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WONG CPS, FONG DYT, WANG MP, WONG JYH. POSITIVE EXPERIENCE AND CHALLENGES IN LEARNING AND DELIVERING COGNITIVE BEHAVIORAL THERAPY AMONG PSYCHIATRIC NURSES OF HONG KONG. PSYCHOLOGIA 2021. [DOI: 10.2117/psysoc.2020-a108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Trainee self-assessment of cognitive behaviour therapy competence during and after training. COGNITIVE BEHAVIOUR THERAPIST 2020. [DOI: 10.1017/s1754470x19000357] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Abstract
Large-scale cognitive behavioural therapy (CBT) training and implementation programmes, such as the pioneering Improving Access to Psychological Therapies (IAPT) initiative in the UK, aim to develop a workforce of competent therapists who can deliver evidence-based interventions skilfully. Self-awareness of competence enables CBT therapists to accurately evaluate their clinical practice and determine professional development needs. The accuracy of self-assessed competence, however, remains unclear when compared with assessments conducted by markers with expertise in CBT practice and evaluation. This study investigated the relationship between self- and expert-rated competence – assessed via therapy recordings rated on the Cognitive Therapy Scale Revised (CTS-R) scale – for a large sample of IAPT CBT trainees during training and, for the first time, at post-training follow-up. CBT trainees (n = 150) submitted therapy recordings at baseline, mid-training and end-of-training. At 12+ month follow-up, a subset of former trainees (n = 30) submitted recordings from clinical practice. There were positive relationships (r = .27 to .56) between self and expert CTS-R scores at all time points. The proportion of tapes demonstrating significant agreement between self and expert ratings (CTS-R difference <5 points) increased significantly across training and remained stable at follow-up. Findings indicate that accurate self-awareness of competence can be developed during structured CBT training and retained in the workplace. These outcomes are encouraging given the importance of self-awareness to CBT practice and accreditation. Future investigation into the development and maintenance of accurate self-awareness of competence is warranted.
Key learning aims
(1)
What is the relationship between self-ratings and expert ratings of CBT competence during training and at post-training follow-up?
(2)
Does agreement between self and expert competence ratings improve with CBT training?
(3)
How does agreement between self and expert ratings change across training for more- and less-competent trainees?
(4)
Can accurate self-awareness of competence be retained post-training in the workplace?
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The Sustained Effects of CBT Training on Therapist Competence and Patient Outcomes. COGNITIVE THERAPY AND RESEARCH 2018. [DOI: 10.1007/s10608-018-9987-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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