and social sciences (pp. 195–214). New York, NY: Routledge.
go back to reference Lewis, C. C., Scott, K. E., & Hendricks, K. E. (2014). A model and guide for evaluating supervision outcomes in cognitive–behavioral therapy-focused training programs. Training and Education in Professional Psychology, 8, 165–173.CrossRef Lewis, C. C., Scott, K. E., & Hendricks, K. E. (2014). A model and guide for evaluating supervision outcomes in cognitive–behavioral therapy-focused training programs. Training and Education in Professional Psychology, 8, 165–173.CrossRef
go back to reference Matsunaga, M. (2010). How to factor-analyze your data right: Do’s, don’ts, and how-to’s. International Journal of Psychological Research, 3, 97–110.CrossRef Matsunaga, M. (2010). How to factor-analyze your data right: Do’s, don’ts, and how-to’s. International Journal of Psychological Research, 3, 97–110.CrossRef
go back to reference McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65, 73–84.CrossRef McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65, 73–84.CrossRef
go back to reference McHugh, R. K., Murray, H. W., & Barlow, D. H. (2009). Balancing fidelity and adaptation in the dissemination of empirically-supported treatments: The promise of transdiagnostic interventions. Behaviour Research and Therapy, 47, 946–953.CrossRef McHugh, R. K., Murray, H. W., & Barlow, D. H. (2009). Balancing fidelity and adaptation in the dissemination of empirically-supported treatments: The promise of transdiagnostic interventions. Behaviour Research and Therapy, 47, 946–953.CrossRef
go back to reference McManus, F., Westbrook, D., Vazquez-Montes, M., Fennell, M., & Kennerley, H. (2010). An evaluation of the effectiveness of diploma-level training in cognitive behaviour therapy. Behaviour Research and Therapy, 48, 1123–1132.CrossRef McManus, F., Westbrook, D., Vazquez-Montes, M., Fennell, M., & Kennerley, H. (2010). An evaluation of the effectiveness of diploma-level training in cognitive behaviour therapy. Behaviour Research and Therapy, 48, 1123–1132.CrossRef
go back to reference Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J., & Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of consulting and Clinical Psychology, 72, 1050–1062.CrossRef Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J., & Pirritano, M. (2004). A randomized trial of methods to help clinicians learn motivational interviewing. Journal of consulting and Clinical Psychology, 72, 1050–1062.CrossRef
go back to reference Morse, G., Salyers, M. P., Rollins, A. L., Monroe-DeVita, M., & Pfahler, C. (2012). Burnout in mental health services: A review of the problem and its remediation. Administration and Policy in Mental Health and Mental Health Services Research, 39, 341–352.CrossRef Morse, G., Salyers, M. P., Rollins, A. L., Monroe-DeVita, M., & Pfahler, C. (2012). Burnout in mental health services: A review of the problem and its remediation. Administration and Policy in Mental Health and Mental Health Services Research, 39, 341–352.CrossRef
go back to reference Muse, K., & McManus, F. (2013). A systematic review of methods for assessing competence in cognitive–behavioural therapy. Clinical Psychology Review, 33, 484–499.CrossRef Muse, K., & McManus, F. (2013). A systematic review of methods for assessing competence in cognitive–behavioural therapy. Clinical Psychology Review, 33, 484–499.CrossRef
go back to reference Patil, V. H., Singh, S. N., Mishra, S., & Donavan, D. T. (2008). Efficient theory development and factor retention criteria: Abandon the ‘eigenvalue greater than one’ criterion. Journal of Business Research, 61, 162–170.CrossRef Patil, V. H., Singh, S. N., Mishra, S., & Donavan, D. T. (2008). Efficient theory development and factor retention criteria: Abandon the ‘eigenvalue greater than one’ criterion. Journal of Business Research, 61, 162–170.CrossRef
go back to reference Pontoski, K., Jager-Hyman, S., Cunningham, A., Sposato, R., Schultz, L., Evans, A. C., Beck, A. T., & Creed, T. A. (2016). Using a Cognitive Behavioral framework to train staff serving individuals who experience chronic homelessness. Journal of Community Psychology, 44, 674–680.CrossRef Pontoski, K., Jager-Hyman, S., Cunningham, A., Sposato, R., Schultz, L., Evans, A. C., Beck, A. T., & Creed, T. A. (2016). Using a Cognitive Behavioral framework to train staff serving individuals who experience chronic homelessness. Journal of Community Psychology, 44, 674–680.CrossRef
go back to reference Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., … Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76.CrossRef Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., … Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76.CrossRef
go back to reference Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36, 24–34.CrossRef Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36, 24–34.CrossRef
go back to reference Riggs, S. E., & Creed, T. A. (2017). A model to transform psychosis milieu treatment using CBT-informed interventions. Cognitive and Behavioral Practice, 24, 353–362.CrossRef Riggs, S. E., & Creed, T. A. (2017). A model to transform psychosis milieu treatment using CBT-informed interventions. Cognitive and Behavioral Practice, 24, 353–362.CrossRef
go back to reference Rollins, A. L., McGrew, J. H., Kukla, M., McGuire, A. B., Flanagan, M. E., Hunt, M. G., … Salyers, M. P. (2016). Comparison of assertive community treatment fidelity assessment methods: Reliability and validity. Administration and Policy in Mental Health and Mental Health Services Research, 43, 157–167.CrossRef Rollins, A. L., McGrew, J. H., Kukla, M., McGuire, A. B., Flanagan, M. E., Hunt, M. G., … Salyers, M. P. (2016). Comparison of assertive community treatment fidelity assessment methods: Reliability and validity. Administration and Policy in Mental Health and Mental Health Services Research, 43, 157–167.CrossRef
go back to reference Roth, A. D., Calder, F., & Pilling, S. (2011). A competence framework for child and adolescent mental health services. Edinburgh: NHS Education for Scotland. Roth, A. D., Calder, F., & Pilling, S. (2011). A competence framework for child and adolescent mental health services. Edinburgh: NHS Education for Scotland.
go back to reference Rozek, D. C., Serrano, J. L., Marriott, B. R., Scott, K. S., Hickman, L. B., Brothers, B. M., … Simons, A. D. (2018). Cognitive behavioural therapy competency: Pilot data from a comparison of multiple perspectives. Behavioural and Cognitive Psychotherapy, 46, 244–250.CrossRef Rozek, D. C., Serrano, J. L., Marriott, B. R., Scott, K. S., Hickman, L. B., Brothers, B. M., … Simons, A. D. (2018). Cognitive behavioural therapy competency: Pilot data from a comparison of multiple perspectives. Behavioural and Cognitive Psychotherapy, 46, 244–250.CrossRef
go back to reference Schoenwald, S. K., Carter, R. E., Chapman, J. E., & Sheidow, A. J. (2008). Therapist adherence and organizational effects on change in youth behavior problems one year after multisystemic therapy. Administration and Policy in Mental Health and Mental Health Services Research, 35, 379–394.CrossRef Schoenwald, S. K., Carter, R. E., Chapman, J. E., & Sheidow, A. J. (2008). Therapist adherence and organizational effects on change in youth behavior problems one year after multisystemic therapy. Administration and Policy in Mental Health and Mental Health Services Research, 35, 379–394.CrossRef
go back to reference Shaw, B. F., Elkin, I., Yamaguchi, J., Olmsted, M., Vallis, T. M., Dobson, K. S., … Imber, S. D. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology, 67, 837–846.CrossRef Shaw, B. F., Elkin, I., Yamaguchi, J., Olmsted, M., Vallis, T. M., Dobson, K. S., … Imber, S. D. (1999). Therapist competence ratings in relation to clinical outcome in cognitive therapy of depression. Journal of Consulting and Clinical Psychology, 67, 837–846.CrossRef
go back to reference Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F., & Carroll, K. M. (2005). We don’t train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 106–115.CrossRef Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F., & Carroll, K. M. (2005). We don’t train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 106–115.CrossRef
go back to reference Simons, A. D., Padesky, C. A., Montemarano, J., Lewis, C. C., Murakami, J., Lamb, K., … 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, 78, 751–756.CrossRef Simons, A. D., Padesky, C. A., Montemarano, J., Lewis, C. C., Murakami, J., Lamb, K., … 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, 78, 751–756.CrossRef
go back to reference Stallard, P. (2005). A clinicians guide to think good feel good: Using CBT with children and young people. Winchester: Wiley. Stallard, P. (2005). A clinicians guide to think good feel good: Using CBT with children and young people. Winchester: Wiley.
go back to reference Stallard, P., Myles, P., & Branson, A. (2014). The cognitive behaviour therapy scale for children and young people (CBTS-CYP): Development and psychometric properties. Behavioural and Cognitive Psychotherapy, 42, 269–282.CrossRef Stallard, P., Myles, P., & Branson, A. (2014). The cognitive behaviour therapy scale for children and young people (CBTS-CYP): Development and psychometric properties. Behavioural and Cognitive Psychotherapy, 42, 269–282.CrossRef
go back to reference Stirman, S. W., Calloway, A., Toder, K., Miller, C. J., DeVito, A. K., Meisel, S. N., … Crits-Christoph, P. (2013a). Community mental health provider modifications to cognitive therapy: Implications for sustainability. Psychiatric Services, 64, 1056–1059.CrossRef Stirman, S. W., Calloway, A., Toder, K., Miller, C. J., DeVito, A. K., Meisel, S. N., … Crits-Christoph, P. (2013a). Community mental health provider modifications to cognitive therapy: Implications for sustainability. Psychiatric Services, 64, 1056–1059.CrossRef
go back to reference Stirman, S. W., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science, 7, 1–19.CrossRef Stirman, S. W., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science, 7, 1–19.CrossRef
go back to reference Stirman, S. W., Marques, L., Creed, T. A., Gutner, C. A., DeRubeis, R., Barnett, P. G., … Jo, B. (2018). Leveraging routine clinical materials and mobile technology to assess CBT fidelity: The Innovative Methods to Assess Psychotherapy Practices (imAPP) study. Implementation Science, 13, 1–11. Stirman, S. W., Marques, L., Creed, T. A., Gutner, C. A., DeRubeis, R., Barnett, P. G., … Jo, B. (2018). Leveraging routine clinical materials and mobile technology to assess CBT fidelity: The Innovative Methods to Assess Psychotherapy Practices (imAPP) study. Implementation Science, 13, 1–11.
go back to reference Stirman, S. W., Miller, C. J., Toder, K., & Calloway, A. (2013b). Development of a framework and coding system for modifications and adaptations of evidence-based interventions. Implementation Science, 8, 1–12.CrossRef Stirman, S. W., Miller, C. J., Toder, K., & Calloway, A. (2013b). Development of a framework and coding system for modifications and adaptations of evidence-based interventions. Implementation Science, 8, 1–12.CrossRef
go back to reference Strunk, D. R., Brotman, M. A., & DeRubeis, R. J. (2010). The process of change in cognitive therapy for depression: Predictors of early inter-session symptom gains. Behaviour Research and Therapy, 48, 599–606.CrossRef Strunk, D. R., Brotman, M. A., & DeRubeis, R. J. (2010). The process of change in cognitive therapy for depression: Predictors of early inter-session symptom gains. Behaviour Research and Therapy, 48, 599–606.CrossRef
go back to reference Thomas, S. L., & Heck, R. H. (2001). Analysis of large-scale secondary data in higher education research: Potential perils associated with complex sampling designs. Research in Higher Education, 42, 517–540.CrossRef Thomas, S. L., & Heck, R. H. (2001). Analysis of large-scale secondary data in higher education research: Potential perils associated with complex sampling designs. Research in Higher Education, 42, 517–540.CrossRef
go back to reference Trepka, C., Rees, A., Shapiro, D. A., Hardy, G. E., & Barkham, M. (2004). Therapist competence and outcome of cognitive therapy for depression. Cognitive Therapy and Research, 28, 143–157.CrossRef Trepka, C., Rees, A., Shapiro, D. A., Hardy, G. E., & Barkham, M. (2004). Therapist competence and outcome of cognitive therapy for depression. Cognitive Therapy and Research, 28, 143–157.CrossRef
go back to reference Vallis, T. M., Shaw, B. F., & Dobson, K. S. (1986). The cognitive therapy scale: Psychometric properties. Journal of Consulting and Clinical Psychology, 54, 381–385.CrossRef Vallis, T. M., Shaw, B. F., & Dobson, K. S. (1986). The cognitive therapy scale: Psychometric properties. Journal of Consulting and Clinical Psychology, 54, 381–385.CrossRef
go back to reference Van Prooijen, J. W., & Van Der Kloot, W. A. (2001). Confirmatory analysis of exploratively obtained factor structures. Educational and Psychological Measurement, 61(5), 777–792.CrossRef Van Prooijen, J. W., & Van Der Kloot, W. A. (2001). Confirmatory analysis of exploratively obtained factor structures. Educational and Psychological Measurement, 61(5), 777–792.CrossRef
go back to reference Waltman, S. H., Hall, B. C., McFarr, L. M., & Creed, T. A. (2018). Clinical case consultation and experiential learning in cognitive behavioral therapy implementation: Brief qualitative investigation. Journal of Cognitive Psychotherapy, 32, 112–127.CrossRef Waltman, S. H., Hall, B. C., McFarr, L. M., & Creed, T. A. (2018). Clinical case consultation and experiential learning in cognitive behavioral therapy implementation: Brief qualitative investigation. Journal of Cognitive Psychotherapy, 32, 112–127.CrossRef
go back to reference Westbrook, D., Sedgwick-Taylor, A., Bennett-Levy, J., Butler, G., & McManus, F. (2008). A pilot evaluation of a brief CBT training course: Impact on trainees’ satisfaction, clinical skills and patient outcomes. Behavioural and Cognitive Psychotherapy, 36, 569–579.CrossRef Westbrook, D., Sedgwick-Taylor, A., Bennett-Levy, J., Butler, G., & McManus, F. (2008). A pilot evaluation of a brief CBT training course: Impact on trainees’ satisfaction, clinical skills and patient outcomes. Behavioural and Cognitive Psychotherapy, 36, 569–579.CrossRef
go back to reference Westra, H. A., Arkowitz, H., & Dozois, D. J. (2009). Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: A preliminary randomized controlled trial. Journal of Anxiety Disorders, 23, 1106–1117.CrossRef Westra, H. A., Arkowitz, H., & Dozois, D. J. (2009). Adding a motivational interviewing pretreatment to cognitive behavioral therapy for generalized anxiety disorder: A preliminary randomized controlled trial. Journal of Anxiety Disorders, 23, 1106–1117.CrossRef
go back to reference Young, J., & Beck, A. (1980). Cognitive therapy scale: Rating manual. Unpublished manuscript. Philadelphia: Center for Cognitive Therapy. Young, J., & Beck, A. (1980). Cognitive therapy scale: Rating manual. Unpublished manuscript. Philadelphia: Center for Cognitive Therapy.
Metagegevens
Titel
The Factor Structure of the Cognitive Therapy Rating Scale (CTRS) in a Sample of Community Mental Health Clinicians
Auteurs
Nicholas W. Affrunti
Torrey A. Creed
Publicatiedatum
18-01-2019
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 3/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-019-09998-7

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