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

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. The 104 recorded consultation sessions 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.

Behavioral Rehearsal for Analogue Fidelity: Feasibility in a State-Funded Children’s Mental Health Initiative

“…Many other techniques and practice elements were taught and not assessed. Third, we did not document or analyze training and consultation time focused on the two techniques assessed or on BR itself (see Edmunds et al, 2013 for examples of this kind of microanalysis). Fourth, BR does not include an evaluation of clinicians’ actual fidelity with clients or client outcomes.…”

“…Calls also include some combination of follow up on previously presented cases (e.g., clinician implementation of recommendations, client response), time for clinician questions, consultant modeling, opportunity for clinician role play, and linkage to case-specific CBT resources (http://depts.washington.edu/hcsats/PDF/TF%20CBT/CBT_Plus_NB.html). However, microanalysis of consultation has not been conducted (see Edmunds et al, 2013 for an example). CBT+ also offers yearly advanced trainings, a listserv, and supervisor-specific supports.…”

Consultation as an Implementation Strategy for Evidence-Based Practices Across Multiple Contexts: Unpacking the Black Box

“…One of the primary functions of consultation is to continue to provide didactic training (Beidas et al, 2012; Edmunds et al, this issue). This is particularly important for complex skills that cannot be taught fully in a one or two-day workshop, such as case conceptualization,assessment, and the provision of multi-session complex treatment protocols.…”

“…As providers begin to field a new practice, there is a need for the consultation to focus on direct translation of the new techniques to real-world cases (e.g., Edmunds et al, this issue; Gleacher et al, 2011; Palinkas et al, 2008). In consultation, providers can share their experiences trying the techniques with the children, families, teachers, or classrooms that they are working with.…”

Factors influencing undergraduate students’ acceptance of a haptic interface for learning gross anatomy

“…Visual data was updated at 30Hz and haptic feedback at 1000 Hz as suggested by Coles and colleagues (2011). The implementation took account of behavioral rehearsal as an active learning technique and its positively moderated relationship to skills (Edmunds et al, 2013). The system implementation was informed by cognitive load theory (Paas et al 2003), with simplification of tasks in learning and self-assessment designed to reduce extraneous cognitive load (Young et al, 2014).…”