Training to code therapeutic interactions in Functional Analytic Psychotherapy: The utility of a video-based Behavior Skills Training

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science Pub Date : 2025-04-01 DOI:10.1016/j.jcbs.2025.100891

Amanda M. Muñoz-Martínez , Yors García , Verónica Márquez-Barraquer , Daniela González-Rodríguez , Juanita Rueda

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引用次数: 0

Abstract

Background

Coding therapy sessions is essential for evaluating treatment fidelity and understanding in-session mechanisms of change. However, coder training often lacks standardized, replicable methods and is resource intensive.

Objective

This study evaluated the effectiveness of a video-based Behavioral Skills Training (BST) protocol to teach precision coding of Functional Analytic Psychotherapy Rating Scale (FAPRS) codes during brief clinical interactions (vignettes).

Design and methods

A randomized nonconcurrent multiple baseline design across five master's degree students was employed, including generalization and follow-up phases. BST was delivered in two components: (a) video-based instruction (v-INS) and (b) video-based modeling, rehearsal, and performance feedback (v-MRF). Participants were required to achieve a mastery criterion of 90 % precision coding during training.

Results

Four of the five participants demonstrated significant improvements in coding precision following video-based BST. Precision generalized to novel clinical vignettes and was maintained at follow-up. Between-case standardized mean differences showed large effect sizes, indicating meaningful improvements in coding accuracy.

Conclusions

Video-based BST was effective, time-efficient, and well-accepted for training coding skills in FAP, with participants achieving mastery during training. However, precision levels during post-training phases remained below the 90 % criterion for some participants. Future research should explore the use of booster sessions and extended training phases to enhance the maintenance and generalization of coding precision.

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.