Development and Validation of the ACT/CBT Adherence Scale: Phase Two

McGrath, Kathleen B.; Forman, Evan M.; Hoffman, Kimberly L.; Marques, Kathleen; Moitra, Ethan; Yeomans, Peter D.; Zabell, John A.

doi:10.1037/e529682007-001

Cited by 6 publications

(7 citation statements)

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“…45 audio-taped sessions from 24 participants (12 in CBT, 12 in ACT) were randomly selected for treatment adherence and therapist competency ratings using the Drexel University ACT/CT Therapist Adherence and Competence Rating Scale (McGrath, Forman, & Herbert, in preparation) which yielded five adherence items scales: general therapy adherence (7 items), general behavioral therapy adherence (7 items), cognitive therapy adherence (9 items), ACT adherence (11 items), and therapist competence (5 items). A blind rater who had no involvement with the study, but had extensive training in both ACT and CBT and had previously rated over 200 therapy sessions of ACT and CBT noted which adherence item occurred in each 5-minute segment of therapy.…”

Section: Methodsmentioning

confidence: 99%

Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: Outcomes and moderators.

Craske

Niles

Burklund

et al. 2014

Journal of Consulting and Clinical Psychology

178

149

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Objective Cognitive behavioral therapy (CBT) is an empirically supported treatment for social phobia. However, not all individuals respond to treatment and many who show improvement do not maintain their gains over the long-term. Thus, alternative treatments are needed. Method The current study (N=87) was a 3-arm randomized clinical trial comparing CBT, Acceptance and Commitment therapy (ACT), and a waitlist control group (WL) in participants with a DSM-IV diagnosis of social phobia. Participants completed 12 sessions of CBT or ACT or a 12-week waiting period. All participants completed assessments at baseline and post-treatment, and participants assigned to CBT and ACT also completed assessments at 6 and 12 months following baseline. Assessments consisted of self-report measures, a public speaking task, and clinician ratings. Results Multilevel modeling was used to examine between-group differences on outcomes measures. Both treatment groups outperformed WL, with no differences observed between CBT and ACT on self-report, independent clinician, or public speaking outcomes. Lower self-reported psychological flexibility at baseline was associated with greater improvement by the 12-mo follow-up in CBT compared to ACT. Self-reported fear of negative evaluation significantly moderated outcomes as well, with trends for both extremes to be associated with superior outcomes from CBT and inferior outcomes from ACT. Across treatment groups, higher perceived control, and extraversion were associated with greater improvement, whereas comorbid depression was associated with poorer outcomes. Conclusions Implications for clinical practice and future research are discussed.

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Section: Methodsmentioning

confidence: 99%

Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: Outcomes and moderators.

Craske

Niles

Burklund

et al. 2014

Journal of Consulting and Clinical Psychology

178

149

View full text Add to dashboard Cite

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“…The ACT and CBT subscales showed very good inter-rater reliability, as measured by the intra-class correlation coefficient (ICC = .96 for ACT and ICC = .94 for CBT) and internal consistency (α = .93 for ACT and α = .91 for CBT). The inter-rater reliability for the competence subscale was found to be good with ICC = .86, while the internal consistency was very good with α = .95 (McGrath et al, 2005). In the current study, the internal consistency of the competence subscale and intra-class correlation were good (α = .83 and ICC = .86).…”

Section: Methodsmentioning

confidence: 99%

A Randomised Controlled Trial of Acceptance and Commitment Therapy and Cognitive-Behaviour Therapy for Generalised Anxiety Disorder

2014

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The study examined the relative efficacy of group acceptance and commitment therapy (ACT) for generalised anxiety disorder (GAD) compared to group cognitive-behavioural therapy (CBT). Fifty-one individuals with GAD were randomly allocated to a 6-week intervention, either ACT or CBT. Participants were assessed at pre-treatment, post-treatment, and 3-month follow-up on symptom measures, quality of life, and process measures. Data from 38 participants (19 in each group) were available at post-assessment, indicating significant improvements on all measures for both treatment conditions. Treatment gains were maintained at follow-up, with significant further improvements in anxiety, depression and stress symptoms for both groups. While no between-group differences were found at treatment completion, a significant interaction indicating steeper reduction in worrying symptoms (d = .79) from pre- to post-assessment was found for the ACT group compared to the CBT group. Furthermore, in relation to worrying, at treatment completion 78.9% of participants in the ACT group achieved reliable change compared to 47.4% of participants in the CBT group. However, both groups showed equivalent reliable change rates of 60% at the follow-up assessment. The results suggest that group ACT was as efficacious as group CBT. While participants in the ACT group maintained treatment gains at follow-up, participants in the CBT group continued to improve between post-assessment and follow-up.

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“…In order to assess adherence to ACT, an independent clinical psychologist experienced in ACT scored the audiotaped workshop sessions using an adherence scale specifically developed for this study but based on previous ACT fidelity measures (McGrath et al, 2005;Morris, 2011). A new scale was developed because existing scales were designed for individual therapy and inappropriate for the group format of this study.…”

Section: Treatment Fidelity and Quality Assurancementioning

confidence: 99%

A randomized controlled trial of strong minds: A school-based mental health program combining acceptance and commitment therapy and positive psychology

Burckhardt

Manicavasagar

Batterham

et al. 2016

Journal of School Psychology

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To date, most early intervention programs have been based on emotion regulation strategies that address dysfunctional cognitive appraisals, problem-solving skills, and rumination. Another emotion regulation strategy, 'acceptance' training, has largely been overlooked. To examine the efficacy of this strategy, a school-based mental health program combining positive psychology with acceptance and commitment therapy (Strong Minds) was evaluated in a randomized controlled trial with a sample of 267 Year 10 and 11 high-school students in Sydney, Australia. Mixed models for repeated measures examined whether the program led to reductions in symptoms amongst students who commenced the program with high depression, anxiety, and stress scores, and increased wellbeing scores amongst all students. Results demonstrated that compared to controls, participants in the Strong Minds condition with elevated symptom scores (n=63) reported significant reductions in depression (p=.047), stress (p=.01), and composite depression/anxiety symptoms (p=.02) with medium to strong effect sizes (Cohen's d=0.53, 0.74, and 0.57, respectively). Increased wellbeing (p=.03) in the total sample and decreased anxiety scores (p=.048) for students with elevated symptoms were significant for Year 10 students with medium effect sizes (Cohen's d=0.43 and 0.54, respectively). This study tentatively suggests that including the emotion regulation strategy of acceptance in early intervention programs may be effective in reducing symptoms and improving wellbeing in high school students. Further research to investigate the generalizability of these findings is warranted.

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Development and Validation of the ACT/CBT Adherence Scale: Phase Two

Cited by 6 publications

References 0 publications

Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: Outcomes and moderators.

Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: Outcomes and moderators.

A Randomised Controlled Trial of Acceptance and Commitment Therapy and Cognitive-Behaviour Therapy for Generalised Anxiety Disorder

A randomized controlled trial of strong minds: A school-based mental health program combining acceptance and commitment therapy and positive psychology

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