Is Supervision Necessary? Examining the Effects of Internet-Based CBT Training With and Without Supervision

Rakovshik, S, McManus, F, Vazquez-Montes, M, Muse, Kate ORCID: 0000-0001-5824-1841 and Ougrin, D (2016) Is Supervision Necessary? Examining the Effects of Internet-Based CBT Training With and Without Supervision. Journal of Consulting and Clinical Psychology, 84 (3). pp. 191-199. doi:10.1037/ccp0000079

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Abstract

Objective: To investigate the effect of Internet-based training (IBT), with and without supervision, on therapists? (N = 61) cognitive behavioral therapy (CBT) skills in routine clinical practice. Method: Participants were randomized into three conditions: (1) Internet-based training with use of a consultation worksheet (IBT-CW), (2) Internet-based training with CBT supervision via Skype (IBT-S), and (3) ?delayed-training? control who did not receive the training until all data collection was completed (DT). The IBT conditions received access to training over a period of three months. CBT skills were evaluated at pre-, mid- and post- training / wait using assessor competence ratings of recorded therapy sessions. Results: Hierarchical linear analysis revealed that the IBT-S condition had significantly greater CBT competence at post training than IBT-CW and DT conditions at both the mid- and post-training/ wait assessment points. There were no significant differences between IBT-CW and the delayed (no)-training control (DT) conditions. Conclusions: IBT programs that include supervision may be a scalable and effective method of disseminating CBT into routine clinical practice, particularly for populations without ready access to more traditional ?live? methods of training. There was no evidence for a significant effect of IBT without supervision over a non-training control, suggesting that merely providing access to IBT programs may not be an effective method of disseminating CBT to routine clinical practice. Public Health Significance Statement: This study highlights the importance of providing supervision during an Internet-based CBT training program, particularly when therapists are applying newly acquired skills in routine clinical practice.

Item Type:	Article
Article Type:	Article
Uncontrolled Keywords:	Internet-based training; clinical practice; CBT skills; cognitive behavioral therapy; therapists; dissemination; supervision; Internet-based training in cognitive behavioral therapy; therapist competence
Subjects:	B Philosophy. Psychology. Religion > BF Psychology L Education > L Education (General)
Divisions:	Schools and Research Institutes > School of Education and Science
Research Priority Areas:	Health, Life Sciences, Sport and Wellbeing
Depositing User:	Anne Pengelly
Date Deposited:	08 Jun 2022 15:42
Last Modified:	31 Aug 2023 09:05
URI:	https://eprints.glos.ac.uk/id/eprint/10999

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