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The effects of treatment adherence and treatment-specific therapeutic competencies on outcome and goal attainment in telephone-based therapy with caregivers of people with dementia.
Aging Ment Health 2015; 19(9):808-17AM

Abstract

OBJECTIVES

Contradictory results have been found for the impact of therapist's adherence and competence on intervention outcomes. Most studies focus on generic aspects of competence and adherence, rather than taking into account treatment-specific aspects or specific challenges of the clientele. Appropriate analyses are lacking for cognitive behavioral therapy (CBT) with caregivers of people with dementia.

METHOD

In a sample of 43 caregivers, we examined adherence and different competence ratings of 80 complete sessions, as predictors of symptom change and goal attainment. Therapist's competence was evaluated by four raters, using an adapted version of the cognitive therapy scale (CTS) on three subscales of competence: General therapeutic (GT), session-structuring (SS), and treatment-specific CBT technique (CT). Therapist's adherence to the manual was also assessed.

RESULTS

The results show that GT competencies were associated with lower post-test depression scores and that CT competencies predicted a decrease in caregiver burden and higher goal attainment, while SS competencies predicted higher post-test burden. Therapist's adherence had no relationship to outcome, but the higher application of modifying dysfunctional thoughts was associated with higher goal attainment.

CONCLUSION

The results suggest the importance of treatment-specific competencies for outcome. Future research should identify empirically what kind of therapeutic behavior is appropriate to the challenges of a specific clientele such as caregivers of people with dementia.

Authors+Show Affiliations

a Department of Clinical Intervention, Institute of Psychology , University of Jena , Jena , Germany.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25358445

Citation

Schinköthe, Denise, et al. "The Effects of Treatment Adherence and Treatment-specific Therapeutic Competencies On Outcome and Goal Attainment in Telephone-based Therapy With Caregivers of People With Dementia." Aging & Mental Health, vol. 19, no. 9, 2015, pp. 808-17.
Schinköthe D, Altmann U, Wilz G. The effects of treatment adherence and treatment-specific therapeutic competencies on outcome and goal attainment in telephone-based therapy with caregivers of people with dementia. Aging Ment Health. 2015;19(9):808-17.
Schinköthe, D., Altmann, U., & Wilz, G. (2015). The effects of treatment adherence and treatment-specific therapeutic competencies on outcome and goal attainment in telephone-based therapy with caregivers of people with dementia. Aging & Mental Health, 19(9), pp. 808-17. doi:10.1080/13607863.2014.971704.
Schinköthe D, Altmann U, Wilz G. The Effects of Treatment Adherence and Treatment-specific Therapeutic Competencies On Outcome and Goal Attainment in Telephone-based Therapy With Caregivers of People With Dementia. Aging Ment Health. 2015;19(9):808-17. PubMed PMID: 25358445.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of treatment adherence and treatment-specific therapeutic competencies on outcome and goal attainment in telephone-based therapy with caregivers of people with dementia. AU - Schinköthe,Denise, AU - Altmann,Uwe, AU - Wilz,Gabriele, Y1 - 2014/10/31/ PY - 2014/11/1/entrez PY - 2014/11/2/pubmed PY - 2016/3/12/medline KW - CBT KW - adherence KW - competence KW - dementia caregivers KW - treatment integrity SP - 808 EP - 17 JF - Aging & mental health JO - Aging Ment Health VL - 19 IS - 9 N2 - OBJECTIVES: Contradictory results have been found for the impact of therapist's adherence and competence on intervention outcomes. Most studies focus on generic aspects of competence and adherence, rather than taking into account treatment-specific aspects or specific challenges of the clientele. Appropriate analyses are lacking for cognitive behavioral therapy (CBT) with caregivers of people with dementia. METHOD: In a sample of 43 caregivers, we examined adherence and different competence ratings of 80 complete sessions, as predictors of symptom change and goal attainment. Therapist's competence was evaluated by four raters, using an adapted version of the cognitive therapy scale (CTS) on three subscales of competence: General therapeutic (GT), session-structuring (SS), and treatment-specific CBT technique (CT). Therapist's adherence to the manual was also assessed. RESULTS: The results show that GT competencies were associated with lower post-test depression scores and that CT competencies predicted a decrease in caregiver burden and higher goal attainment, while SS competencies predicted higher post-test burden. Therapist's adherence had no relationship to outcome, but the higher application of modifying dysfunctional thoughts was associated with higher goal attainment. CONCLUSION: The results suggest the importance of treatment-specific competencies for outcome. Future research should identify empirically what kind of therapeutic behavior is appropriate to the challenges of a specific clientele such as caregivers of people with dementia. SN - 1364-6915 UR - https://www.unboundmedicine.com/medline/citation/25358445/The_effects_of_treatment_adherence_and_treatment_specific_therapeutic_competencies_on_outcome_and_goal_attainment_in_telephone_based_therapy_with_caregivers_of_people_with_dementia_ L2 - http://www.tandfonline.com/doi/full/10.1080/13607863.2014.971704 DB - PRIME DP - Unbound Medicine ER -