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The study investigated whether psychological wellbeing practitioners (PWPs) working within the UK government's Improving Access to Psychological Therapies (IAPT) initiative are differentially effective (i.e., therapist effect size) and differentially efficient (i.e., rate of clinical change), and the moderating effect of demographic and process factors on outcomes.
To rule out a possible therapist effect, each therapist provided approximately the same number of treatments in both conditions.
We will also perform a test of interaction between the therapist and intervention effect to explore if the therapist effect moderates the effect of the intervention.
To minimize therapist effect, three clinical psychologists with prior experience treating eating disorders in adults acted as therapists for both the CBT and SSCM conditions.
For example, if primary analysis suggested a group difference the robustness of this conclusion needed to be examined (for example, allowance for possible therapist effect).
The impact of therapist effects will be explored by including a random therapist effect nested within centre in the various models.
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The clinic was newly opened in April 2001 and thus provided an opportunity to train new therapists in delivering this treatment, and to study treatment effectiveness, moderators of treatment outcome and possible therapist effects in a consecutive patient sample from a defined catchment area.
For example, in a therapy trial, if therapists have a large effect on the outcome, but are not any more likely to treat patients from a specific treatment group, then therapists are ignorable, and an analysis that does not account for therapist effects will still give valid results.
The purpose of this present meta-analysis was to (1) test for therapist effects in the alliance outcome correlation and (2) extend the findings of previous research by examining several potential confounds/covariates of this relationship.
Finally, we note several additional confounds, such as therapist effects, allegiance, and alteration of legitimate protocols, in PTSD research and describe conceptual problems involved in the classification scheme used to determine the "trauma focus" of interventions, which lead to inappropriate conclusions about what works in the treatment of PTSD.
(2004) found no therapist effects, while Duffy et al.
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