Randomized Trial of Web-Based Training to Promote Counselor Use of Cognitive Behavioral Therapy Skills in Client Sessions. Issue 2 (April 2013)

• Record Type: Journal Article
• Authors: Larson, Mary Jo; Amodeo, Maryann; LoCastro, Joseph S.; Muroff, Jordana; Smith, Lauren; Gerstenberger, Eric
• Is Part Of: Substance abuse. Volume 34:Issue 2(2013)
• Page Start: 179
• Page End: 187
• Publication Date: 2013-04
• Subjects: Randomized trial -- training program -- cognitive behavioral therapy -- skill improvement -- web course; Substance abuse -- Periodicals; Medical education -- Periodicals; Education, Medical -- periodicals; Substance Abuse -- periodicals; 362.29
• DOI: 10.1080/08897077.2012.746255
• Languages: English
• ISSNs: 0889-7077

Abstract

Background and Methods: The authors designed and delivered an innovative Web course on cognitive behavioral therapy (CBT), a specific empirically based treatment, to a diverse group of addiction counselors and supervisors in 54 addiction units across the country, and conducted a randomized controlled trial of its effectiveness with 127 counselors. The primary focus of the trial was to assess "adequate adherence to CBT practice" after training as judged by raters blinded to training condition who listened to audiotapes of actual client sessions. Counselors who passed were judged to satisfy 2 criteria: (a) low pass or greater on at least 1 of 3 "CBT-generic skills" assessing session structure; and (b) low pass or greater on at least 1 of 3 "CBT-specific skills" related to use of functional analysis, cognitive skills practice, or behavioral skills practice. Results: Although the counselors' use of CBT skills in sessions increased after Web course training, it was not statistically significant and not larger than the gain of control-group counselors trained with a written CBT manual.