Display options
Cite
Webb CA, Derubeis RJ, Barber JP. Therapist adherence/competence and treatment outcome: A meta-analytic review. J Consult Clin Psychol. 2010;78(2):200-11doi: 10.1037/a0018912.
Webb, C. A., Derubeis, R. J., & Barber, J. P. (2010). Therapist adherence/competence and treatment outcome: A meta-analytic review. Journal of consulting and clinical psychology, 78(2), 200-11. https://doi.org/10.1037/a0018912
Webb, Christian A, et al. "Therapist adherence/competence and treatment outcome: A meta-analytic review." Journal of consulting and clinical psychology vol. 78,2 (2010): 200-11. doi: https://doi.org/10.1037/a0018912
Webb CA, Derubeis RJ, Barber JP. Therapist adherence/competence and treatment outcome: A meta-analytic review. J Consult Clin Psychol. 2010 Apr;78(2):200-11. doi: 10.1037/a0018912. PMID: 20350031; PMCID: PMC4246504.
Copy Download .nbib Format: NLM
Share it on

J Consult Clin Psychol. 2010 Apr;78(2):200-11. doi: 10.1037/a0018912.

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

Journal of consulting and clinical psychology

Christian A Webb, Robert J Derubeis, Jacques P Barber

Affiliations

  1. Department of Psychology, University of Pennsylvania, Philadelphia, PA 19104-1696, USA. [email protected]

PMID: 20350031 PMCID: PMC4246504 DOI: 10.1037/a0018912

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.

(c) 2010 APA, all rights reserved

References

  1. Br J Med Psychol. 1986 Mar;59 ( Pt 1):1-11 - PubMed
  2. J Consult Clin Psychol. 1992 Apr;60(2):304-7 - PubMed
  3. J Consult Clin Psychol. 2005 Dec;73(6):1097-107 - PubMed
  4. J Psychother Pract Res. 1992 Spring;1(2):135-46 - PubMed
  5. Am J Psychiatry. 2008 Jun;165(6):763-71 - PubMed
  6. J Consult Clin Psychol. 1983 Aug;51(4):557-64 - PubMed
  7. J Consult Clin Psychol. 1999 Aug;67(4):578-82 - PubMed
  8. J Consult Clin Psychol. 1988 Aug;56(4):496-501 - PubMed
  9. J Consult Clin Psychol. 1996 Jun;64(3):497-504 - PubMed
  10. Arch Gen Psychiatry. 1984 Mar;41(3):301-4 - PubMed
  11. BMJ. 2003 Sep 6;327(7414):557-60 - PubMed
  12. Behav Res Ther. 2010 Jul;48(7):599-606 - PubMed
  13. Am Psychol. 1986 Feb;41(2):165-80 - PubMed
  14. Arch Gen Psychiatry. 1984 May;41(5):438-48 - PubMed
  15. J Consult Clin Psychol. 2000 Dec;68(6):1027-32 - PubMed
  16. J Consult Clin Psychol. 2000 Jun;68(3):438-50 - PubMed
  17. J Neurol Neurosurg Psychiatry. 1960 Feb;23:56-62 - PubMed
  18. Psychother Res. 2009 Jan;19(1):1-12 - PubMed
  19. J Consult Clin Psychol. 1992 Feb;60(1):73-9 - PubMed
  20. J Consult Clin Psychol. 2006 Aug;74(4):658-70 - PubMed
  21. Arch Gen Psychiatry. 1989 Nov;46(11):971-82; discussion 983 - PubMed
  22. J Consult Clin Psychol. 1999 Dec;67(6):837-46 - PubMed
  23. J Consult Clin Psychol. 1988 Aug;56(4):490-5 - PubMed
  24. Arch Gen Psychiatry. 1991 Oct;48(10):946-53 - PubMed
  25. J Consult Clin Psychol. 2008 Aug;76(4):544-55 - PubMed
  26. Clin Psychol Rev. 2009 Feb;29(1):47-56 - PubMed
  27. J Consult Clin Psychol. 1996 Jun;64(3):619-22 - PubMed
  28. Psychother Psychosom. 2009;78(1):42-8 - PubMed
  29. Annu Rev Psychol. 2001;52:685-716 - PubMed
  30. J Psychother Pract Res. 1999 Spring;8(2):142-54 - PubMed
  31. J Consult Clin Psychol. 1997 Jun;65(3):510-4 - PubMed
  32. J Clin Epidemiol. 2009 Oct;62(10):1006-12 - PubMed
  33. Arch Gen Psychiatry. 1985 Jun;42(6):602-11 - PubMed
  34. Clin Psychol Rev. 2008 Oct;28(7):1167-87 - PubMed

MeSH terms

Publication Types

Grant support