Scaling up quality-assured psychotherapy: The role of therapist competence on perinatal depression and anxiety outcomes.
To examine: (1) the psychometric properties of two therapist competence measures—multiple choice questionnaire (MCQ) and standardized role-plays; (2) whether therapist competence differed between non-specialist (NSPs) and specialist (SPs) providers; and (3) the relations between therapist competence...
| Published in: | General Hospital Psychiatry Vol. 83; pp. 101 - 109 |
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| Main Authors: | , , , , , , , , , , , , , , , , , |
| Format: | research Journal Article |
| Published: |
Elsevier B.V.
Jul2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164257831&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164257831 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01638343 JFH jtl: General Hospital Psychiatry issn: 01638343 maglogo: N pubinfo: dt: Jul2023 vid: 83 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 164257831 164257831 164257831 10.1016/j.genhosppsych.2023.04.002 164257831 ppf: 101 ppct: 8 formats: tig: atl: Scaling up quality-assured psychotherapy: The role of therapist competence on perinatal depression and anxiety outcomes. aug: au: Singla, Daisy R. Puerto Nino, Angie K. Zibaman, Maral Andrejek, Nicole Hossain, Sabrina Cohen, Matthew Dalfen, Ariel Dennis, Cindy-Lee Kim, J.Jo La Porte, Laura Meltzer-Brody, Samantha Naslund, John A. Patel, Vikram Ravitz, Paula Silver, Richard K. Schiller, Crystal E. Vigod, Simone N. Schoueri-Mychasiw, Nour affil: Campbell Family Mental Health Research Institute, Center for Addiction and Mental Health, Toronto, Canada sug: subj: Psychotherapy, Brief Quality of Health Care Psychotherapists Evaluation Clinical Competence Evaluation Competency Assessment Questionnaires Psychometrics Evaluation Perinatal Care Methods Depression Therapy Depression, Postpartum Therapy Anxiety Therapy Pregnancy Complications, Psychiatric Therapy Specialization Treatment Outcomes Role Playing Human Pregnancy Female Expectant Mothers Mothers Coefficient alpha Intraclass Correlation Coefficient T-Tests Linear Regression Interrater Reliability Comparative Studies Descriptive Statistics Female ab: To examine: (1) the psychometric properties of two therapist competence measures—multiple choice questionnaire (MCQ) and standardized role-plays; (2) whether therapist competence differed between non-specialist (NSPs) and specialist (SPs) providers; and (3) the relations between therapist competence and patient outcomes among perinatal patients receiving brief psychotherapy. This study is embedded within the SUMMIT Trial–a large, ongoing psychotherapy trial for perinatal women with depressive and anxiety symptoms. We assessed the: (1) psychometric properties of therapist competence measures using Cronbach's alpha and inter-class correlation; (2) differences in therapist competence scores between n = 23 NSPs and n = 22 SPs using a two-sample t -test; and (3) relations between therapist competence measures and perinatal patient outcomes through a linear regression model. Internal consistency for role-play was acceptable (α = 0.71), whereas MCQ was excellent (α = 0.97). Role-play showed good inter-rater reliability (ICC = 0.80) and scores were higher for SPs compared with NSPs (t (2,38) = −2.86, p = 0.0069) and associated with outcomes of anxiety (B = 1.52, SE = 0.60, p = 0.01) and depressive (B = 0.96, SE = 0.55, p = 0.08) symptom scores. Our study highlights the importance of demonstrating psychological treatment skills through standardized role-plays over knowledge-based competence to predict perinatal patient outcomes. Using well-defined evidence-based tools is critical for deploying NSPs to provide high-quality psychotherapy and increase accessibility to psychological treatments for perinatal populations worldwide. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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