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

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Abstract

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.

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Notes

  1. Ethnicity data were missing for 5.1 % of participants.

  2. Unfortunately, we did not archive whether clinicians participated in consultations sessions via telephone or computer.

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Acknowledgments

Funding for this research project was supported by NIMH grants to Beidas (MH083333; MH099179) and Kendall (MH083333; MH063747). Additionally, the preparation of this article was supported in part by the Implementation Research Institute (IRI), at the George Warren Brown School of Social Work, Washington University in St. Louis; through an award from the National Institute of Mental Health (R25 MH080916) and Quality Enhancement Research Initiative (QUERI), Department of Veterans Affairs Contract, Veterans Health Administration, Office of Research & Development, Health Services Research & Development Service. Dr. Beidas is an IRI fellow.

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Correspondence to Julie M. Edmunds.

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Edmunds, J.M., Kendall, P.C., Ringle, V.A. et al. An Examination of Behavioral Rehearsal During Consultation as a Predictor of Training Outcomes. Adm Policy Ment Health 40, 456–466 (2013). https://doi.org/10.1007/s10488-013-0490-8

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