Miljkovic Ensad
Bosnia and Herzegovina Association for Cognitive and Behavioral Therapy, Velika Kladusa, Bosnia and Herzegovina.
J Ration Emot Cogn Behav Ther. 2023 Apr 7:1-33. doi: 10.1007/s10942-023-00505-2.
This pilot study aims to analyze the effects of the presence and absence of initial in-person contact and written feedback in RE&CBT e-supervision, comparing it on the Supervisory Working Alliance Inventory, the Supervisor Satisfaction Questionnaire, and the Trainee Disclosure Scale. During a period of six months, five supervisees performed ten e-supervision divided into two groups, a control group that did only the initial meetings in-person and an experimental group in which two supervisees completed whole process online. Additionally, in the first five e-supervision, the supervisor reviewed an entire session with written feedback with an additional meeting for each group. In the last five e-supervision, the supervisor only partially reviewed client sessions during supervision. After ten e-supervision, an individual post-interview was conducted with each participant. This study's primary statistical method for calculating and combining effect sizes was Tarlow Baseline Corrected Tau and Open Meta Analyst software. Both groups scored above average on the first two scales, but the disclosure scale had highly irregular and inconsistent patterns. The combined qualitative and quantitative results suggest that novice therapists generally prefer to have their entire sessions reviewed with written feedback and that a single in-person contact is unlikely to influence e-supervision satisfaction and working alliance. Given that there are no adequately validated e-supervision models, this pilot study used a pilot model named Supported Model of Electronic Supervision (SMeS). This model showed potential, but it needs further testing on a larger sample with more clearly operationalized steps. This study experimentally supports the effectiveness of RE&CBT supervision for the first time.
The online version contains supplementary material available at 10.1007/s10942-023-00505-2.
本试点研究旨在分析实时电子认知行为疗法(RE&CBT)电子督导中有无初始面对面接触和书面反馈的影响,并在督导工作联盟量表、督导满意度问卷和学员披露量表上进行比较。在六个月的时间里,五名被督导者进行了十次电子督导,分为两组,一组为仅进行初始面对面会议的对照组,另一组为两名被督导者全程在线完成的实验组。此外,在前五次电子督导中,督导对整个 session 进行书面反馈,并为每组额外安排一次会议。在最后五次电子督导中,督导在督导期间仅部分回顾客户 session。十次电子督导结束后,对每位参与者进行单独的访谈后调查。本研究计算和合并效应量的主要统计方法是 Tarlow 基线校正 Tau 和 Open Meta Analyst 软件。两组在前两个量表上的得分均高于平均水平,但披露量表的模式高度不规则且不一致。定性和定量结果相结合表明,新手治疗师通常更喜欢对他们的整个 session 进行书面反馈回顾,而且单次面对面接触不太可能影响电子督导满意度和工作联盟。鉴于目前尚无经过充分验证的电子督导模型,本试点研究使用了一种名为电子督导支持模型(SMeS)的试点模型。该模型显示出潜力,但需要在更大样本上进行进一步测试,且步骤要更明确地操作化。本研究首次通过实验支持了 RE&CBT 督导的有效性。
在线版本包含可在 10.1007/s10942-023-00505-2 获得的补充材料。