Defining the Assessment and Treatment Competencies to Deliver Low-Intensity Cognitive Behavior Therapy: A Multi-Center Validation Study

Despite the vastly increased dissemination of low-intensity (LI) version cognitive behavior therapy (CBT) for treatment anxiety and depression, no valid reliable indices LI-CBT clinical competencies currently exist. This research therefore sought to develop evaluate two measures: assessment competency scale (LIAC) (LITC). Inductive deductive methods were used construct scales detailed rating manuals prepared. Two studies then completed. The first study a quantitative, fully-crossed design second multi-center, quantitative longitudinal design. In one, novice, qualified, expert practitioners rated an session (using LIAC) LITC). Study LIAC LITC across four training sites analyze over time, raters, in relation actor/patients’ feedback concerning helpfulness, alliance, willingness return. Both found be single factor with good internal, test-retest reliability reasonable inter-rater reliability. measures sensitive measuring change competence. had concurrent, criterion, discriminant, predictive validity, while but limited discriminant validity. A score 18 accurately delineated minimum level competence practice, incompetent practice associated patient disengagement. These observational ratings can contribute governance burgeoning use interventions depression routine services also controlled studies.