Original Article

Administration and Policy in Mental Health and Mental Health Services Research

, Volume 40, Issue 6, pp 456-466

First online:

An Examination of Behavioral Rehearsal During Consultation as a Predictor of Training Outcomes

  • Julie M. EdmundsAffiliated withDepartment of Psychology, Temple University Email author 
  • , Philip C. KendallAffiliated withDepartment of Psychology, Temple University
  • , Vanesa A. RingleAffiliated withDepartment of Psychology, Temple University
  • , Kendra L. ReadAffiliated withDepartment of Psychology, Temple University
  • , Douglas M. BrodmanAffiliated withDepartment of Psychology, Temple University
  • , Sandra S. PimentelAffiliated withColumbia University Clinic for Anxiety and Related Disorders
  • , Rinad S. BeidasAffiliated withDepartment of Psychiatry, University of Pennsylvania

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The training literature suggests that ongoing support following initial therapist training enhances training outcomes, yet little is known about what occurs during ongoing support and what accounts for its effectiveness. The present study examined consultation sessions provided to 99 clinicians following training in cognitive-behavioral therapy for youth anxiety. Recorded consultation sessions (N = 104) were coded for content and consultative methods. It was hypothesized that behavioral rehearsal (an active learning technique) would predict therapist adherence, skill, self-efficacy, and satisfaction at post-consultation. Regression analyses found no significant relation, however, clinician involvement during consultation sessions positively moderated the relationship between behavioral rehearsals and skill. Implications, limitations, and future directions are discussed.


Evidence-based practices Training Ongoing support Consultation Active learning Behavioral rehearsal