Acceptance and Efficacy of Live Supervision

Not Applicable

Completed

• Conditions: Mental Disorders
• Interventions: Behavioral: Computer-assisted live supervision; Behavioral: Delayed video-based supervision

• Registration Number: NCT01510080
• Lead Sponsor: Goethe University

Brief Summary

In order to meet an existing lack of empirical studies in the field of cognitive behavioral therapy supervision, the present randomized controlled trial is aimed at comparing two different types of supervision. This study compares computer-assisted live supervision and delayed video-based supervision regarding efficacy and acceptance among therapists, patients and supervisors. The efficacy of supervision is defined on different levels such as change of psychotherapeutic competence, nondisclosure, self-efficacy, self-awareness of the supervisee as well as therapeutic alliance, supervisory alliance and therapy outcome.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2011-12-12
• Study Start: 2012-01
• Study First Submitted QC: 2012-01-10
• Study First Posted: 2012-01-13
• Primary Completion: 2014-08
• Study Completion: 2014-08
• Status Verified: 2015-01
• Last Update Submitted: 2015-01-19
• Last Update Posted: 2015-01-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• Having successfully completed the interim audit
• Having started to treat ambulant patients under supervision

Exclusion Criteria

Patients

Inclusion Criteria:

• Meeting ICD 10 criteria for a mental disorder
• Informed consent

Exclusion Criteria:

• Currently in psychotherapy
• Suicidal tendency
• Clinical diagnosis of alcohol or drug addiction, acute schizophrenia, schizoaffective disorder or bipolar disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Computer-assisted live supervision	Computer-assisted live supervision	Supervisees assigned to this group will receive 8 sessions of computer-assisted live supervision and 4 sessions of delayed video-based supervision while treating 2 patients during 26 therapy sessions each. Computer-assisted live supervision is also known as "bug-in-the-eye" (BITE) supervision. The supervisor observes the therapy session with the help of a webcam and types messages on his computer. The instructions to the supervisee appear on a second monitor located in the therapy room where the supervisee can view it whenever he wants to.
Delayed video-based supervision	Delayed video-based supervision	Supervisees assigned to this group will receive 12 sessions of delayed video-based supervision while treating 2 patients during 26 therapy sessions each. During delayed video-based supervision the supervisor and the supervisee spend 50 minutes reviewing selected parts of video recorded therapy sessions and discussing the case.

Primary Outcome Measures

Name	Time	Method
Supervisory Questionnaire (SQ)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses nondisclosure of the supervisee during supervision
Supervisee Levels Questionnaire (SLQ-R)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses self awareness, motivation and dependency- autonomy of supervisees
Counseling Self-Estimate Inventory (COSE)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses self efficacy of the supervisee
Fragebogen zur Psychotherapie-Supervision Kurzform (FSPT-K)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses level of development and supervision needs of the therapist

Secondary Outcome Measures

Name	Time	Method
Helping Alliance Questionnaire (HAQ)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses the therapeutic alliance
Supervisory Working Alliance Inventory (SWAI)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses the supervisory relationship
Beck-Depression Inventory II (BDI-II)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses depressive symptoms
Beck Anxiety Inventory II (BAI)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that asessses anxiety symptoms
Brief Symptom Inventory (BSI)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses aspects of general psychopathology
Health-related quality of life (SF-12)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses the health-related quality of life
Client Satisfaction Questionnaire (CSQ8)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses satisfaction with therapy
Stundenbogen zur Supervisionsbeurteilung (STEP SV)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	self-report measure that assesses satisfaction with supervision
Cognitive Therapy Scale (CTS)	participants will be followed for the duration of psychotherapy, an expected average of 30 weeks	clinician-rated measure that assesses psychotherapeutic competencies

Trial Locations

Locations (1)

Department of Clinical Psychology and Psychotherapy of the Wolfgang Goethe University; 🇩🇪 Frankfurt, Hessen, Germany