Journal of Contextual Behavioral Science最新文献_第7页

Mechanisms of change in peer coaching for digital ACT: A serial mediation model on program adherence and psychological flexibility's role in reducing distress 数字ACT同伴辅导的变化机制：项目依从性和心理灵活性在减少痛苦中的作用的系列中介模型

IF 3.4 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100922

Korena S. Klimczak, Michael P. Twohig, Gretchen G. Peacock, Michael E. Levin

{"title":"Mechanisms of change in peer coaching for digital ACT: A serial mediation model on program adherence and psychological flexibility's role in reducing distress","authors":"Korena S. Klimczak, Michael P. Twohig, Gretchen G. Peacock, Michael E. Levin","doi":"10.1016/j.jcbs.2025.100922","DOIUrl":"10.1016/j.jcbs.2025.100922","url":null,"abstract":"<div><h3>Background</h3><div>Coaching is a well-supported intervention for improving adherence to online mental health programs. It is currently unclear whether peer-support coaching improves mental health outcomes solely through improving program adherence, or if it can also have a direct impact on mental health. We investigated this using a randomized controlled trial and applying serial mediation models.</div></div><div><h3>Method</h3><div>A total of 230 college students were instructed to use the 12-session ACT Guide program over 10 weeks. They were randomly assigned to additionally receive either peer-support coaching over weekly phone calls, text message conversations, or a no-coaching control group. Coaching followed a standardized protocol.</div></div><div><h3>Results</h3><div>Phone coaching had a significant total effect, but not a direct effect, on psychological distress. Both the phone coaching → psychological flexibility → distress, and the phone coaching → program adherence → psychological flexibility → distress indirect pathways were significant. Text coaching had a significant total and direct effect on psychological distress. The full serial pathway was the only significant indirect effect (text coaching → program adherence → psychological flexibility → distress).</div></div><div><h3>Conclusions</h3><div>We found that peer coaching in both formats significantly increased program adherence, which in turn improved psychological flexibility, consequently reducing psychological distress. Coaching through phone calls had a significantly greater indirect effect on distress and direct effect on program adherence in comparison to the text message format. It is possible that the skills review and ACT-based strategies used in phone coaching directly improve psychological flexibility regardless of the number of modules completed, with text coaching being too brief to elicit this same effect.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100922"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of ACT for parents of children with special health care needs: Preliminary findings from Malaysia ACT对有特殊卫生保健需要的儿童的父母的疗效：来自马来西亚的初步调查结果

IF 3.4 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-06-25 DOI: 10.1016/j.jcbs.2025.100920

Re Gal Lim, Fitri Suraya Mohamad, Siok Ping Voon

{"title":"Efficacy of ACT for parents of children with special health care needs: Preliminary findings from Malaysia","authors":"Re Gal Lim, Fitri Suraya Mohamad, Siok Ping Voon","doi":"10.1016/j.jcbs.2025.100920","DOIUrl":"10.1016/j.jcbs.2025.100920","url":null,"abstract":"<div><div>Parents of children with special health care needs (CSHCN) often experience heightened stress and psychological distress, which not only affects parental well-being but also has cascading effects on their children. Despite the importance of supporting parental psychological health, interventions addressing their well-being remain underexplored, particularly in Malaysia. Culturally adapted interventions for these parents in the Malaysian context are especially scarce. The present study addressed this gap by evaluating the My-CARE protocol, a culturally adapted intervention targeting Chinese Malaysian parents of CSHCN in Kuching, Sarawak, Malaysia. Its preliminary efficacy was evaluated through a quasi-experimental study involving two groups (intervention and control; <em>n</em> = 31 per group) across three time points: baseline, post-intervention, and one-month follow-up. Linear Mixed Model analysis indicated significant time effects on depression, stress, psychological flexibility, and quality of life. Additionally, significant Group × Time interactions were identified for depression, anxiety, stress, psychological inflexibility, parenting stress, and quality of life, demonstrating significant differential changes between groups over time. These findings offer preliminary evidence regarding the potential efficacy of an ACT-based, parent-focused group intervention targeting Chinese Malaysian parents of CSHCN. This study contributes to the emerging literature on the potential value of culturally adapted ACT interventions for this population.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100920"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating ACT with ERP for OCD treatment: A randomized controlled trial examining symptom reduction and psychological flexibility mechanisms 结合ACT和ERP治疗强迫症：一项检查症状减轻和心理灵活性机制的随机对照试验

IF 3.4 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-07-16 DOI: 10.1016/j.jcbs.2025.100924

Zahra Nejad-Ebrahim Soumee , Amirhossein Rasouli , Eric B. Lee , Seyedeh Elnaz Mousavi

{"title":"Integrating ACT with ERP for OCD treatment: A randomized controlled trial examining symptom reduction and psychological flexibility mechanisms","authors":"Zahra Nejad-Ebrahim Soumee , Amirhossein Rasouli , Eric B. Lee , Seyedeh Elnaz Mousavi","doi":"10.1016/j.jcbs.2025.100924","DOIUrl":"10.1016/j.jcbs.2025.100924","url":null,"abstract":"<div><h3>Background</h3><div>Despite Exposure and Response Prevention's (ERP) established efficacy for Obsessive-Compulsive Disorder (OCD), there is growing interest in exploring complementary therapeutic approaches that may enhance treatment outcomes through different mechanisms of change. This study investigated the efficacy of combined Acceptance and Commitment Therapy plus ERP (ACT + ERP) in treating OCD and its underlying psychological mechanisms in an Iranian sample.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 40 OCD-diagnosed participants, randomly allocated to ACT + ERP intervention (n = 20) or wait-list control group (n = 20). The intervention comprised sixteen 120-min sessions delivered twice weekly. Assessments were conducted at baseline, post-treatment, and three-month follow-up using the Obsessive-Compulsive Inventory-Revised (OCI-R), Acceptance and Action Questionnaire-II (AAQ-II), Cognitive Fusion Questionnaire (CFQ), and Interpretation of Intrusions Inventory (III-31).</div></div><div><h3>Results</h3><div>Mixed-model ANOVAs revealed significant time × group interactions across all measures. The ACT + ERP group demonstrated substantial improvements in OCD severity (η<sup>2</sup> = 0.301), experiential avoidance (η<sup>2</sup> = 0.139), cognitive fusion (η<sup>2</sup> = 0.241), and interpretation of intrusions (η<sup>2</sup> = 0.217). Large effect sizes were maintained at follow-up (Hedges’ g ranging from 0.75 to 1.20). The waitlist group showed no significant changes.</div></div><div><h3>Conclusions</h3><div>The integrated ACT + ERP protocol effectively reduced OCD symptoms and improved psychological flexibility processes, with benefits maintained at follow-up. These findings suggest that combining ACT and ERP may offer a comprehensive treatment approach that enhances therapeutic outcomes through multiple mechanisms of change.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100924"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining associations of mindfulness with early-life trauma and risky health behaviors using a network analysis approach in a sample of U.S. college students 以美国大学生为样本，采用网络分析方法，研究正念与早期生活创伤和危险健康行为之间的联系

IF 3.4 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-06-20 DOI: 10.1016/j.jcbs.2025.100917

Micah A. Williams , Hana-May Eadeh , Kristian Markon , Jenna L. Adamowicz , Emily B.K. Thomas

引用次数: 0

Effects of workplace acceptance and commitment therapy (ACT) programs on psychological flexibility's subprocesses: A systematic review 工作场所接受与承诺治疗（ACT）对心理弹性子过程的影响：系统回顾

IF 3.4 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-06-10 DOI: 10.1016/j.jcbs.2025.100915

Yass Rad , Arianna Prudenzi , Lucie Zernerova , Jennifer Gerson , Paul E. Flaxman

{"title":"Effects of workplace acceptance and commitment therapy (ACT) programs on psychological flexibility's subprocesses: A systematic review","authors":"Yass Rad , Arianna Prudenzi , Lucie Zernerova , Jennifer Gerson , Paul E. Flaxman","doi":"10.1016/j.jcbs.2025.100915","DOIUrl":"10.1016/j.jcbs.2025.100915","url":null,"abstract":"<div><div>Despite growing interest in applying <em>acceptance and commitment therapy</em> (ACT) in workplace settings, recent reviews raised doubt about the efficacy of staff-focused ACT programs for improving psychological flexibility. However, more specific processes targeted by these programs may have been obscured by aggregating effects across a wide array of psychological flexibility measures for meta-analytic review purposes. To investigate this possibility, the current systematic review examines workplace ACT intervention effects on psychological flexibility's subprocesses (i.e., contact with the present moment, acceptance, defusion, self-as-context, values, and committed action). The review protocol was registered with PROSPERO (reference: CRD42022349446). The literature search identified 30 staff-focused ACT trials (18 controlled trials) that administered measures that could be mapped onto one or more psychological flexibility subprocess. Collectively, this body of research indicates strongest evidence for the effectiveness of workplace ACT programs for targeting defusion (observed across three types of defusion measures), and moderate yet consistent evidence that these programs increase mindful awareness and acceptance. Due to measurement issues, effects on values-based action have been less consistent overall. The next generation of workplace ACT research could be advanced by 1) adopting multidimensional psychological flexibility and inflexibility instruments, 2) subprocess-level multiple mediation testing, and 3) increasing methodological quality.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100915"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relating-as-context: Utilizing functional analytic psychotherapy to enhance perspective- taking and the development of the self 关联即情境：运用功能分析心理疗法来加强观点的采纳和自我的发展

IF 3 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-08-07 DOI: 10.1016/j.jcbs.2025.100928

Alexander Broekhuijse , Amanda Muñoz-Martinez , Yors Garcia , Matthew D. Skinta

{"title":"Relating-as-context: Utilizing functional analytic psychotherapy to enhance perspective- taking and the development of the self","authors":"Alexander Broekhuijse , Amanda Muñoz-Martinez , Yors Garcia , Matthew D. Skinta","doi":"10.1016/j.jcbs.2025.100928","DOIUrl":"10.1016/j.jcbs.2025.100928","url":null,"abstract":"<div><div>Deficits in self-related processes, including emotion recognition, perspective-taking, and individuation, are increasingly recognized as transdiagnostic mechanisms underlying a range of psychological disorders. From a behavioral perspective, the self is not a fixed entity but a dynamic repertoire of referential verbal behaviors that emerge and evolve through social-verbal interactions—a process conceptualized as <em>selfing</em>. Despite its clinical significance, interventions specifically targeting selfing deficits remain underdeveloped. Functional Analytic Psychotherapy (FAP) provides a compelling framework for addressing these difficulties by leveraging real-time interpersonal interactions to observe, shape, and reinforce adaptive relational behaviors. This paper conceptualizes the logical FAP interaction as a structured intervention that includes relational cues that transform different relational cues (e.g., deictic, coordination), leading to a shift in derived relational responding to promote selfing behaviors, emotional awareness, and perspective-taking. By integrating Relational Frame Theory (RFT) principles into the analysis of the FAP logical interaction, this approach advances the theoretical and clinical application of FAP for self-development and interpersonal functioning. A clinical case vignette illustrates how this method fosters a flexible and adaptive self-concept, reinforcing its potential for enhancing relational flexibility and well-being.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100928"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144826863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Struggles and solutions in psychological research with unaccompanied minors: Reflections from the field 心理学研究中无人陪伴未成年人的挣扎与解决：来自该领域的反思

IF 3.4 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-06-21 DOI: 10.1016/j.jcbs.2025.100919

Dafne Morroni , Eleonora Charalambous , Maria Karekla

{"title":"Struggles and solutions in psychological research with unaccompanied minors: Reflections from the field","authors":"Dafne Morroni , Eleonora Charalambous , Maria Karekla","doi":"10.1016/j.jcbs.2025.100919","DOIUrl":"10.1016/j.jcbs.2025.100919","url":null,"abstract":"<div><h3>Background</h3><div>In 2022, 22,182 individuals applied for asylum in Cyprus, of whom 941 were Unaccompanied Minors (UM).</div></div><div><h3>Objectives</h3><div>A cluster randomized controlled trial (RCT) examining Acceptance and Commitment Therapy with UM was carried out in shelters in Cyprus. The purpose of this paper is to present struggles and solutions from the RCT and to provide recommendations to clinicians and researchers working with UM.</div></div><div><h3>Method</h3><div>Obstacles faced in setting up the study and throughout research with UM were recorded systematically and resolved in team meetings. The Consolidated Framework for Implementation Research (CFIR) was applied to present the struggles and solutions.</div></div><div><h3>Results</h3><div>Akin to established literature, the authors faced several challenges including: UM hesitancy regarding written consent, language and cultural barriers, interpreter bias, difficulties engaging social workers, demanding circumstances in shelters and methodological issues concerning collection of quantitative self-report measures. Solutions included: replacing written consent with child assent, cultural and language adaptation required with material provided in booklets, providing psychoeducation to interpreters prior to an intervention, training social workers in the treatment protocol, building rapport with shelter staff, using tablets for data collection and shorter battery of questionnaires.</div></div><div><h3>Conclusions</h3><div>It is evident that carrying out research in refugee settings requires flexibility and adaptability. Findings from this study inform future intervention efforts and provide both researchers and clinicians with a framework to guide and support their work.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100919"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adolescents’ psychological flexibility and non-suicidal self-injury: Exploring between-person and within-person association 青少年心理弹性与非自杀性自伤：人际关系与人际关系探讨

IF 3.4 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-06-10 DOI: 10.1016/j.jcbs.2025.100916

Dongyan Ding, Shuanghu Fang

{"title":"Adolescents’ psychological flexibility and non-suicidal self-injury: Exploring between-person and within-person association","authors":"Dongyan Ding, Shuanghu Fang","doi":"10.1016/j.jcbs.2025.100916","DOIUrl":"10.1016/j.jcbs.2025.100916","url":null,"abstract":"<div><div>Most research on the relationship between psychological flexibility and non-suicidal self-injury (NSSI) has been cross-sectional, focusing primarily on specific sub-dimensions of psychological flexibility (<em>e.g.</em>, experiential avoidance, cognitive fusion) rather than its integrated constructs. To address these gaps, this study employed the Random Intercept Cross-Lagged Panel Model (RI-CLPM) to investigate the within-person dynamic relationships between psychological flexibility (including six sub-dimensions) and NSSI. A total of 1119 adolescents (mean age = 13.15, SD = 1.26; 50.2 % female) participated in the study, with data collected at six-month intervals over a 1.5 year period. The study revealed that higher psychological flexibility and its six sub-dimensions (i.e., present awareness, acceptance, cognitive defusion, self-as-context, values, and committed action) significantly predicted lower future NSSI over time, while NSSI did not significantly influence psychological flexibility or its sub-dimensions. Moreover, at the between-person level, committed action and cognitive defusion were negatively associated with NSSI. This research is the first to use RI-CLPM to differentiate within-person effects from between-person effects, providing a comprehensive analysis of the dynamic relationship between psychological flexibility (including its sub-dimensions) and NSSI. The findings offer a solid theoretical foundation for future interventions aimed at enhancing psychological flexibility to reduce NSSI among adolescents.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100916"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing medication adherence, depression, and values-based behaviors in HIV-positive individuals through acceptance and commitment therapy: A pilot study 通过接受和承诺治疗增强hiv阳性个体的药物依从性、抑郁和基于价值观的行为：一项试点研究

IF 3 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-07-19 DOI: 10.1016/j.jcbs.2025.100921

Mariana Téllez , Yors García

{"title":"Enhancing medication adherence, depression, and values-based behaviors in HIV-positive individuals through acceptance and commitment therapy: A pilot study","authors":"Mariana Téllez , Yors García","doi":"10.1016/j.jcbs.2025.100921","DOIUrl":"10.1016/j.jcbs.2025.100921","url":null,"abstract":"<div><div>This pilot study evaluated the impact of the Acceptance and Commitment Therapy (ACT) matrix on values-driven behaviors, medication adherence, viral load, and depression among individuals living with HIV in a middle-income country. A randomized, non-concurrent multiple baseline design across four participants was employed. Outcomes were assessed at baseline, post-intervention, and follow-up, with daily tracking of values-driven behaviors and medication adherence throughout. Participants underwent a 7-session ACT matrix training. Results revealed increases in values-driven behaviors and improvements in medication adherence across all participants. Viral loads decreased for three participants, with two achieving undetectable levels. Depression scores improved for three participants, with changes sustained through follow-up. Participants described the intervention as acceptable and relevant to addressing adherence barriers and mental health concerns. Findings underscore the potential for ACT to enhance antiretroviral adherence and psychological outcomes in middle-income countries, offering a scalable, culturally adaptable intervention for improving HIV care.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100921"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developmental of a checklist of transdiagnostic therapeutic skills for use in general healthcare appointments 发展用于一般医疗保健预约的跨诊断治疗技能清单

IF 3.4 3区心理学

Journal of Contextual Behavioral Science Pub Date : 2025-07-01 Epub Date: 2025-06-25 DOI: 10.1016/j.jcbs.2025.100918

Wendy Diana Shoesmith , Assis Kamu , Nicholas Tze Ping Pang

{"title":"Developmental of a checklist of transdiagnostic therapeutic skills for use in general healthcare appointments","authors":"Wendy Diana Shoesmith , Assis Kamu , Nicholas Tze Ping Pang","doi":"10.1016/j.jcbs.2025.100918","DOIUrl":"10.1016/j.jcbs.2025.100918","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychotherapy is not available for most people globally with mental disorders. Training general healthcare staff in transdiagnostic psychological intervention skills is a more feasible approach in settings where the access to therapy is low. Tools are needed to measure the use of these skills in general healthcare settings to enable further research into effectiveness.</div></div><div><h3>Methods</h3><div>We operationalised skills taught in a psychological intervention course for general healthcare staff and created a 26-item observational checklist. This was validated using generalisability theory by asking five experts to rate 26 videos. Two research assistants then used the checklist to observe doctors’ consultations before and after a psychological intervention course. We used Rasch analysis to refine the checklist so that it conformed to the Rasch unidimensional measurement model. We analysed the pre-post difference in skill use, and length of appointment using linear mixed modelling.</div></div><div><h3>Results</h3><div>The research assistants observed 87 interviews of 12 doctors before the course and 75 interviews of 11 doctors after the course. The final 18-item checklist had a generalisability coefficient of 86.8 % and conformed to the Rasch model. There were 4.28 extra skills on the checklist used per consultation after compared to before the course (95 % CI [2.40, 6.16]). The length of appointment did not change.</div></div><div><h3>Conclusion</h3><div>This approach has allowed the development of a flexible checklist, which is valid, reliable and change sensitive, and can be modified and added to by other researchers according to needs. This provides a foundation for further research into effectiveness.</div></div>","PeriodicalId":47544,"journal":{"name":"Journal of Contextual Behavioral Science","volume":"37 ","pages":"Article 100918"},"PeriodicalIF":3.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0