TherFamFrancoV1, Main, Exploration, bibRecord, 000040

Therapist Competence in Global Mental Health: Development of the Enhancing Assessment of Common Therapeutic Factors (ENACT) Rating Scale

Identifieur interne : 000040 ( Main/Exploration ); précédent : 000039; suivant : 000041

Therapist Competence in Global Mental Health: Development of the Enhancing Assessment of Common Therapeutic Factors (ENACT) Rating Scale

Auteurs : Brandon A. Kohrt [Népal, États-Unis] ; Mark J. D. Jordans [Népal, Royaume-Uni, Pays-Bas] ; Sauharda Rai [Népal] ; Pragya Shrestha [Népal] ; Nagendra P. Luitel [Népal] ; Megan Ramaiya [États-Unis] ; Daisy Singla [Canada] ; Vikram Patel [Royaume-Uni, Inde]

Source :

Behaviour research and therapy [ 0005-7967 ] ; 2015.

RBID : PMC:4686771

Abstract

Lack of reliable and valid measures of therapist competence is a barrier to dissemination and implementation of psychological treatments in global mental health. We developed the ENhancing Assessment of Common Therapeutic factors (ENACT) rating scale for training and supervision across settings varied by culture and access to mental health resources. We employed a four-step process in Nepal: (1) Item generation: We extracted 1,081 items (grouped into 104 domains) from 56 existing tools; role-plays with Nepali therapists generated 11 additional domains. (2) Item relevance: From the 115 domains, Nepali therapists selected 49 domains of therapeutic importance and high comprehensibility. (3) Item utility: We piloted the ENACT scale through rating role-play videotapes, patient session transcripts, and live observations of primary care workers in trainings for psychological treatments and the Mental Health Gap Action Programme (mhGAP). (4) Inter-rater reliability was acceptable for experts (intraclass correlation coefficient, ICC(2,7)=0.88 (95% confidence interval (CI) 0.81—0.93), N=7) and non-specialists (ICC(1,3)=0.67 (95% CI 0.60—0.73), N=34). In sum, the ENACT scale is an 18-item assessment for common factors in psychological treatments, including task-sharing initiatives with non-specialists across cultural settings. Further research is needed to evaluate applications for therapy quality and association with patient outcomes.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686771

DOI: 10.1016/j.brat.2015.03.009
PubMed: 25847276
PubMed Central: 4686771

Affiliations:

Canada, Inde, Népal, Pays-Bas, Royaume-Uni, États-Unis
Angleterre, Grand Londres, Hollande-Septentrionale, Québec
Amsterdam, Londres, Montréal
Université McGill

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<front><div type="abstract" xml:lang="en"><p id="P1">Lack of reliable and valid measures of therapist competence is a barrier to dissemination and implementation of psychological treatments in global mental health. We developed the <underline>EN</underline>
hancing <underline>A</underline>
ssessment of <underline>C</underline>
ommon <underline>T</underline>
herapeutic factors (ENACT) rating scale for training and supervision across settings varied by culture and access to mental health resources. We employed a four-step process in Nepal: (1) <italic>Item generation:</italic>
 We extracted 1,081 items (grouped into 104 domains) from 56 existing tools; role-plays with Nepali therapists generated 11 additional domains. (2) <italic>Item relevance:</italic>
 From the 115 domains, Nepali therapists selected 49 domains of therapeutic importance and high comprehensibility. (3) <italic>Item utility:</italic>
 We piloted the ENACT scale through rating role-play videotapes, patient session transcripts, and live observations of primary care workers in trainings for psychological treatments and the <italic>Mental Health Gap Action Programme</italic>
 (<italic>mhGAP</italic>
). (4) <italic>Inter-rater reliability</italic>
 was acceptable for experts (intraclass correlation coefficient, ICC(2,7)=0.88 (95% confidence interval (CI) 0.81—0.93), N=7) and non-specialists (ICC(1,3)=0.67 (95% CI 0.60—0.73), N=34). In sum, the ENACT scale is an 18-item assessment for common factors in psychological treatments, including task-sharing initiatives with non-specialists across cultural settings. Further research is needed to evaluate applications for therapy quality and association with patient outcomes.</p>
</div>
</front>
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La thérapie familiale en francophonie (serveur d'exploration)

Therapist Competence in Global Mental Health: Development of the Enhancing Assessment of Common Therapeutic Factors (ENACT) Rating Scale

Therapist Competence in Global Mental Health: Development of the Enhancing Assessment of Common Therapeutic Factors (ENACT) Rating Scale

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