The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes

TY - JOUR

T1 - The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes

AU - Liness, Sheena

AU - Beale, Sarah

AU - Lea, Susan

AU - Byrne, Suzanne

AU - Hirsch, Colette R.

AU - Clark, David M.

PY - 2019/6/15

Y1 - 2019/6/15

N2 - The continued effectiveness of in-service psychological therapy training requires evaluation. This study assessed therapist competence and patient clinical outcome during cognitive behaviour therapy training and 12+ months post-training. Trainee competence was assessed using audio-recorded sessions rated on the Cognitive Therapy Scale Revised at the beginning (nthinspace=thinspace33) and end of training (nthinspace=thinspace45), and at least 12 months post-training (nthinspace=thinspace45). Pre-to-posttreatment clinical outcome for trainees' patients during the course (nthinspace=thinspace360) and post-training (nthinspace=thinspace360) was evaluated using standardised self-report measures. The relationship between therapist competence and patient outcomes was explored. Trainees achieved competence during training (100%, nthinspace=thinspace45) and largely maintained competence post-training (84%, nthinspace=thinspace38). Patients demonstrated pre-to-posttreatment effect sizes between 1.38 and 1.89 and reliable improvement exceeding 80% during and after training. Competence was not significantly associated with patient outcome. Trainees predominantly maintained competence and achieved good clinical outcomes post-training. Structured training and continued use of regular supervision possibly supported retention of competence.

AB - The continued effectiveness of in-service psychological therapy training requires evaluation. This study assessed therapist competence and patient clinical outcome during cognitive behaviour therapy training and 12+ months post-training. Trainee competence was assessed using audio-recorded sessions rated on the Cognitive Therapy Scale Revised at the beginning (nthinspace=thinspace33) and end of training (nthinspace=thinspace45), and at least 12 months post-training (nthinspace=thinspace45). Pre-to-posttreatment clinical outcome for trainees' patients during the course (nthinspace=thinspace360) and post-training (nthinspace=thinspace360) was evaluated using standardised self-report measures. The relationship between therapist competence and patient outcomes was explored. Trainees achieved competence during training (100%, nthinspace=thinspace45) and largely maintained competence post-training (84%, nthinspace=thinspace38). Patients demonstrated pre-to-posttreatment effect sizes between 1.38 and 1.89 and reliable improvement exceeding 80% during and after training. Competence was not significantly associated with patient outcome. Trainees predominantly maintained competence and achieved good clinical outcomes post-training. Structured training and continued use of regular supervision possibly supported retention of competence.

KW - Cognitive behavioural therapy (CBT)

KW - Competence

KW - Follow-up

KW - IAPT

KW - Patient outcomes

KW - Supervision

UR - http://www.scopus.com/inward/record.url?scp=85058411005&partnerID=8YFLogxK

U2 - 10.1007/s10608-018-9987-5

DO - 10.1007/s10608-018-9987-5

M3 - Article

SN - 1573-2819

VL - 43

SP - 631

EP - 641

JO - Cognitive Therapy and Research

JF - Cognitive Therapy and Research

IS - 3

ER -