Using a single-case experimental design to evaluate a cognitive-behavioural self-management counselling intervention

Abstract

ABSTRACT Arguably one of the most important components of cognitive-behavioural counselling occurs after the client has finished a counselling session when they attempt to convert their goals identified in the clinic into positive behaviour change. However, clients often struggle to implement and complete treatment plans because of difficulties with self-management. Motivated by the increasing demand for evidence of the effectiveness for therapeutic interventions, this study aimed to evaluate a collaboratively designed self-management program using a single-case experimental design with baseline, intervention and 6-month post-intervention follow-up to help a mature-aged individual begin and maintain a higher intensity fitness regime. The dependent variables were distance and time with the goal being able to run 5km non-stop within 30 minutes. After the intervention phase the participant was able to increase his running distance from a baseline mean of 1.36km to the 5km goal in 30 minutes, remaining injury free. Setting targets and making them public appeared to play a role in motivating the participant to complete goals. The explanatory force for adherence to the self-directed program may provide insights in other areas of behaviour, such as compliance with pharmaceutical and dietary regimes.