Effects of Competence Feedback on Therapist Competence and Patient Outcome: A Randomized Controlled Trial

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • Florian Weck
  • Yvonne M Junga
  • Reinhold Kliegl
  • Daniela Hahn
  • Katharina Brucker
  • Michael Witthoeft
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000728145900003&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1037/ccp0000686
eISSN
1939-2117
Externe Identifier
  • Clarivate Analytics Document Solution ID: XL4WP
  • PubMed Identifier: 34881909
ISSN
0022-006X
Ausgabe der Veröffentlichung
11
Zeitschrift
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
Schlüsselwörter
  • feedback
  • outcome
  • major depression
  • therapeutic alliance
  • therapeutic competencies
Paginierung
885 - 897
Datum der Veröffentlichung
2021
Status
Published
Titel
Effects of Competence Feedback on Therapist Competence and Patient Outcome: A Randomized Controlled Trial
Sub types
  • Article
Ausgabe der Zeitschrift
89

Datenquelle: Web of Science (Lite)

Andere Metadatenquellen:
Autoren
  • Florian Weck
  • Yvonne M Junga
  • Reinhold Kliegl
  • Daniela Hahn
  • Katharina Brucker
  • Michael Witthöft
DOI
10.1037/ccp0000686
eISSN
1939-2117
ISSN
0022-006X
Ausgabe der Veröffentlichung
11
Zeitschrift
Journal of Consulting and Clinical Psychology
Sprache
en
Online publication date
2021
Paginierung
885 - 897
Status
Published online
Herausgeber
American Psychological Association (APA)
Herausgeber URL
http://dx.doi.org/10.1037/ccp0000686
Datum der Datenerfassung
2024
Titel
Effects of competence feedback on therapist competence and patient outcome: A randomized controlled trial.
Ausgabe der Zeitschrift
89

Datenquelle: Crossref

Abstract
<h4>Objective</h4>Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome.<h4>Method</h4>Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback group (CFG) or a control group (CG). Patients with a diagnosis of major depression (N = 114) were randomly assigned to CFG or CG. Treatment included 20 individual sessions of cognitive behavioral therapy (CBT). In CFG, therapists received, parallel to the treatment, five competence feedbacks, based on videotaped therapy sessions. Independent raters assessed therapist competence with the Cognitive Therapy Scale (CTS) and provided the competence feedback. Patient outcome was evaluated with the Beck Depression Inventory-II (BDI-II) and therapeutic alliance (Helping Alliance Questionnaire [HAQ]) from both therapist's (HAQ-T) and patient's (HAQ-P) perspective were evaluated after each of the 20 sessions.<h4>Results</h4>(a) Therapist competence (CTS) increased significantly more for CFG than CG. (b) Depression (BDI-II) decreased significantly across sessions for both groups, but without evidence for a group-differential benefit for the CFG. (c) Therapeutic alliance (HAQ-T/P) increased significantly across sessions for both groups from both perspectives, but without group differences. (d) There is a positive effect of BDI-II on CTS at the beginning and a negative effect of CTS on BDI-II at the end of therapy.<h4>Conclusion</h4>Competence feedback improves therapists' independently rated competence, but there is no evidence that competence feedback in CBT leads to better outcome. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Addresses
  • Department of Clinical Psychology and Psychotherapy, University of Potsdam.
Autoren
  • Florian Weck
  • Yvonne M Junga
  • Reinhold Kliegl
  • Daniela Hahn
  • Katharina Brucker
  • Michael Witthöft
DOI
10.1037/ccp0000686
eISSN
1939-2117
Externe Identifier
  • PubMed Identifier: 34881909
Funding acknowledgements
  • German Research Foundation:
  • German Research Foundation: WE 4654/7
Open access
false
ISSN
0022-006X
Ausgabe der Veröffentlichung
11
Zeitschrift
Journal of consulting and clinical psychology
Schlüsselwörter
  • Humans
  • Depressive Disorder, Major
  • Psychotherapy
  • Feedback
  • Surveys and Questionnaires
  • Cognitive Behavioral Therapy
Sprache
eng
Medium
Print
Paginierung
885 - 897
Datum der Veröffentlichung
2021
Status
Published
Datum der Datenerfassung
2021
Titel
Effects of competence feedback on therapist competence and patient outcome: A randomized controlled trial.
Sub types
  • Randomized Controlled Trial
  • Journal Article
Ausgabe der Zeitschrift
89

Datenquelle: Europe PubMed Central

Abstract
OBJECTIVE: Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome. METHOD: Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback group (CFG) or a control group (CG). Patients with a diagnosis of major depression (N = 114) were randomly assigned to CFG or CG. Treatment included 20 individual sessions of cognitive behavioral therapy (CBT). In CFG, therapists received, parallel to the treatment, five competence feedbacks, based on videotaped therapy sessions. Independent raters assessed therapist competence with the Cognitive Therapy Scale (CTS) and provided the competence feedback. Patient outcome was evaluated with the Beck Depression Inventory-II (BDI-II) and therapeutic alliance (Helping Alliance Questionnaire [HAQ]) from both therapist's (HAQ-T) and patient's (HAQ-P) perspective were evaluated after each of the 20 sessions. RESULTS: (a) Therapist competence (CTS) increased significantly more for CFG than CG. (b) Depression (BDI-II) decreased significantly across sessions for both groups, but without evidence for a group-differential benefit for the CFG. (c) Therapeutic alliance (HAQ-T/P) increased significantly across sessions for both groups from both perspectives, but without group differences. (d) There is a positive effect of BDI-II on CTS at the beginning and a negative effect of CTS on BDI-II at the end of therapy. CONCLUSION: Competence feedback improves therapists' independently rated competence, but there is no evidence that competence feedback in CBT leads to better outcome. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Autoren
  • Florian Weck
  • Yvonne M Junga
  • Reinhold Kliegl
  • Daniela Hahn
  • Katharina Brucker
  • Michael Witthöft
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/34881909
DOI
10.1037/ccp0000686
eISSN
1939-2117
Funding acknowledgements
  • German Research Foundation:
Ausgabe der Veröffentlichung
11
Zeitschrift
J Consult Clin Psychol
Schlüsselwörter
  • Cognitive Behavioral Therapy
  • Depressive Disorder, Major
  • Feedback
  • Humans
  • Psychotherapy
  • Surveys and Questionnaires
Sprache
eng
Country
United States
Paginierung
885 - 897
PII
2022-12796-001
Datum der Veröffentlichung
2021
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2021
Titel
Effects of competence feedback on therapist competence and patient outcome: A randomized controlled trial.
Sub types
  • Journal Article
  • Randomized Controlled Trial
Ausgabe der Zeitschrift
89

Datenquelle: PubMed

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