Predictors of Homework Engagement in CBT Adapted for Traumatic Brain Injury: Pre/post-Injury and Therapy Process Factors

Leah M. Zelencich; Nikolaos Kazantzis; Dana Wong; Dean P. McKenzie; Marina Downing; Jennie L. Ponsford

doi:10.1007/s10608-019-10036-9

Predictors of Homework Engagement in CBT Adapted for Traumatic Brain Injury: Pre/post-Injury and Therapy Process Factors

Leah M. Zelencich, Nikolaos Kazantzis, Dana Wong, Dean P. McKenzie, Marina Downing, Jennie L. Ponsford

Research output: Contribution to journal › Article › Research › peer-review

11 Citations (Scopus)

Abstract

Traumatic Brain Injury (TBI) associated cognitive impairments may pose an obstacle to homework engagement in Cognitive Behavior Therapy (CBT) for depression and anxiety. The current study examined the association of demographic, injury-related and CBT process variables with homework engagement in CBT adapted for TBI -related cognitive impairments (CBT-ABI). The audio-recordings of 177 CBT-ABI sessions, representing 31 therapist-client dyads, were assessed from the independent observer perspective. Client homework engagement, therapist competence in assigning and reviewing homework, and working alliance strength, were measured. Multi-level mixed model regressions showed that older client age, more time since injury, stronger working alliance and greater therapist competence in homework review, were significantly associated with higher levels of homework engagement. The findings highlight how CBT-ABI therapists can possibly enhance homework engagement for clients with TBI.

Original language	English
Pages (from-to)	40-51
Number of pages	12
Journal	Cognitive Therapy and Research
DOIs	https://doi.org/10.1007/s10608-019-10036-9
Publication status	Published - 1 Feb 2020

Keywords

Anxiety
Brain injury
Cognitive behavior therapy
Depression
Homework
Therapist competence
Working alliance

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10.1007/s10608-019-10036-9

Cite this

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title = "Predictors of Homework Engagement in CBT Adapted for Traumatic Brain Injury: Pre/post-Injury and Therapy Process Factors",

abstract = "Traumatic Brain Injury (TBI) associated cognitive impairments may pose an obstacle to homework engagement in Cognitive Behavior Therapy (CBT) for depression and anxiety. The current study examined the association of demographic, injury-related and CBT process variables with homework engagement in CBT adapted for TBI -related cognitive impairments (CBT-ABI). The audio-recordings of 177 CBT-ABI sessions, representing 31 therapist-client dyads, were assessed from the independent observer perspective. Client homework engagement, therapist competence in assigning and reviewing homework, and working alliance strength, were measured. Multi-level mixed model regressions showed that older client age, more time since injury, stronger working alliance and greater therapist competence in homework review, were significantly associated with higher levels of homework engagement. The findings highlight how CBT-ABI therapists can possibly enhance homework engagement for clients with TBI.",

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AU - Wong, Dana

AU - McKenzie, Dean P.

AU - Downing, Marina

AU - Ponsford, Jennie L.

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Predictors of Homework Engagement in CBT Adapted for Traumatic Brain Injury: Pre/post-Injury and Therapy Process Factors

Abstract

Keywords

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Motivational interviewing with congnitive-behavioural therapy for anxiety and depression following traumatic brain injury

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Predictors of Homework Engagement in CBT Adapted for Traumatic Brain Injury: Pre/post-Injury and Therapy Process Factors

Abstract

Keywords

Access to Document

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Motivational interviewing with congnitive-behavioural therapy for anxiety and depression following traumatic brain injury

Cite this