Evidence map›Paper›PMID 38157131›Full record

Trial reportAdministration and policy in mental health2024

Supervisory Alliance as a Moderator of the Effects of Behavioral Rehearsal on TF-CBT Fidelity: Results from a Randomized Trial of Supervision Strategies.

Noah S Triplett, Rashed AlRasheed, Clara Johnson, Connor J McCabe, Michael D Pullmann, Shannon Dorsey

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Administration and policy in mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Noah S TriplettDepartment of Psychology, University of Washington, Box 351525, 119A Guthrie Hall, Seattle, WA, 98195, USA. nst7@uw.edu.ORCID 0000-0003-2325-3599
Rashed AlRasheedDepartment of Psychology, University of Washington, Box 351525, 119A Guthrie Hall, Seattle, WA, 98195, USA.ORCID 0000-0002-4326-7843
Clara JohnsonDepartment of Psychology, University of Washington, Box 351525, 119A Guthrie Hall, Seattle, WA, 98195, USA.ORCID 0000-0002-9838-1846
Connor J McCabeDepartment of Psychiatry and Behavioral Medicine, University of Washington, Box 356560, 1959 NE Pacific Street, Seattle, WA, 98195, USA.ORCID 0000-0003-1868-8459
Michael D PullmannUW School Mental Health Assessment, Research, and Training (SMART) Center, University of Washington, 6200 74th Street, Building 29, Seattle, WA, 98115, USA.ORCID 0000-0001-8404-864X
Shannon DorseyDepartment of Psychology, University of Washington, Box 351525, 119A Guthrie Hall, Seattle, WA, 98195, USA.ORCID 0000-0001-6240-0294

Funding

Alcohol Research in the Science/Practitioner ModelT32AA013525 · NIAAA · SAN DIEGO STATE UNIVERSITY · PI EDWARD P RILEY, ANDREA SPADONI TOWNSEND · 2002 to 2026
$8.4M
Project 3P50MH126219 · NIMH · UNIVERSITY OF WASHINGTON · PI DORSEY, SHANNON · 2021 to 2024
$5.9M
Improving Practice in Community-based Settings: A Randomized Trial of SupervisionR01MH095749 · NIMH · UNIVERSITY OF WASHINGTON · PI DORSEY, SHANNON · 2012 to 2016
$2.5M
Machine learning methods for identifying person-level mechanisms of alcohol use among sexual and gender minority intersectionsK99AA030052 · NIAAA · UNIVERSITY OF WASHINGTON · PI MCCABE, CONNOR J · 2022 to 2023
$348k
Attending to the “whole” child in mental health care: Utilizing a partnership approach to address social risk factors alongside an evidence-based psychotherapyF31MH130041 · NIMH · UNIVERSITY OF WASHINGTON · PI JOHNSON, CLARA · 2022 to 2024
$143k
Applying Human-Centered Design to Inform Mobile Technology-Mediated Supervision with Lay Counselors in KenyaF31MH124328 · NIMH · UNIVERSITY OF WASHINGTON · PI TRIPLETT, NOAH SHAY · 2020 to 2022
$133k
NIAAA NIH HHS K99 AA030052NIAAA NIH HHS T32 AA013525NIMH NIH HHS F31 MH124328NIMH NIH HHS F31 MH130041NIMH NIH HHS P50 MH126219NIMH NIH HHS R01 MH095749
6 · The paper itself

Abstract

Exposure is an important element of treatment for many evidence-based treatments but can be challenging to implement. Supervision strategies to support exposure delivery may be an important tool to facilitate the use of exposure techniques; however, they must be considered and used in the context of the supervisory alliance. The present study examined relations between supervisory alliance and fidelity to the trauma narrative (TN; i.e., imaginal exposure) component of Trauma-Focused Cognitive Behavioral Therapy. We also examined how supervisory alliance moderated the effect of behavioral rehearsal use in supervision on TN fidelity. We analyzed data from a randomized controlled trial, in which forty-two supervisors and their clinicians (N = 124) from 28 Washington State community-based mental health offices participated. Clinicians were randomized to receive one of two supervision conditions-symptom and fidelity monitoring (SFM) or SFM with behavioral rehearsal (SFM + BR). Supervisory alliance alone did not predict delivery (i.e., occurrence) or extensiveness of delivery of the trauma narrative. Client-focused supervisory alliance moderated the effectiveness of behavioral rehearsal-as client-focused alliance increased, the odds of delivering the TN also increased significantly. Future research should further investigate how to appropriately match supervision techniques with supervisory dyads and explore the interplay of alliance with supervision techniques a supervisor might employ.

Indexed as

Cognitive Behavioral TherapyHumansLearningWashingtonAllianceCommunity mental healthSupervisionTrauma-focused cognitive behavioral therapy

Identifiers

PMID38157131
PMCPMC11162559

What OpenQuestion holds

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Registered trials

None linked

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.