Cited by 657Psychotherapy Techniques and ApplicationsCounseling Practices and SupervisionCounseling, Therapy, and Family Dynamics

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Therapist adherence/competence and treatment outcome: A meta-analytic review.

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Webb, Christian A., DeRubeis, Robert J., Barber, Jacques P.·2010·Journal of Consulting and Clinical Psychology

DOI 10.1037/a0018912PMC PMC4246504

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Abstract

OBJECTIVE: The authors conducted a meta-analytic review of adherence-outcome and competence-outcome findings, and examined plausible moderators of these relations. METHOD: A computerized search of the PsycINFO database was conducted. In addition, the reference sections of all obtained studies were examined for any additional relevant articles or review chapters. The literature search identified 36 studies that met the inclusion criteria. RESULTS: R-type effect size estimates were derived from 32 adherence-outcome and 17 competence-outcome findings. Neither the mean weighted adherence-outcome (r = .02) nor competence-outcome (r = .07) effect size estimates were found to be significantly different from zero. Significant heterogeneity was observed across both the adherence-outcome and competence-outcome effect size estimates, suggesting that the individual studies were not all drawn from the same population. Moderator analyses revealed that larger competence-outcome effect size estimates were associated with studies that either targeted depression or did not control for the influence of the therapeutic alliance. CONCLUSIONS: One explanation for these results is that, among the treatment modalities represented in this review, therapist adherence and competence play little role in determining symptom change. However, given the significant heterogeneity observed across findings, mean effect sizes must be interpreted with caution. Factors that may account for the nonsignificant adherence-outcome and competence-outcome findings reported within many of the studies reviewed are addressed. Finally, the implication of these results and directions for future process research are discussed.

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Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
A rating scale for depression
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817
Book Reviews: Statistical Methods for Meta-Analysis Larry V. Hedges and Ingram Olkin New York: Academic Press, 1985. xxii + 369 pp
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,377
Untitled work
(2000) · Cited by 9,198
Meta-Analytic Procedures for Social Research.
Metcalfe, A., & Rosenthal, R. (1994) · Journal of the Royal Statistical Society Series D (The Statistician) · doi:10.2307/2348600 · Cited by 4,249
Manuscript Preparation
Editorial Office (1997) · Obesity Surgery · doi:10.1381/096089297765555359 · Cited by 3,941
Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review
Martin, D. J., Garske, J. P., & Davis, M. K. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.68.3.438 · Cited by 3,355
Relation between working alliance and outcome in psychotherapy: A meta-analysis
Horvath, A. O., & Symonds, B. D. (1991) · Journal of Counseling Psychology · doi:10.1037/0022-0167.38.2.139 · Cited by 2,673
Process Analysis: Estimating Mediation in Treatment Evaluations
Judd, C. M., & Kenny, D. A. (1981) · Evaluation Review · doi:10.1177/0193841x8100500502 · Cited by 2,442

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*Hall IE Therapist adherence and technical skills in two versions of emotion-focused trauma therapy 2007 University of Windsor Windsor, Ontario, Canada Unpublished doctoral dissertation
Hedges LV Olkin I Statistical methods for meta-analysis 1985 Academic Press Orlando, FL
*Spektor D Therapists’ adherence to manualized treatments in the context of ruptures (Doctoral dissertation) 2008 Available from ProQuest Dissertations and These database. (UMI No. 3333897)

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Authors: Webb, C. A., DeRubeis, R. J., & Barber, J. P.
Affiliations: University of Pennsylvania (US)
Philadelphia VA Medical Center (US)
ORCID: Webb, Christian A.
DeRubeis, Robert J.
Barber, Jacques P.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2010
Volume: 78
Issue: 2
Pages: 200-211
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/a0018912
PMC: PMC4246504
OpenAlex: W2081283342
Cited by: 657
References: 66
Citations by year: 2026: 21 · 2025: 21 · 2024: 31 · 2023: 37 · 2022: 27 · 2021: 68 · 2020: 40 · 2019: 54 · 2018: 64 · 2017: 47 · 2016: 38 · 2015: 52 · 2014: 44 · 2013: 49 · 2012: 30
FWCI: 39.60
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (MH60998 (R01), MH061410 (R01))
Social Sciences and Humanities Research Council of Canada
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
Keywords: therapist adherence, therapist competence, treatment outcomes, therapeutic relationship, depression treatment, process research, symptom change, moderators of treatment outcome
MeSH terms: Mental Disorders, Clinical Competence, Humans, Guideline Adherence

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Therapist adherence/competence and treatment outcome: A meta-analytic review.

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