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

Behavioural and Cognitive Psychotherapy
David C RozekAnne D Simons

Abstract

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. This pilot study compared ratings of CBT competency from four perspectives - patient, therapist, supervisor and independent observer using the Cognitive Therapy Scale (CTS). 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. 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. Raters differed in competency ratings. Implications for potential use and adaptation of CBT competency measurement methods to enhance training and implementation are discussed.

Citations

Jun 24, 2021·Behavioural and Cognitive Psychotherapy·Kathryn RaysonDougal Julian Hare
Sep 22, 2021·Administration and Policy in Mental Health·Brigid R MarriottKristin M Hawley
Jul 3, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Tara ImpalaNikolaos Kazantzis

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