Use of role plays to assess therapist competency and its association with client outcomes in psychological interventions: A scoping review and competency research agenda

Ottman, Katherine; Kohrt, Brandon A.; Pedersen, Gloria A.; Schafer, Alison

doi:10.1016/j.brat.2019.103531

Cited by 33 publications

(32 citation statements)

References 54 publications

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“…Given the voluntary nature of the facilitator role and some turnover in facilitators, the majority of teams consisted of different members at each time point. Ottman et al, 2019). The combination of these tools aimed to evaluate implementation quality or service delivery as executed by the TeamUp facilitators.…”

Section: Methodsmentioning

confidence: 99%

WITHDRAWN: Process Evaluation of TeamUp: A Movement–Based Psychosocial Intervention for Refugee Children in the Netherlands

Bleile

Koppenol-Gonzalez

Verreault

et al. 2020

Preprint

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Background: Nearly 60,000 people applied for asylum in the Netherland in 2015, confronting the governmental structures and services with great administrative, logistical and service provision challenges. Refugee children’s psychosocial needs and wellbeing are often overlooked, and post-migration support is of pivotal importance.Methods: An easy accessible movement–based psychosocial intervention, called TeamUp, was developed for children aged 6-17 living in refugee reception centres. A mixed-method process evaluation was conducted of (1) implementation process, assessing attendance (n = 2183 children, and n = 209 children); (2) implementation quality, using structured observations at two time points) to evaluate facilitator’s (2a) individual-level fidelity (n = 81 facilitators); (2b) team-level fidelity (n = 22 teams); (2c) facilitators’ competencies (n = 81); (2d) trainee perceived self-efficacy pre-post training (n = 73); and (3) perceptions on implementation and outcomes, employing a survey (n = 99), focus group discussions and key informant interviews with children (n = 94), facilitators (n = 24) and reception centre staff (n = 10).Results: Attendance lists showed a mean of 8.5 children per session, and children attending 31.3% of sessions. Structured observations demonstrated 49.2% and 58.2% individual-level fidelity, 72.5% and 73.0% team-level fidelity, and 82.9% and 88.4% adequacy in competencies, each at T1 and T2 respectively. Main challenges that were reported included managing children’s energy regulation (e.g. offering settling moments) and challenging behaviour. Training participation significantly improved perceived self-efficacy for trainees. The facilitator survey demonstrated on average, high satisfaction and self-efficacy, low experienced burden, and high perceived capacity-building support. Qualitatively, TeamUp was positively perceived by all stakeholders and was regarded as contributing to children’s psychosocial outcomes.Conclusion: (1) Attendance and group size were lower than expected. (2) The intervention’s facilitator fidelity ranged from moderate to adequate – exhibiting a need for specific fidelity strengthening and capacity-building – while facilitator competencies were high. Trainee’s perceived self-efficacy improved significantly following a two-day training. (3) Facilitators expressed high levels of satisfaction, self-efficacy and support, and low burden. The intervention was positively perceived by all stakeholders and to have a positive impact on children’s psychosocial learning and wellbeing.

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Section: Methodsmentioning

confidence: 99%

WITHDRAWN: Process Evaluation of TeamUp: A Movement–Based Psychosocial Intervention for Refugee Children in the Netherlands

Bleile

Koppenol-Gonzalez

Verreault

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Although we didn’t examine the association between recipients’ perception of the counselling relationship and outcome, there is evidence from other studies that counsellor empathy and collaboration is associated with better client outcomes [ 48 , 49 ]. In some substance use intervention studies, empathy was the only counsellor competency domain that predicted better outcomes [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Westhuizen

Malan

Naledi

et al. 2021

Addict Sci Clin Pract

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Background Screening, brief intervention and referral to treatment (SBIRT) programmes have resulted in generally positive outcomes in healthcare settings, particularly for problem alcohol use, yet implementation is hampered by barriers such as concerns regarding the burden on healthcare professionals. In low-resourced settings, task-sharing approaches can reduce this burden by using non-professional healthcare workers, yet data are scarce regarding the outcomes and acceptability to patients within a SBIRT service. This study aims to evaluate patient-reported outcomes, patient acceptability, perceived benefits and recommendations for improving a task-shared SBIRT service in South African emergency centres (ECs). Methods This mixed methods study incorporates quantitative substance use screening and patient satisfaction data collected routinely within the service at three hospitals, and qualitative semi-structured interviews with 18 EC patient beneficiaries of the programme exploring acceptability and perceived benefits of the programme, as well as recommendations to improve the service. Approximately three months after the acute EC visit, a sub-sample of patients were followed up telephonically to assess patient-reported satisfaction and substance use outcomes. Results Of the 4847 patients eligible for the brief intervention, 3707 patients (76%) used alcohol as their primary substance and 794 (16%) used cannabis. At follow-up (n = 273), significant reductions in substance use frequency and severity were noted and over 95% of patients were satisfied with the service. In the semi-structured interviews, participants identified the non-judgemental caring approach of the counsellors, and the screening and psychoeducation components of the intervention as being the most valuable, motivating them to decrease substance use and make other positive lifestyle changes. Study participants made recommendations to include group sessions, market the programme in communities and extend the programme’s reach to include a broader age group and a variety of settings. Conclusions This task-shared SBIRT service was found to be acceptable to patients, who reported several benefits of a single SBIRT contact session delivered during an acute EC visit. These findings add to the SBIRT literature by highlighting the role of non-professional healthcare workers in delivering a low-intensity SBIRT service feasible to implement in low-resourced settings.

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“…Observation checklists were developed to assess implementation quality, including; (a) facilitators’ individual-level fidelity with 20 items, on a 2-point scale (‘not done’ or ‘done’); (b) facilitators’ team-level fidelity with 16 items, on a 3-point scale (‘not done’, ‘partly done’ or ‘very well done’) to assess the degree to which the intervention was implemented as it was designed [ 7 ] and, (c) facilitators’ competencies with nine items, on a 4-point scale (‘harmful’, ‘absence of competency’, ‘competency partly present’ and ‘done with mastery’) assessing a set of common clinical competencies required when working with children (based on ongoing work by Kohrt et al [ 35 ]; Kohrt et al [ 34 ], Jordans et al [ 32 ], Ottman et al[ 48 ]). The combination of these tools aimed to evaluate implementation quality or service delivery as executed by the TeamUp facilitators.…”

Section: Methodsmentioning

confidence: 99%

Process evaluation of TeamUp: a movement-based psychosocial intervention for refugee children in the Netherlands

Bleile

Koppenol-Gonzalez

Verreault

et al. 2021

Int J Ment Health Syst

View full text Add to dashboard Cite

Background Nearly 60,000 people applied for asylum in the Netherland in 2015, confronting the governmental structures and services with great administrative, logistical and service provision challenges. Refugee children’s psychosocial needs and wellbeing are often overlooked, and post-migration support is of pivotal importance. Methods An easy accessible movement–based psychosocial intervention, called TeamUp, was developed for children aged 6–17 living in refugee reception centres. A mixed-method process evaluation was conducted of (1) implementation process, assessing attendance (n = 2183 children, and n = 209 children); (2) implementation quality, using structured observations at two time points to evaluate facilitator’s (2a) individual-level fidelity (n = 81 facilitators); (2b) team-level fidelity (n = 22 teams); (2c) facilitators’ competencies (n = 81); (2d) trainee perceived self-efficacy pre-post training (n = 73); and (3) perceptions on implementation and outcomes, employing a survey (n = 99), focus group discussions and key informant interviews with children (n = 94), facilitators (n = 24) and reception centre staff (n = 10). Results Attendance lists showed a mean of 8.5 children per session, and children attending 31.3% of sessions. Structured observations demonstrated 49.2% and 58.2% individual-level fidelity, 72.5% and 73.0% team-level fidelity, and 82.9% and 88.4% adequacy in competencies, each at T1 and T2 respectively. The main reported challenges included managing children’s energy regulation (e.g. offering settling moments) and challenging behaviour. Training participation significantly improved perceived self-efficacy for trainees. The facilitator survey demonstrated on average, high satisfaction and self-efficacy, low experienced burden, and high perceived capacity-building support. Qualitatively, TeamUp was positively perceived by all stakeholders and was regarded as contributing to children’s psychosocial outcomes. Conclusion (1) Attendance and group size were lower than expected. (2) The intervention’s facilitator fidelity ranged from moderate to adequate—exhibiting a need for specific fidelity and capacity strengthening—while facilitator competencies were high. Trainee’s perceived self-efficacy improved significantly following a 2-day training. (3) Facilitators expressed high levels of satisfaction, self-efficacy and support, and low burden. The intervention was positively perceived by all stakeholders and to have a positive impact on children’s psychosocial learning and wellbeing.

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Use of role plays to assess therapist competency and its association with client outcomes in psychological interventions: A scoping review and competency research agenda

Cited by 33 publications

References 54 publications

WITHDRAWN: Process Evaluation of TeamUp: A Movement–Based Psychosocial Intervention for Refugee Children in the Netherlands

WITHDRAWN: Process Evaluation of TeamUp: A Movement–Based Psychosocial Intervention for Refugee Children in the Netherlands

Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study

Process evaluation of TeamUp: a movement-based psychosocial intervention for refugee children in the Netherlands

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