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A higher score indicates a higher level of therapist frustration.
It also depends on the intensity level of therapist involvement.
The level of therapist support can vary considerably in CCBT.
It is also shown that the scatter shifts to the south when we move from the high to the low intensity level of therapist involvement.
Another review found that interventions that have no therapist input tended to report lower effect sizes than interventions that feature some level of therapist contact with participants [ 40].
Notably, in this study, level of therapist experience was unrelated to child outcome, suggesting that this low-intensity approach can be delivered effectively by novice therapists.
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For the hypothetical medium and low levels of therapist involvement, this probability changes to 82.4% and 75.4%, respectively.
Therefore, we conducted a sensitivity analysis for different hypothetical levels of therapist involvement: two therapists all sessions (high), one therapist all sessions (medium), one therapist only the first part of each session (low).
To illustrate, when the WTP ceiling for a PD-free period is €10,000, then the intervention has a probability of 75.2% of being more acceptable than care-as-usual under factual conditions characterised by high levels of therapist involvement.
Four hundred and ninety-five patients with refractory IBS will be individually randomised to TCBT+TAU, or WBCBT (a previously developed self-management CBT website with low levels of therapist support)+TAU, or TAU alone for 9 weeks with 12-month follow-up.
For example, within the clinically meaningful unit of cognitive behavioural therapies, trials may use different manuals, focus on different aspects of this psychotherapeutic modality (e.g. goal setting vs. behavioural activation), and exhibit different levels of therapist drift into other modalities [ 22, 23].
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