Increasing adherence to behavioral homework assignments

Cox, Daniel J.; Tisdelle, Debra A.; Culbert, James P.

doi:10.1007/bf00844844

Cited by 63Psychotherapy Techniques and ApplicationsMedication Adherence and ComplianceBehavioral and Psychological Studies

Increasing adherence to behavioral homework assignments

Cox, Daniel J., Tisdelle, Debra A., Culbert, James P.·1988·Journal of Behavioral Medicine

DOI 10.1007/bf00844844

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Abstract

Behavior change through psychotherapy is frequently accomplished through the use of homework assignments conducted by patients between treatment sessions. There has been little attention directed at adherence to such behavioral prescriptions. This study compares the effects of Verbal versus Written behavioral prescriptions on recall of self-reported adherence to therapeutic homework assignments. Thirty subjects were randomly assigned to the Verbal and Written conditions in a counterbalanced, within-subjects, crossover design. Written prescriptions led to significantly better recall of and adherence to homework assignments.

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Contracts and written instructions are known to improve behavior change.
“Behavioral contracts, concerning what the patient is willing to do (and when), and written instructions are known to enhance behavior change [27].”
From A Behavior Change Model for Internet Interventions (2009) · cites this paper as [27]

Counseling and psychotherapy
(1997) · Choice Reviews Online · doi:10.5860/choice.34-5981 · Cited by 760 · see citing works
RANDOMISED CLINICAL TRIAL OF STRATEGIES FOR IMPROVING MEDICATION COMPLIANCE IN PRIMARY HYPERTENSION
Sackett, D., Gibson, E., Taylor, D. W., Haynes, R. B., Hackett, B. C., Roberts, R., & Johnson, A. (1975) · The Lancet · doi:10.1016/s0140-6736(75)92192-3 · Cited by 502 · see citing works
Treatment of Reflux Oesophagitis
COLE, P. V. (1988) · Inpharma Weekly · doi:10.1007/bf03308057 · Cited by 391 · see citing works
Achieving patient compliance : the psychology of the medical practitioner's role
DiMatteo, M. R., & DiNicola, D. D. (1982) · DigitalGeorgetown (Georgetown University Library) · Cited by 274 · see citing works
A behavioral medicine perspective on adherence to long-term medical regimens.
Epstein, L. H., & Cluss, P. A. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.50.6.950 · Cited by 241 · see citing works
Achieving patient compliance
DiMatteo, M. R. (1982) · Cited by 237 · see citing works
A behavioral medicine perspective on adherence to long-term medical regimens.
Epstein, L. H., & Cluss, P. A. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.50.6.950 · Cited by 199 · see citing works
Achieving Patient Compliance: The Psychology of the Medical Practitioner's Role
Smith, C. K. (1983) · JAMA · doi:10.1001/jama.1983.03340170098042 · Cited by 191 · see citing works
PSYCHOLOGICAL STUDIES OF DOCTOR-PATIENT COMMUNICATION
Ley, P. (1977) · Elsevier eBooks · doi:10.1016/b978-0-08-020511-3.50006-2 · Cited by 180 · see citing works
Adherence, Compliance and Generalization in Behavioral Medicine
Stuart, R. B. B. (1982) · Cited by 175 · see citing works
Mailed Versus Telephoned Appointment Reminders To Reduce Broken Appointments in a Hospital Outpatient Department
Shepard, D. S., & Moseley, T. A. E. (1976) · Medical Care · doi:10.1097/00005650-197603000-00008 · Cited by 95 · see citing works
Patient compliance with antibiotic regimens
Sharpe, T. R., & Mikeal, R. L. (1974) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/31.5.479 · Cited by 90 · see citing works
The Effect of Packaging and Instruction on Outpatient Compliance with Medication Regimens
Linkewich, J. A., Catalano, R. B., & Flack, H. L. (1974) · Annals of Pharmacotherapy · doi:10.1177/106002807400800102 · Cited by 77 · see citing works
A Behavioral Strategy for Promoting Treatment Compliance Following Myocardial Infarction
Baile, W. F., & Engel, B. T. (1978) · Psychosomatic Medicine · doi:10.1097/00006842-197808000-00005 · Cited by 42 · see citing works
Homework in Counseling and Psychotherapy
Hudson, K. (1976) · Southern Medical Journal · doi:10.1097/00007611-197608000-00035 · Cited by 24 · see citing works

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Ritterband, L. M., Thorndike, F. P., Cox, D. J., Kovatchev, B. P., & Gonder-Frederick, L. A. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9133-4 · Cited by 591 · see citing works
Self-citation
THE PROBLEM OF PARENTAL NONADHERENCE IN CLINICAL BEHAVIOR ANALYSIS: EFFECTIVE TREATMENT IS NOT ENOUGH
Allen, K. D., & Warzak, W. J. (2000) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.2000.33-373 · Cited by 238 · see citing works
In search of factors responsible for noncompliance among tuberculosis patients in Wardha District, India
Barnhoorn, F., & Adriaanse, H. P. (1992) · Social Science & Medicine · doi:10.1016/0277-9536(92)90271-q · Cited by 203 · see citing works
Integrating a Portable Biofeedback Device into Clinical Practice for Patients with Anxiety Disorders: Results of a Pilot Study
Reiner, R. (2008) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-007-9046-6 · Cited by 186 · see citing works
Therapist skill and patient variables in homework compliance: controlling an uncontrolled variable in cognitive therapy outcome research
Bryant, M. J., Simons, A. D., & Thase, M. E. (1999) · Cognitive Therapy and Research · doi:10.1023/a:1018703901116 · Cited by 183 · see citing works
Handbook of Homework Assignments in Psychotherapy
Kazantzis, N., & L’Abate, L. (2006) · Springer eBooks · doi:10.1007/978-0-387-29681-4 · Cited by 106 · see citing works
The role of homework assignments in cognitive therapy for depression: Potential methods for enhancing adherence.
Detweiler, J. B., & Whisman, M. A. (1999) · Clinical Psychology Science and Practice · doi:10.1093/clipsy.6.3.267 · Cited by 97 · see citing works
The Process of Recommending Homework in Psychotherapy: A Review of Therapist Delivery Methods, Client Acceptability, and Factors That Affect Compliance.
Scheel, M., Hanson, W. E., & Razzhavaikina, T. I. (2004) · Psychotherapy · doi:10.1037/0033-3204.41.1.38 · Cited by 86 · see citing works
Reflecting on homework in psychotherapy: What can we conclude from research and experience?
Kazantzis, N., & Lampropoulos, G. K. (2002) · Journal of Clinical Psychology · doi:10.1002/jclp.10034 · Cited by 84 · see citing works
Using the Internet to Provide Information Prescriptions
Ritterband, L. M., Borowitz, S., Cox, D. J., Kovatchev, B., Walker, L. S., Lucas, V., & Sutphen, J. (2005) · Pediatrics · doi:10.1542/peds.2005-0404 · Cited by 78 · see citing works
Self-citation
Guidelines for enhancing homework compliance
Tompkins, M. A. (2002) · Journal of Clinical Psychology · doi:10.1002/jclp.10033 · Cited by 67 · see citing works
The role of homework in cognitive behavior therapy of depression.
Thase, M. E., & Callan, J. A. (2006) · Journal of Psychotherapy Integration · doi:10.1037/1053-0479.16.2.162 · Cited by 54 · see citing works
Cognitive change methods.
Haaga, D. A. F., & Davison, G. C. (1991) · Cited by 53 · see citing works
Using homework in therapy for depression
Garland, A., & Scott, J. L. (2002) · Journal of Clinical Psychology · doi:10.1002/jclp.10027 · Cited by 51 · see citing works
Can between-session (homework) activities be considered a common factor in psychotherapy?
Kazantzis, N., & Ronan, K. R. (2006) · Journal of Psychotherapy Integration · doi:10.1037/1053-0479.16.2.115 · Cited by 48 · see citing works
A Lesson in Assigning Homework: Therapist, Client, and Task Characteristics in Cognitive Therapy for Depression.
Detweiler-Bedell, J. B., & Whisman, M. A. (2005) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.36.2.219 · Cited by 47 · see citing works
Critical Issues in Using Homework Assignments Within Cognitive-Behavioral Therapy for Schizophrenia
Glaser, N. M., Kazantzis, N., Deane, F. P., & Oades, L. G. (2000) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1023/a:1007888615752 · Cited by 34 · see citing works
Promoting Homework Adherence in Cognitive-Behavioral Therapy for Adolescent Depression
Jungbluth, N. J., & Shirk, S. R. (2013) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.743105 · Cited by 32 · see citing works
The Role of Homework Engagement, Homework-Related Therapist Behaviors, and Their Association with Depressive Symptoms in Telephone-Based CBT for Depression
Haller, E., & Watzke, B. (2021) · Cognitive Therapy and Research · doi:10.1007/s10608-020-10136-x · Cited by 31 · see citing works
Enhancing Treatment Adherence, Social Validity, and Generalization of Parent-Training Interventions with Physically Abusive and Neglectful Families
Lundquist, L. M., & Hansen, D. J. (1998) · Issues in clinical child psychology · doi:10.1007/978-1-4757-2909-2_19 · Cited by 28 · see citing works
Do improved patient recall and the provision of memory support enhance treatment adherence?
Dong, L., Lee, J. Y., & Harvey, A. G. (2016) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2016.08.017 · Cited by 27 · see citing works
Cognitive behavioral therapy for older adults: Practical guidelines for the use of homework assignments
Kazantzis, N., Pachana, N. A., & Secker, D. L. (2003) · Cognitive and Behavioral Practice · doi:10.1016/s1077-7229(03)80050-0 · Cited by 27 · see citing works
Therapist Behaviors as Predictors of Immediate Homework Engagement in Cognitive Therapy for Depression
Conklin, L. R., Strunk, D. R., & Cooper, A. A. (2017) · Cognitive Therapy and Research · doi:10.1007/s10608-017-9873-6 · Cited by 26 · see citing works
Reviewing 25 Years of Professional Practice: Homework Assignments and Length of Therapy
L’Abate, L., L'ABATE, B. L., & Maino, E. (2004) · American Journal of Family Therapy · doi:10.1080/01926180590889220 · Cited by 21 · see citing works
Can integrating the Memory Support Intervention into cognitive therapy improve depression outcome? A randomized controlled trial
Dong, L., Zieve, G. G., Gumport, N. B., Armstrong, C. C., Alvarado-Martinez, C. G., Martinez, A., Howlett, S. A., Fine, E., Tran, M., McNamara, M. E., et al. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2022.104167 · Cited by 21 · see citing works
Der Einsatz von Hausaufgaben in der Psychotherapie
Helbig, S., & Fehm, L. (2004) · Psychotherapeut · doi:10.1007/s00278-004-0374-1 · Cited by 19 · see citing works
Can integrating the Memory Support Intervention into cognitive therapy improve depression outcome? Study protocol for a randomized controlled trial
Harvey, A. G., Dong, L., Lee, J. Y., Gumport, N. B., Hollon, S. D., Rabe‐Hesketh, S., Hein, K., Haman, K., McNamara, M. E., Weaver, C., et al. (2017) · Trials · doi:10.1186/s13063-017-2276-x · Cited by 18 · see citing works
Cognitive Behavioral Therapy for Chronic Pain: Strategies for the Successful Use of Homework Assignments
Johnson, M. H., & Kazantzis, N. (2004) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1023/b:jore.0000047307.90472.56 · Cited by 17 · see citing works
The Use of Empirically Supported Strategies for Building a Therapeutic Relationship With an Adolescent With Oppositional-Defiant Disorder
Karver, M. S., & Caporino, N. E. (2010) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2009.09.004 · Cited by 16 · see citing works
Homework Assignments and Self‐Monitoring
Kazantzis, N., Dattilio, F. M., Cummins, A., & Clayton, X. (2013) · Wiley eBooks · doi:10.1002/9781118528563.wbcbt14 · Cited by 10 · see citing works
Hausaufgaben in der Psychotherapie
Fehm, L., & Helbig-Lang, S. (2009) · Psychotherapeut · doi:10.1007/s00278-009-0686-2 · Cited by 10 · see citing works
Case Managers' Attitudes Toward the Use of Homework for People Diagnosed With a Severe Psychiatric Disability
Kelly, P. J., Deane, F. P., Kazantzis, N., & Crowe, T. P. (2007) · Rehabilitation Counseling Bulletin · doi:10.1177/00343552070510010601 · Cited by 10 · see citing works
Adherence and Psychotherapy
Strauss, J. L., Guerra, V. S., Marx, C. E., Eggleston, A. M., & Calhoun, P. S. (2010) · Improving Patient Treatment Adherence · doi:10.1007/978-1-4419-5866-2_9 · Cited by 8 · see citing works
Tailored Text Message Prompts to Increase Therapy Homework Adherence: A Single-Case Randomised Controlled Study
Alfonsson, S., Englund, J., & Parling, T. (2019) · Behaviour Change · doi:10.1017/bec.2019.10 · Cited by 8 · see citing works
Does homework improve outcomes for individuals diagnosed with severe mental illness
Kelly, P. J., & Deane, F. P. (2007) · Research Online (University of Wollongong) · Cited by 8 · see citing works
An IT Platform Enabling Remote Therapeutic Interventions
Schickler, M., Pryss, R. C., Stach, M., Schobel, J., Schlee, W., Probst, T., Langguth, B., & Reichert, M. (2017) · Proceedings - IEEE Symposium on Computer-Based Medical Systems · doi:10.1109/cbms.2017.78 · Cited by 6 · see citing works
Therapeutische Hausaufgaben
Fehm, L., & Fehm‐Wolfsdorf, G. (2018) · Springer eBooks · doi:10.1007/978-3-662-54911-7_42 · Cited by 5 · see citing works
Efficacy of Written Modeling and Vicarious Reinforcement in Increasing Use of Problem-Solving Methods by Distressed Individuals
Coates, C., Malouff, J. M., & Rooke, S. E. (2008) · The Journal of Psychology · doi:10.3200/jrpl.142.4.413-426 · Cited by 5 · see citing works
Entwicklung und Evaluation einer internetbasierten begleiteten Selbsthilfe-Intervention zur Bewältigung von Albträumen
Böckermann, M., Gieselmann, A., Sorbi, M. J., & Pietrowsky, R. (2015) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000230 · Cited by 5 · see citing works
Cognitive Techniques
Fisher, L. B., Curreri, A. J., Tan, E., & Sprich, S. E. (2023) · Current clinical psychiatry · doi:10.1007/978-3-031-29368-9_3 · Cited by 4 · see citing works
Hausaufgaben in der Psychotherapie: Was Therapeuten bei der Gestaltung beachten sollten
Breil, J. (2012) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000107 · Cited by 4 · see citing works
Supporting Remote Therapeutic Interventions with Mobile Processes
Schickler, M., Pryss, R. C., Schobel, J., & Reichert, M. (2017) · doi:10.1109/aims.2017.13 · Cited by 4 · see citing works
Development of a Scale: Barriers to CBT Homework Completion Scale
Callan, J. A. (2007) · D-Scholarship@Pitt (University of Pittsburgh) · Cited by 3 · see citing works
CBT-I in patients with a history of traumatic brain injury
Almklov, E. A., Rivera, G. L., & Orff, H. J. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822872-2.00009-8 · Cited by 3 · see citing works
The Efficacy of Symbolic Modeling and Vicarious Reinforcement in Increasing Coping-Method Adherence
Rooke, S. E., & Malouff, J. M. (2006) · Behavior Therapy · doi:10.1016/j.beth.2006.02.008 · Cited by 3 · see citing works
Therapeutische Hausaufgaben
Fehm, L., & Fehm‐Wolfsdorf, G. (2009) · Springer eBooks · doi:10.1007/978-3-540-79541-4_45 · Cited by 3 · see citing works
Predictors of Adherence to Relaxation Guided Imagery During Pregnancy in Women with Preterm Labor
Chuang, L., Liu, S., Chen, Y., & Lin, L. (2015) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2013.0381 · Cited by 2 · see citing works
Usability Study on Mobile Processes Enabling Remote Therapeutic Interventions
Schickler, M., Pryss, R. C., Schlee, W., Probst, T., Langguth, B., Schobel, J., & Reichert, M. (2018) · Proceedings - IEEE Symposium on Computer-Based Medical Systems · doi:10.1109/cbms.2018.00033 · Cited by 2 · see citing works
Towards Flexible Remote Therapeutic Interventions
Schickler, M., Prysss, R., Schobel, J., Schlee, W., Probst, T., & Reichert, M. (2017) · Proceedings - IEEE Symposium on Computer-Based Medical Systems · doi:10.1109/cbms.2017.93 · Cited by 2 · see citing works
Client motivation, working alliance and the use of homework in psychotherapy
Franco, C. M. (2012) · ProQuest Demo Repository · Cited by 2 · see citing works
Homework compliance among substance using male offenders of IPV
Berbary, C. M., Fernandes, C., Crane, C. A., & Easton, C. J. (2018) · Advances in Dual Diagnosis · doi:10.1108/add-08-2018-0010 · Cited by 1 · see citing works
Development and testing of an enhanced homework procedure for a weight loss management group intervention
Herman, K. G. (2013) · Cited by 1 · see citing works
Cognitive Techniques
Fisher, L. B., & Sprich, S. E. (2015) · Springer eBooks · doi:10.1007/978-1-4939-2605-3_3 · Cited by 1 · see citing works
The Effect of a Brief Goal-skills Group Intervention on Homework Compliance and Depressive Symptom Severity
Conklin, L. R. (2009) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 1 · see citing works
Compliance and stages of change in multidisciplinary pain centers
Clifford, P. A., Cipher, D. J., & Schumacker, R. E. (2003) · The Pain Clinic · doi:10.1163/156856903770196692 · Cited by 1 · see citing works
The Relation between Homework Compliance and Treatment Outcome for Individuals with Social Phobia
Edwards, S. M. (2022) · Digital Archive @ GSU · doi:10.57709/1951724 · Cited by 1 · see citing works
Families
Rekart, K. N., & Lebow, J. L. (2006) · Springer eBooks · doi:10.1007/978-0-387-29681-4_13 · Cited by 1 · see citing works
Behavioral Health Consultant Core Competencies
Robinson, P. J., & Reiter, J. T. (2015) · Springer eBooks · doi:10.1007/978-3-319-13954-8_5
Verwendung von Materialien in der Psychotherapie
Meinlschmidt, G., & Mannstadt, S. (2011) · Springer eBooks · doi:10.1007/978-3-642-01713-1_1
Homework Adherence in Cognitive-Behavioral Therapy for Adolescent Depression
Jungbluth, N. J. (2012) · Digital Commons - DU (University of Denver)
Homework Instructions and Compliance Assessing in the Therapeutic Process: An Analysis of Therapists’ Verbal Behavior
Giráldez, C. A. M., Parga, M. X. F., & Elvira, A. C. (2020) · Universitas Psychologica · doi:10.11144/javeriana.upsy19.hica
Relationships between treatment knowledge, beliefs and outcome following cognitive behaviour therapy for panic disorder and agoraphobia
Drobny, J. (2009) · The Sydney eScholarship Repository (The University of Sydney)
Designing and Assigning Effective Homework
Kamins, R. (2006) · Elsevier eBooks · doi:10.1016/b978-012088416-2/50012-8

Authors: Cox, D. J., Tisdelle, D. A., & Culbert, J. P.
Affiliations: University of Virginia Medical Center (US)
Virginia Commonwealth University Medical Center (US)
ORCID: Cox, Daniel J.
Venue: Journal of Behavioral Medicine
Publisher: Springer Science and Business Media LLC
Published: 1988-10
Volume: 11
Issue: 5
Pages: 519-522
ISSN: 0160-7715 (ISSN-L)
1573-3521
DOI: 10.1007/bf00844844
OpenAlex: W1998341777
Cited by: 63
References: 14
Citations by year: 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 5 · 2016: 1 · 2015: 4 · 2013: 3 · 2012: 3
FWCI: 0.55
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (AM282880)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords: homework adherence, written prescriptions, behavior therapy
MeSH terms: Adult, Behavior Therapy, Female, Follow-Up Studies, Humans, Male, Patient Compliance, Psychophysiologic Disorders

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Increasing adherence to behavioral homework assignments

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