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dc.contributor.authorSpedding, Maxine
dc.contributor.authorKohrt, Brandon
dc.contributor.authorMyers, Bronwyn
dc.contributor.authorStein, Dan J
dc.contributor.authorPetersen, Inge
dc.contributor.authorLund, Crick
dc.contributor.authorSorsdahl, Katherine
dc.date.accessioned2023-01-26T07:07:51Z
dc.date.available2023-01-26T07:07:51Z
dc.date.issued2022
dc.identifier.citationSpedding, M. and Kohrt, B. and Myers, B. and Stein, D.J. and Petersen, I. and Lund, C. and Sorsdahl, K. 2022. ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa. Global Mental Health. 9: pp. 375-383.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/90176
dc.identifier.doi10.1017/gmh.2022.40
dc.description.abstract

BACKGROUND: The ENhancing Assessment of Common Therapeutic factors (ENACT) tool measures a set of therapeutic competencies required for the effective psychological intervention, including delivery by non-specialists. This paper describes the systematic adaptation of the ENACT for the South African (SA) context and presents the tool's initial psychometric properties. METHODS: We employed a four-step process: (1) Item generation: 204 therapeutic factors were generated by SA psychologists and drawn from the original ENACT as potential items; (2) Item relevance: SA therapists identified 96 items that were thematically coded according to their relationship to one another and were assigned to six domains; (3) Item utility: The ENACT-SA scale was piloted by rating recordings of psychological therapy sessions and stakeholder input; and (4) Psychometric properties: Internal consistency and inter-rater reliability of the final 12-item ENACT-SA were explored using Cronbach's alpha and intraclass correlation co-efficient (ICC) for both clinical psychologists and registered counsellors. RESULTS: Although the original ENACT provided a framework for developing a tool for use in SA, several modifications were made to improve the applicability of the tool for the SA context, and optimise its adaptability other contexts. The adapted 12-item tool's internal consistency was good, while the inter-rater reliability was acceptable for both clinical psychologists and registered counsellors. CONCLUSION: The ENACT-SA is a reliable tool to assess common factors in psychological treatments. It is recommended that the tool be used in conjunction with assessment protocols and treatment-specific competency measures to fully assess implementation fidelity and potential mechanisms of therapeutic change.

dc.languageEnglish
dc.publisherCAMBRIDGE UNIV PRESS
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectPsychiatry
dc.subjectEvidence-based psychosocial treatments
dc.subjectSouth Africa
dc.subjecttherapist competencies
dc.subjectGLOBAL MENTAL-HEALTH
dc.subjectMIDDLE-INCOME COUNTRIES
dc.subjectPSYCHOLOGICAL TREATMENTS
dc.subjectPSYCHOTHERAPY
dc.subjectCOMPETENCE
dc.subjectCARE
dc.subjectMETAANALYSIS
dc.subjectFEASIBILITY
dc.subjectINTEGRATION
dc.subjectPREVALENCE
dc.titleENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa
dc.typeJournal Article
dcterms.source.volume9
dcterms.source.startPage375
dcterms.source.endPage383
dcterms.source.issn2054-4251
dcterms.source.titleGlobal Mental Health
dc.date.updated2023-01-26T07:07:49Z
curtin.departmentEnAble Institute
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidMyers, Bronwyn [0000-0003-0235-6716]
dcterms.source.eissn2054-4251
curtin.contributor.scopusauthoridMyers, Bronwyn [7202684194]


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