Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-19T11:40:15.824Z Has data issue: false hasContentIssue false

Behavioural couple therapy: measuring therapist competence

Published online by Cambridge University Press:  28 July 2020

I. Rudolf von Rohr*
Affiliation:
Royal Holloway, University of London, Department of Clinical Psychology, EghamTW20 0EX, UK
S. Corrie
Affiliation:
Central and North West London NHS Foundation Trust, London, UK
M.S. Fischer
Affiliation:
Universitätsklinikum Heidelberg, Germany
D.H. Baucom
Affiliation:
University of North Carolina, USA
M. Worrell
Affiliation:
Central and North West London NHS Foundation Trust, London, UK
H. Pote
Affiliation:
Royal Holloway, University of London, Department of Clinical Psychology, EghamTW20 0EX, UK
*
*Corresponding author. Email: isabelle.vonrohr@gmail.com

Abstract

This paper outlines a pilot validation study of the newly developed Behavioural Couple Therapy Scale for Depression (BCTS-D). The BCTS-D aims to assess therapist competence in delivering behavioural couple therapy (BCT) and provide therapists with summative and formative feedback on their performance. Completed by both therapist and supervisor, this will aid therapists’ reflection on practice and improve performance. This paper will report on two stages in the development of the BCTS-D: (a) a study evaluating content validity, face validity and usability and (b) a focus group examining usability and utility. Both parts of the study were conducted in the context of a BCT training course and included 20 participants who were either BCT supervisors or BCT trainees. Results suggest that the BCTS-D has good face validity, content validity and usability, and provides a useful tool for promoting self-reflection and providing formative feedback. The studies also provided insight into the strengths of the scale and into areas of refinement, and a number of modifications were undertaken to improve the BCTS-D in response to feedback collected. Future research will need to focus on evaluating the psychometric properties of the BCTS-D and continue to adapt the scale to its users’ needs.

Key learning aims

  1. (1) Readers will understand the importance of measuring therapists’ competence to improve practice.

  2. (2) Readers will understand the development of the BCTS-D scale and its initial psychometric properties.

  3. (3) Readers will know how to use the BCTS-D in everyday clinical practice.

  4. (4) Readers will know about the challenges of developing a therapist competence measure within a real-world clinical context.

Type
Reviews of Assessment Tools and Delivery
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further reading

Baucom, D. H., Fischer, M. S., Corrie, S., Worrell, M., & Boeding, S. E. (2020). Treating Relationship Distress and Psychopathology in Couples: A Cognitive-Behavioural Approach. Abingdon, UK: Routledge.Google Scholar
Baucom, D. H., Fischer, M. S., Worrell, M., Corrie, S., Belus, J. M., Molyva, E., & Boeding, S. E. (2018). Couple-based intervention for depression: an effectiveness study in the National Health Service in England. Family Process.CrossRefGoogle ScholarPubMed
Muse, K., & McManus, F. (2013). A systematic review of methods for assessing competence in cognitive-behavioural therapy. Clinical Psychology Review, 33, 484499. https://doi.org/10.1016/j.cpr.2013.01.010.CrossRefGoogle ScholarPubMed

References

American Association for Marriage and Family Therapy (2004). Marriage and family therapy core competencies. Retrieved from: https://www.coamfte.org/Documents/COAMFTE/Accreditation%20Resources/MFT%20Core%20Competencies%20(December%202004).pdfGoogle Scholar
Barber, J. P., Sharpless, B. A., Klostermann, S., & McCarthy, K. S. (2007). Assessing intervention competence and its relation to therapy outcome: a selected review derived from the outcome literature. Professional Psychology: Research and Practice, 38, 493. https://doi.org/10.1037/0735-7028.38.5.493.CrossRefGoogle Scholar
Baucom, D. H., Epstein, N. B., Kirby, J. S., & LaTaillade, J. J. (2015). Cognitive-behavioral couple therapy. In Gurman, A. S., Lebow, J., & Snyder, D. K. (eds), Clinical Handbook of Couple Therapy (5th edn, pp. 2360). New York, USA: Guilford Press.Google Scholar
Baucom, D. H., Shoham, V., Mueser, K. T., Daiuto, A. D., & Stickle, T. R. (1998). Empirically supported couple and family interventions for marital distress and adult mental health problems. Journal of Consulting and Clinical Psychology, 66, 53. https://doi.org/10.1037/0022-006X.66.1.53.CrossRefGoogle ScholarPubMed
Blackburn, I.-M., James, I. A., Milne, D. L., Baker, C., Standart, S., Garland, A., & Reichelt, F. K. (2001). The revised cognitive therapy scale (CTS-R): psychometric properties. Behavioural and Cognitive Psychotherapy, 29, 431446. https://doi.org/10.1017/S1352465801004040.CrossRefGoogle Scholar
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77101. https://doi.org/10.1191/1478088706qp063oa.CrossRefGoogle Scholar
Brewer, J., & Hunter, A. (2006). Foundations of Multimethod Research: Synthesizing Styles. Thousand Oaks, CA, USA: Sage Publications.CrossRefGoogle Scholar
Campanelli, P. C., Martin, E. A., & Rothgeb, J. M. (1991). The use of respondent and interviewer debriefing studies as a way to study response error in survey data. The Statistician, 40, 253264. https://doi.org/10.2307/2348278.CrossRefGoogle Scholar
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009). Improving access to psychological therapy: Initial evaluation of two UK demonstration sites. Behaviour Research and Therapy, 47, 910920. https://doi.org/10.1016/j.brat.2009.07.010.CrossRefGoogle ScholarPubMed
Clulow, C. (2010a). Couple Therapy for Depression Competency Framework. Retrieved from: www.iapt.nhs.nukGoogle Scholar
Clulow, C. (2010b). The competences required to deliver effective couple therapy for partners with depression. Retrieved from: https://www.ucl.ac.uk/pals/research/cehp/research-groups/core/pdfs/Couples_Therapy_For_Depression/Couples_Therapy_clinician_guide.pdfGoogle Scholar
Christensen, A., Atkins, D. C., Berns, S., Wheeler, J., Baucom, D. H., & Simpson, L. E. (2004). Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples. Journal of Consulting and Clinical Psychology, 72, 176191. https://doi.org/10.1037/0022-006X.72.2.176.CrossRefGoogle ScholarPubMed
Christensen, A., & Jacobson, N. S. (1998). Acceptance and Change in Couple Therapy: A Therapist’s Guide to Transforming Relationships. New York, USA: Norton.Google Scholar
Corrie, S., Fischer, M. S., Worrell, M., & Baucom, D. H. (n.d.). Behavioural Couple Therapy Scale – Depression (BCTS-D): The Manual. [In preparation]Google Scholar
DeVellis, R. F. (2012). Scale Development: Theory and Applications (Vol. 26). Newbury Park, CA, USA: Sage Publications.Google Scholar
Dobson, K. S., & Singer, A. R. (2005). Definitional and practical issues in the assessment of treatment integrity. Clinical Psychology: Science and Practice, 12, 384387.Google Scholar
Dreyfus, H., & Dreyfus, S. (1986). Mind over Machine: The Power of Human Intuition and Expertise in the Era of Computer. New York, USA: Free Press.Google Scholar
Epstein, N. B., & Baucom, D. H. (2002). Enhanced cognitive-behavioral therapy for couples: a contextual approach. American Psychological Association. Retrieved from: http://psycnet.apa.org/psycinfo/2003-04003-000Google Scholar
Fairburn, C. G., & Cooper, Z. (2011). Therapist competence, therapy quality, and therapist training. Behaviour Research and Therapy, 49, 373378. https://doi.org/10.1016/j.brat.2011.03.005.CrossRefGoogle ScholarPubMed
Gordon, P. K. (2007). A comparison of two versions of the Cognitive Therapy Scale. Behavioural and Cognitive Psychotherapy, 35, 343353. https://doi.org/10.1017/S1352465806003390.CrossRefGoogle Scholar
Haynes, S. N., Richard, D., & Kubany, E. S. (1995). Content validity in psychological assessment: a functional approach to concepts and methods. Psychological Assessment, 7, 238. https://doi.org/10.1037/1040-3590.7.3.238.CrossRefGoogle Scholar
Hewison, D. (2011). Curriculum for Couple Therapy for Depression. National IAPT Programme Team.Google Scholar
Holloway, E. L. (2012). Professional competence in supervision. In Fuertes, J. N., Spokane, A. A., & Holloway, E. L. (eds). Speciality Competencies in Counseling Psychology (pp. 165181). New York, USA: Oxford University Press.Google Scholar
Jacobson, N. S., & Addis, M. E. (1993). Research on couples and couple therapy: what do we know? Where are we going? Journal of Consulting and Clinical Psychology, 61, 8593. https://doi.org/10.1037/0022-006X.61.1.85.CrossRefGoogle ScholarPubMed
Jacobson, N. S., Christensen, A., Prince, S. E., Cordova, J., & Eldridge, K. (2000). Integrative behavioral couple therapy: an acceptance-based, promising new treatment for couple discord. Journal of Consulting and Clinical Psychology, 68, 351355. https://doi.org/10.1037/0022-006X.68.2.351.CrossRefGoogle ScholarPubMed
Jacobson, N. S., & Margolin, G. (1979). Marital Therapy: Strategies Based on Social Learning and Behavior Exchange Principles. Psychology Press.Google Scholar
Kaslow, N. J. (2004). Competencies in professional psychology. American Psychologist, 59, 774. https://doi.org/10.1037/0003-066X.59.8.774.CrossRefGoogle ScholarPubMed
Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35, 382386. https://doi.org/10.1097/00006199-198611000-00017.CrossRefGoogle ScholarPubMed
McManus, F., Westbrook, D., Vazquez-Montes, M., Fennell, M., & Kennerley, H. (2010). An evaluation of the effectiveness of diploma-level training in cognitive behaviour therapy. Behaviour Research and Therapy, 48, 11231132. https://doi.org/10.1016/j.brat.2010.08.002.CrossRefGoogle ScholarPubMed
Muse, K., & McManus, F. (2013). A systematic review of methods for assessing competence in cognitive-behavioural therapy. Clinical Psychology Review, 33, 484499. https://doi.org/10.1016/j.cpr.2013.01.010.CrossRefGoogle ScholarPubMed
National Institute for Clinical Excellence (NICE) (2009). Depression in adults: recognition and management (Clinical Guideline 90). London, UK: NICE.Google Scholar
Pilling, S., Roth, A., & Stratton, P. (2010). The competences required to deliver effective systemic therapies. Retrieved from: https://www.researchgate.net/publication/260320937_The_competences_required_to_deliver_effective_Systemic_TherapiesGoogle Scholar
Rakovshik, S. G., & McManus, F. (2010). Establishing evidence-based training in cognitive behavioral therapy: a review of current empirical findings and theoretical guidance. Clinical Psychology Review, 30, 496516. https://doi.org/10.1016/j.cpr.2010.03.004.CrossRefGoogle ScholarPubMed
Reichelt, F. K., James, I. A., & Blackburn, I.-M. (2003). Impact of training on rating competence in cognitive therapy. Journal of Behavior Therapy and Experimental Psychiatry, 34, 8799. https://doi.org/10.1016/S0005-7916(03)00022-3.CrossRefGoogle ScholarPubMed
Roth, A. D., & Pilling, S. (2007). The competences required to deliver effective cognitive and behavioural therapy for people with depression and with anxiety disorders. Retrieved from: http://discovery.ucl.ac.uk/137911/Google Scholar
Sharpless, B. A., & Barber, J. P. (2009). A conceptual and empirical review of the meaning, measurement, development, and teaching of intervention competence in clinical psychology. Clinical Psychology Review, 29, 4756. https://doi.org/10.1016/j.cpr.2008.09.008.CrossRefGoogle ScholarPubMed
Stiles, W. B., Honos-Webb, L., & Surko, M. (1998). Responsiveness in psychotherapy. Clinical Psychology: Science and Practice, 5, 439458.Google Scholar
Waltz, J., Addis, M. E., Koerner, K., & Jacobson, N. S. (1993). Testing the integrity of a psychotherapy protocol: assessment of adherence and competence. Journal of Consulting and Clinical Psychology, 61, 620. https://doi.org/10.1037/0022-006X.61.4.620.CrossRefGoogle ScholarPubMed
Whisman, M. A., & Baucom, D. H. (2012). Intimate relationships and psychopathology. Clinical Child and Family Psychology Review, 15, 413. https://doi.org/10.1007/s10567-011-0107-2.CrossRefGoogle ScholarPubMed
Williams, R., Moorey, S., & Cobb, J. (1991). Training in cognitive-behaviour therapy: pilot evaluation of a training course using the Cognitive Therapy Scale. Behavioural Psychotherapy, 19, 373376. https://doi.org/10.1017/S0141347300014075.CrossRefGoogle Scholar
Supplementary material: File

Rudolf von Rohr et al. Supplementary Materials

Rudolf von Rohr et al. Supplementary Materials

Download Rudolf von Rohr et al. Supplementary Materials(File)
File 4.4 MB
Submit a response

Comments

No Comments have been published for this article.