ArticleJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
Development and Initial Psychometrics for a Therapist Competence Instrument for CBT for Youth Anxiety.
Article in Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 25 citations in OpenAlex.
- Adherence, Competence, and Alliance as Predictors of Long-term Outcomes of Cognitive Behavioral Therapy for Youth Anxiety Disorders.Research on child and adolescent psychopathology · 2023Trial
- Examining the Relation Between Technical and Global Competence in Two Treatments for Youth Anxiety.Behavior therapy · 2021Trial
- Therapist Delivery of Evidence Based Practice (EBP) Strategies in a System-Driven Implementation of Multiple EBPs for Children.Administration and policy in mental health · 2026Article
- Using Adherence and Competence Measures Based on Practice Elements to Evaluate Treatment Fidelity for Two CBT Programs for Youth Anxiety.Behavior therapy · 2024Article
- Improving inter-rater reliability of the enhancing assessment of common therapeutic factors (ENACT) measure through training of raters.Journal of public health in Africa · 2022Article
- Development and Initial Psychometrics of a Generic Treatment Integrity Measure Designed to Assess Practice Elements Targeting Social, Emotional, and Behavioral Outcomes in Early Childhood Settings.Prevention science : the official journal of the Society for Prevention Research · 2022Article
- Reliability, factor structure, and validity of an observer-rated alliance scale with youth.Psychological assessment · 2021Article
- Are therapist adherence and competence related to clinical outcomes in cognitive-behavioral treatment for youth anxiety?Journal of consulting and clinical psychology · 2021Article
- Evaluating Delivery of a CBT-Based Group Intervention for Schoolchildren With Emotional Problems: Examining the Reliability and Applicability of a Video-Based Adherence and Competence Measure.Frontiers in psychology · 2021Article
- Examining How CBT Interventions for Anxious Youth Are Delivered Across Settings.Behavior therapy · 2020Observational
- Benchmarking Treatment Adherence and Therapist Competence in Individual Cognitive-Behavioral Treatment for Youth Anxiety Disorders.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2019Article
- The global therapist competence scale for youth psychosocial treatment: Development and initial validation.Journal of clinical psychology · 2018Article
- Factors Associated with Teacher Delivery of a Classroom-Based Tier 2 Prevention Program.Prevention science : the official journal of the Society for Prevention Research · 2018Article
- Predictors of clinician use of exposure therapy in community mental health settings.Journal of anxiety disorders · 2017Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
Therapist competence is an important component of treatment integrity. This article reports on the development and initial psychometric assessment of the Cognitive-Behavioral Treatment for Anxiety in Youth Competence Scale (CBAY-C), an observational instrument designed to capture therapist limited-domain competence (i.e., competence in the delivery of core interventions and delivery methods found in a specific psychosocial treatment program) in the delivery of the core practice elements in individual cognitive-behavioral treatment (ICBT) for youth anxiety. Treatment sessions (N = 744) from 68 youth participants (M age = 10.60 years, SD = 2.03; 82.3% Caucasian; 52.9% male) of the same ICBT program for youth anxiety from (a) an efficacy study and (b) an effectiveness study were independently scored by 4 coders using observational instruments designed to assess therapist competence, treatment adherence, treatment differentiation, alliance, and client involvement. Interrater reliability-intraclass correlation coefficients (2,2)-for the item scores averaged 0.69 (SD = 0.11). The CBAY-C item, scale, and subscale (Skills, Exposure) scores showed evidence of validity via associations with observational instruments of treatment adherence to ICBT for youth anxiety, theory-based domains (cognitive-behavioral treatment, psychodynamic, family, client centered), alliance, and client involvement. Important to note, although the CBAY-C scale, subscale, and item scores did overlap with a corresponding observational treatment adherence instrument independently rated by coders, the degree of overlap was moderate, indicating that the CBAY-C assesses a distinct component of treatment integrity. Applications of the instrument and future research directions discussed include the measurement of treatment integrity and testing integrity-outcome relations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.