Patients' and therapists' experiences of general change mechanisms during bug-in-the-eye and delayed video-based supervised cognitive-behavioral therapy. A randomized controlled trial.
OBJECTIVE
This secondary analysis of a randomized controlled trial investigated whether bug-in-the-eye (BITE) supervision (live computer-based supervision during a psychotherapy session) affects the manner in which patients and therapists experience general change mechanisms (GCMs) during cognitive-behavioral therapy (CBT).


METHOD
A total of 23 therapists were randomized either to the BITE condition or the control condition (delayed video-based [DVB] supervision). After each session, both patients (BITE: n = 19; DVB: n = 23) and therapists (BITE: n = 11; DVB: n = 12) completed the Helping Alliance Questionnaire (HAQ) and the Bernese Post Session Report (BPSR). The HAQ total score and the 3 secondary factors of the BPSR (interpersonal experiences, intrapersonal experiences, problem actuation) functioned as GCMs. Multilevel models were performed.


RESULTS
For patients, GCMs did not develop differently between BITE and DVB during CBT. Therapists rated the alliance as well as interpersonal and intrapersonal experiences not significantly different between BITE and DVB during CBT, but they perceived problem actuation to increase significantly more in BITE than in DVB (p < .05).


CONCLUSION
BITE supervision might be helpful in encouraging CBT therapists to apply interventions, which focus on the activation of relevant problems and related emotions.
['Probst|Thomas|T|0000-0002-6113-2133', 'Jakob|Marion|M|', 'Kaufmann|Yvonne M|YM|', 'Müller-Neng|Julia M B|JMB|', 'Bohus|Martin|M|', 'Weck|Florian|F|']
D000328:Adult D015928:Cognitive Behavioral Therapy D030141:Feedback, Psychological D005260:Female D006282:Health Personnel D006801:Humans D007318:Inservice Training D008297:Male D001523:Mental Disorders D008875:Middle Aged D009934:Organization and Administration D010043:Outcome and Process Assessment, Health Care D000078462:Therapeutic Alliance D014741:Video Recording
general change mechanisms randomized controlled trial alliance live supervision