Acceptance and Efficacy of Live Supervision

Study Overview
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Brief Summary
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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.

Official Title
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Live Supervision Put to Test - Studies of Acceptance and Efficacy of Computer-assisted Live Supervision

Conditions
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Mental Disorders

Intervention / Treatment
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* Behavioral: Computer-assisted live supervision
* Behavioral: Delayed video-based supervision


Participation Criteria
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Eligibility Criteria
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Supervisees 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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Computer-assisted live supervision<br>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. | Behavioral: Computer-assisted live supervision<br>* 8 BITE sessions, 4 video-based sessions (each 50 minutes) during treatment of 2 patients<br>* Other names: monitor-based live supervision;|
| Experimental: Delayed video-based supervision<br>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. | Behavioral: Delayed video-based supervision<br>* 12 video-based sessions (each 50 minutes) during treatment of 2 patients<br>* Other names: videotape supervision;|

What is the study measuring?
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Primary Outcome Measures

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

Secondary Outcome Measures

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

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Computer-assisted live supervision, Bug-in-the-eye supervision, Delayed video-based supervision, Cognitive behavioral therapy supervision