Congruence of Patient Takeaways and Homework Assignment Content Predicts Homework Compliance in Psychotherapy
Homework is generally considered an essential part of psychotherapy. The present study tested the hypothesis that patients were more likely to complete homework assignments when the content of the assignments was more congruent with content the patient reported wanting to remember from the session (...
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| Published in: | Behavior therapy Vol. 51; no. 3; pp. 424 - 433 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
Elsevier Ltd
01-05-2020
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Homework is generally considered an essential part of psychotherapy. The present study tested the hypothesis that patients were more likely to complete homework assignments when the content of the assignments was more congruent with content the patient reported wanting to remember from the session (patient takeaways). The study relied on data collected in 541 sessions of individual naturalistic cognitive-behavioral therapy provided to 41 patients in a private practice setting and who completed a feedback form in each session that recorded the content of the homework assignments for the session, patient takeaways from the session, and homework completion. Congruence was determined by raters who evaluated the match between homework content and patient takeaways. Results of generalized linear mixed modeling showed, as predicted, that congruence between homework assignment content and takeaways was statistically significantly associated with homework compliance. This finding suggests that therapists may be able to improve homework compliance by soliciting feedback about what the client found important about the session and then assigning homework consistent with that information.
•Congruence of homework content and patient takeaways predicted homework compliance•Therapists may improve compliance by assigning homework congruent with patient takeaways•Patient takeaways were collected during treatment on the Session Assignment and Feedback Form (SAFF) |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 0005-7894 1878-1888 |
| DOI: | 10.1016/j.beth.2019.07.005 |