Observational coding is the gold standard for coding treatment fidelity in Cognitive Behavioral Therapy (CBT). This method allows researchers to objectively assess therapist behaviors to determine if CBT was delivered as intended. However, there is no standard method or protocol that ensures reliability within and between research groups, compromising comparability between studies. The aim of this study was to evaluate procedures used to train raters to quantify CBT fidelity. A systematic review was conducted. PsycINFO and Web of Science databases were reviewed for articles up until July 2015; the parameters of the search included CBT, depression, treatment fidelity, and coding/rating. A total of 521 articles were screened for inclusion, which yielded 81 articles. Data was extracted across four categories (study characteristics, training process, inter-rater reliability, and rating), and 62 codes. The results revealed variability in training approaches (e.g., 25.9% of articles reported 10–50 h of training). Very little information was provided about the training process (i.e. only one study specified training duration). Training materials were: manuals (21.0%), videos (18.5%), audiotapes (2.4%), readings (1.2%), and lectures (1.2%). Almost all (90.1%) studies did not describe the trainer, and 28.4% did not describe raters. The relation between CBT fidelity and clinical outcomes is equivocal, perhaps because intra-team and inter-team reliability is difficult to achieve. This systematic review revealed variability in training others to rate CBT fidelity, of which some approaches might inform the field for future use.
Cognitive Therapy and Research – Springer Journals
Published: Feb 22, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”
Daniel C.
“Whoa! It’s like Spotify but for academic articles.”
@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”
@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”
@JoseServera
DeepDyve Freelancer | DeepDyve Pro | |
---|---|---|
Price | FREE | $49/month |
Save searches from | ||
Create folders to | ||
Export folders, citations | ||
Read DeepDyve articles | Abstract access only | Unlimited access to over |
20 pages / month | ||
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.