BACKGROUND: Cognitive behavioral therapy (CBT) usually involves homework, the completion of which is a known predictor of a positive outcome. The aim of the present study was to examine the session-by-session relationships between enthusiasm to complete the homework and the improvement of @entity458 in @entity308 @entity1 through the course of therapy. METHODS: Working @entity1 with @entity308 were recruited to participate in the telephone CBT (tCBT) program with demonstrated effectiveness. Their enthusiasm for homework was enhanced with motivational interviewing techniques and was measured by asking two questions: "How strongly do you feel you want to do this homework?" and "How confident do you feel you can actually accomplish this homework?" at the end of each session. The outcome was the K6 score, which was administered at the start of each session. The K6 is an index of @entity458 including @entity308 and @entity148 . We used @entity2383 ( @entity2383 ) to elucidate the relationships between enthusiasm and the K6 scores from session to session. RESULTS: The best fitting model suggested that, throughout the course of behavior therapy (BT), enthusiasm to complete the homework was negatively correlated with the K6 scores for the subsequent session, while the K6 score measured at the beginning of the session did not influence the enthusiasm to complete the homeworks assigned for that session. CONCLUSIONS: Empirical data now support the practitioners of BT when they try to enhance their @entity1 's enthusiasm for homework regardless of the @entity1 's distress, which then would lead to a reduction in distress in the subsequent week. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov NCT00885014 . April 20, 2009.

Enthusiasm for homework and improvement of XXXX in @entity308 during behavior therapy: secondary analysis of data from a randomized controlled trial.

@entity1 :: ('9606', 'Species') :: ['participant', 'patient', 'people'] @entity308 :: ('MESH:D003866', 'Disease') :: ['subthreshold depression', 'depressed', 'depression'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological distress'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity2383 :: ('MESH:D028361', 'Disease') :: ['structural equation modeling', 'SEM']
@entity458 :: (MESH:D020018,Disease) :: ['psychological distress']
