The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
PROBLEMS WITH HOMEWORK IN CBT: RARE EXCEPTION OR RATHER FREQUENT?
Abstract
Homework assignments are an essential part of cognitive-behavioural therapy, and are included in the majority of therapy manuals and frequently used in therapeutic practice. Despite this, little is known about problems with homework completion or possible influences on homework compliance. The aim of the present practitioner survey was to provide data on problems related to homework use and compliance. Furthermore, the relationships between different variables and homework compliance were examined. Data were collected by asking 77 cognitive-behavioural therapists to recall two individual patients. Therapists described homework tasks assigned to these patients and procedures of assignment as well as problems that arose during assignment and completion. The results suggested that problems during the assignation of a task as well as during completion regularly occur. Homework compliance was positively associated both with patients' motivation for therapy, outcome at a later stage of therapy, and the provision of a written note or homework sheets on the task. Regression analyses pointed to patient variables as most crucial for homework compliance. Implications for effective homework use in clinical practice are discussed.
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“In the traditional model, clients often struggle to complete homework independently, with less than 40% of homework typically completed as assigned [8,9].”
Citations
Cites
Homework assignments in cognitive and behavioral therapy: a meta-analysis
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Distinctive activities of cognitive–behavioral therapy
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Coping styles, homework compliance, and the effectiveness of cognitive-behavioral therapy.
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Psychologists' use of homework assignments in clinical practice.
Kazantzis, N., & Deane, F. P. (1999) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.30.6.581 · Cited by 112
Power to detect homework effects in psychotherapy outcome research.
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Compliance during sessions and homework in exposure-based treatment of agoraphobia
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Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L. O., & Kuyken, W. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.05.004 · Cited by 550
“Other factors implicated in CBT homework completion, namely motivation to change (Helbig & Fehm, 2004), teacher competence and reviewing of home assignments (Weck, Richtberg, Esch, H€ofling, & Stangier, 2013) might be investigated in MBCT/ MBSR. Study level factors including therapist adherence…”
BackgroundWiles, N., Thomas, L., Abel, A., Barnes, M., Carroll, F., Ridgway, N., Sherlock, S., Turner, N., Button, K., Odondi, L., et al. (2014) · Health Technology Assessment · doi:10.3310/hta18310 · Cited by 127
Technological adjuncts to increase adherence to therapy: A review
Clough, B. A., & Casey, L. M. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.03.006 · Cited by 125
Supporting Homework Compliance in Cognitive Behavioural Therapy: Essential Features of Mobile Apps
Tang, W., & Kreindler, D. M. (2017) · JMIR Mental Health · doi:10.2196/mental.5283 · Cited by 120
Neimeyer, R. A., Kazantzis, N., Kassler, D. M., Baker, K. D., & Fletcher, R. (2008) · Cognitive Behaviour Therapy · doi:10.1080/16506070801981240 · Cited by 113
Metadata
- Authors
- Helbig, S., & Fehm, L.
- Affiliations
- Technische Universität Dresden (DE)
- ORCID
- Fehm, Lydia
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2004-06-14
- Volume
- 32
- Issue
- 3
- Pages
- 291-301
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2098937729
- Cited by
- 143
- References
- 12
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 9 · 2023: 8 · 2022: 16 · 2021: 5 · 2020: 8 · 2019: 7 · 2018: 2 · 2017: 7 · 2016: 7 · 2015: 6 · 2014: 7 · 2013: 7 · 2012: 8
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- homework, homework compliance, cognitive behavioral therapy, homework completion, patient motivation, treatment outcomes
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