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dc.contributor.authorMalins, Samuel
dc.contributor.authorMorriss, Richard K.
dc.contributor.authorSchroder, Thomas
dc.contributor.authorBrown, Paula
dc.contributor.authorBoycott, Naomi
dc.contributor.authorAtha, Christopher
dc.date.accessioned2020-01-16T13:11:38Z
dc.date.available2020-01-16T13:11:38Z
dc.date.issued2019
dc.identifier.citationMalins, S., Moghaddam, N., Morriss, R. K., Schroder, T., Brown, P., Boycott, N. & Atha, C. (2020). Patient activation in psychotherapy interactions: Developing and validating the consultation interactions coding scheme. Journal of Clinical Psychology, 76 (4), pp. 646-658.en
dc.identifier.other10.1002/jclp.22910
dc.identifier.urihttp://hdl.handle.net/20.500.12904/9247
dc.description.abstractObjective: We describe the development of an instrument aiming to offer interaction‐level feedback based on “patient activation”: client confidence and perceived ability to manage their health. Method: Twenty‐two session‐transcripts from cognitive behavioral therapy with high‐users of healthcare were analyzed thematically, producing themes describing in‐session interactions. Themes were subcategorized using patient activation theory into high and low activation presentations. Two coders new to the process were trained to use this consultation interactions coding scheme (CICS). Inter‐rater reliability (IRR), convergent validity, and clinical utility were assessed and illustrated with extreme cases. Results: Good‐to‐excellent IRR was achieved. The CICS, therapeutic alliance, and therapist competence were correlated. Client engagement in session‐structuring interactions correlated with outcome. The highest CICS scorer showed multiple outcome‐improvements, the lowest scorer reported deteriorations. Conclusions: This study presents the CICS's psychometric properties and indicates the value of client engagement in session‐structuring.en
dc.description.urihttps://onlinelibrary.wiley.com/doi/abs/10.1002/jclp.22910en
dc.subjectCognitive behavioural therapyen
dc.subjectPatient participationen
dc.subjectPsychotherapyen
dc.titlePatient activation in psychotherapy interactions: Developing and validating the consultation interactions coding schemeen
dc.typeArticleen


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