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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 Open the ORCID record for David C. Rozek [Opens in a new window] ,
Jamie L. Serrano ,
Brigid R. Marriott ,
Kelli S. Scott ,
L. Brian Hickman ,
Brittany M. Brothers ,
Cara C. Lewis  and
Anne D. Simons
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: [email protected]
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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.

Keywords

Cognitive behavioural therapycompetence ratings
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 46 , Issue 2 , March 2018 , pp. 244 - 250
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

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References

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