Cognitive Behavioural Therapy Competency: Pilot Data from a Comparison of Multiple Perspectives

David C. Rozek, Jamie L. Serrano, Brigid R. Marriott, Kelli S. Scott, L. Brian Hickman, Brittany M. Brothers, Cara C. Lewis, Anne D. Simons

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Background: Measurement of cognitive behavioural therapy (CBT) competency is often resource intensive. A popular emerging alternative to independent observers' ratings is using other perspectives for rating competency. Aims: This pilot study compared ratings of CBT competency from four perspectives - patient, therapist, supervisor and independent observer using the Cognitive Therapy Scale (CTS). Method: Patients (n = 12, 75% female, mean age 30.5 years) and therapists (n = 5, female, mean age 26.6 years) completed the CTS after therapy sessions, and clinical supervisor and independent observers rated recordings of the same session. Results: Analyses of variance revealed that therapist average CTS competency ratings were not different from supervisor ratings, and supervisor ratings were not different from independent observer ratings; however, therapist ratings were higher than independent observer ratings and patient ratings were higher than all other raters. Conclusions: Raters differed in competency ratings. Implications for potential use and adaptation of CBT competency measurement methods to enhance training and implementation are discussed.

Original languageEnglish (US)
Pages (from-to)244-250
Number of pages7
JournalBehavioural and Cognitive Psychotherapy
Issue number2
StatePublished - Mar 1 2018
Externally publishedYes


  • Cognitive behavioural therapy
  • competence ratings

ASJC Scopus subject areas

  • Clinical Psychology


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