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Building an Evidence Base for Effective Supervision Practices: An Analogue Experiment of Supervision to Increase EBT Fidelity

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Abstract

Treatments that are efficacious in research trials perform less well under routine conditions; differences in supervision may be one contributing factor. This study compared the effect of supervision using active learning techniques (e.g. role play, corrective feedback) versus “supervision as usual” on therapist cognitive restructuring fidelity, overall CBT competence, and CBT expertise. Forty therapist trainees attended a training workshop and were randomized to supervision condition. Outcomes were assessed using behavioral rehearsals pre- and immediately post-training, and after three supervision meetings. EBT knowledge, attitudes, and fidelity improved for all participants post-training, but only the SUP+ group demonstrated improvement following supervision.

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Acknowledgments

We acknowledge with thanks the research funding received by Sarah Kate Bearman from the National Institute of Mental Health (MH083887) and the Annie E. Casey Foundation. We are also grateful for the assistance of Adam Sales, Ph.D. and Daniel Swan, M.Ed. for their assistance with this manuscript.

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Correspondence to Sarah Kate Bearman.

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All procedures performed involving human participants were in accordance with the ethical standards of the Albert Einstein College of Medicine Institutional Review Board and with the 1964 Helsinki declaration and its later amendments.

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Bearman, S.K., Schneiderman, R.L. & Zoloth, E. Building an Evidence Base for Effective Supervision Practices: An Analogue Experiment of Supervision to Increase EBT Fidelity. Adm Policy Ment Health 44, 293–307 (2017). https://doi.org/10.1007/s10488-016-0723-8

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