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Journal article

The sustained effects of CBT training on therapist competence and patient outcomes

Abstract:
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 (n = 33) and end of training (n = 45), and at least 12 months post-training (n = 45). Pre-to-posttreatment clinical outcome for trainees’ patients during the course (n = 360) and post-training (n = 360) was evaluated using standardised self-report measures. The relationship between therapist competence and patient outcomes was explored. Trainees achieved competence during training (100%, n = 45) and largely maintained competence post-training (84%, n = 38). 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.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1007/s10608-018-9987-5

Authors



Publisher:
Springer
Journal:
Cognitive Therapy and Research More from this journal
Volume:
43
Issue:
3
Pages:
631–641
Publication date:
2018-12-12
Acceptance date:
2018-12-11
DOI:
EISSN:
1573-2819
ISSN:
0147-5916


Keywords:
Pubs id:
pubs:951508
UUID:
uuid:1ea2fcab-9b4f-4402-acd1-bfb06a60afec
Local pid:
pubs:951508
Source identifiers:
951508
Deposit date:
2018-12-11

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