title: Can Acceptance & Commitment Therapy be delivered with fidelity as a brief telephone-intervention?
abstract: This study examined therapist adherence and competence of the first telephone-based Acceptance & Commitment Therapy (ACT) intervention for smoking cessation. An independent rater assessed 100% (n=54 sessions) of the recorded phone sessions for adherence and competence on a 1 (never addressed) to 5 (addressed extensively) scale. A separate 20% random sample was rated by both the same independent rater and a second independent rater. The two coders were in perfect agreement (kappa of 1.0). Overall adherence (x=4.61, SD=0.63) and competence (x=4.81, SD=0.39) was high. Except self-as-context, benchmark ratings (i.e., 4 or more) were between 93% and 100%. Results suggest ACT therapy can be delivered competently over the telephone, opening many options for future research on the potential uses of telephone-based ACT for smoking and other behaviors.
authors.affiliation: Seattle University, Department of Psychology, College of Arts and Sciences, 901 12th Ave, PO Box 222000, Seattle, WA 98122, United States. aschimme@fhcrc.org
authors.forename: Allison
authors.initials: A
authors.lastname: Schimmel-Bristow
authors.forename: Jonathan B
authors.initials: JB
authors.lastname: Bricker
authors.forename: Bryan
authors.initials: B
authors.lastname: Comstock
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D005240:Feasibility Studies; D006801:Humans; D015588:Observer Variation; D010865:Pilot Projects; D011613:Psychotherapy / Q000379:methods* / Q000592:standards; D011787:Quality of Health Care; D019114:Remote Consultation / Q000592:standards*; D016540:Smoking Cessation / Q000379:methods*; D013689:Telephone / Q000592:standards*; D016896:Treatment Outcome