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A Mixed Methods Evaluation of an Integrated Primary and Behavioral Health Training Program for Counseling Students 心理咨询学生综合初级与行为健康训练计划的混合方法评估
Pub Date : 2022-05-19 DOI: 10.1080/21501378.2022.2063713
A. Lenz, Joshua C. Watson
Abstract Behavioral health provider shortages continue to grow in the United States, with the need for related services increasing as the SARS-COVID-19 pandemic persists. The implementation of integrated primary and behavioral healthcare (IPBH) practices represents one viable approach to leverage existing resources and maximize the potential for client outcomes; however, best practices for counselors within an IPBH paradigm remain unclear. We report the findings of a mixed method evaluation of an IPBH training program with 45 (36 females; 9 males; M age = 31.65) professional counseling students who predominately identified with ethnic minority identities (55%), urban residences (66%), and disadvantaged backgrounds (44%). We detected statistically and practically significant changes in self-efficacy (p = .01, d = .55) and interprofessional valuing and socialization (p < .01, d = .76), but mixed findings for variables associated with multicultural competence. Stakeholder interviews and document analysis identified four key facilitators (Financial Support; Facilitated Engagement; Witnessing Collaboration; Holistic Representation of Clients and Client Care) and four barriers (Awareness Raising and Recruitment; Logistics and Coordination; Inconsistent Culture of IPBH; Momentum Maintenance) to program success.
随着SARS-COVID-19大流行的持续,对相关服务的需求也在增加,美国的行为健康提供者短缺问题继续加剧。实施综合初级和行为保健(IPBH)做法是利用现有资源和最大限度地提高客户成果潜力的一种可行方法;然而,在IPBH范式中,辅导员的最佳实践仍不清楚。我们报告了45例IPBH培训项目的混合方法评估结果(36例女性;9男性;M年龄= 31.65),以少数民族身份(55%)、城市居民(66%)和弱势背景(44%)为主的专业咨询学生。我们发现自我效能感(p = 0.01, d = 0.55)和跨专业价值和社会化(p < 0.01, d = 0.76)在统计和实践上都有显著的变化,但在多元文化能力相关的变量上发现了不同的结果。利益相关者访谈和文件分析确定了四个关键的促进因素(财政支持;促进参与;目睹协作;客户的整体代表和客户关怀)和四个障碍(提高认识和招聘;后勤与协调;IPBH的非一致性文化;动量维护)计划的成功。
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引用次数: 1
Psychometric Meta-Analysis of the Short Grit Scale Reliability Across Demographic Groups and Academic Settings 短粒度量表在人口统计学和学术背景下的信度的心理计量meta分析
Pub Date : 2022-05-19 DOI: 10.1080/21501378.2022.2065975
L. Rocha, A. Lenz
Abstract The current study is a reliability generalization meta-analysis of the Short Grit Scale (Grit-S). A total of 95,440 participants were found across 66 studies with 117 internal consistency coefficients. We present the average Cronbach coefficient alpha (α) for the total Grit-S and subscales, Consistency of Interest and Perseverance of Effort. The results include total sample percentages for participant characteristics and setting types in which researchers used the Grit-S. The alpha range (α = .68 − .73) indicates the Grit-S and individual subscales are suitable for basic research use but not clinical decision making. Additionally, studies were inconsistent with statistically significant results with participants outside the United States, and reliability coefficients reduced among nonwhite participants. Researchers should further study the reliability of Grit-S among diverse participants.
摘要本研究是对短粒度量表(Grit- s)进行信度概化荟萃分析。共有95,440名参与者参与了66项研究,其中包含117个内部一致性系数。我们给出了总毅力和兴趣一致性和努力毅力的平均Cronbach系数α (α)。结果包括参与者特征的总样本百分比和研究人员使用Grit-S的设置类型。α范围(α = 0.68 ~ 0.73)表明Grit-S和个体分量表适用于基础研究,但不适用于临床决策。此外,在美国以外的参与者中,研究结果与统计上显著的结果不一致,在非白人参与者中,可靠性系数降低。研究者应进一步研究Grit-S在不同被试中的信度。
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引用次数: 0
Quality Measures: A Review of Quality of Life Measurement for Counselors 质量测量:心理咨询师生活质量测量综述
Pub Date : 2022-01-24 DOI: 10.1080/21501378.2021.2018930
Andrew W. Wood, Amanda C. La Guardia, Alexandra Mott
Abstract Quality of life (QoL) as a measure in counseling research is rarely used. Measures for well-being or wellness take the place of the multi-dimensional concept of QoL in the work of many counselors. However, QoL measures are used widely in medical practice and related research. Therefore, counselors preparing to work in integrated care settings with other medical professionals, or counselors and researchers looking to expand their assessment options and knowledge, may benefit from understanding when and how to use QoL measures. This article provides an overview of the concept of QoL, a review of three QoL measures, and a case application to help familiarize counselors with the use of QoL measures. Future research with QoL in counseling applications is also discussed.
生活质量(QoL)作为一种衡量心理咨询的指标,在心理咨询研究中很少被使用。在许多咨询师的工作中,衡量幸福或健康的措施取代了多维度的生活质量概念。然而,生活质量测量在医学实践和相关研究中被广泛使用。因此,准备与其他医疗专业人员在综合护理环境中工作的咨询师,或希望扩大评估选择和知识的咨询师和研究人员,可能会从了解何时以及如何使用生活质量测量中受益。本文概述了生活质量的概念,回顾了三种生活质量指标,并提供了一个案例应用,以帮助辅导员熟悉生活质量指标的使用。并对生活质量在心理咨询中的应用进行了展望。
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引用次数: 0
Examining the Effects of a Mindfulness-Based Intervention Using a Neurofeedback Device on Adolescent Introspection: A Quasi-Experimental Time-Series Design 使用神经反馈装置检查正念干预对青少年内省的影响:准实验时间序列设计
Pub Date : 2022-01-18 DOI: 10.1080/21501378.2021.2017770
Evan C. Smarinsky, Cian L. Brown, David D. Christian
Abstract This study explored whether adolescents’ introspection increased while engaged in a mindfulness-based intervention (MBI). Using a quasi-experimental design, the researchers identified high school students (n = 13) with elevated levels of anxiety to participate in an 11-week, multiphase MBI. Participants’ introspection ability was assessed by comparing self-reported levels and observed percentage of time calm as recorded by a neurofeedback (NFB) device three times a week during the program. Using general linear modeling, results indicated a significant interaction effect with moderate effect sizes between self-reported scores by phase on NFB scores, F(2, 407)=4.12, p = 0.017 and a significant interaction between sex and self-reported scores on NFB scores overall, F(1, 407)=5.05, p = 0.025. Female participants appeared to have increased introspection compared to males. Results support the use of MBIs to foster introspection in adolescents. The MBI with an NFB device appeared to improve introspection, a key factor in accurate self-report.
摘要本研究探讨了正念干预(MBI)是否会增加青少年的内省。采用准实验设计,研究人员确定了焦虑水平升高的高中生(n = 13)参加为期11周的多阶段MBI。参与者的内省能力是通过比较自我报告的水平和观察到的平静时间百分比来评估的,这些时间百分比是由神经反馈(NFB)设备记录的,每周三次。采用一般线性模型,结果显示各阶段自我报告得分对NFB得分有显著的交互作用,F(2,407)=4.12, p = 0.017;性别与自我报告得分对整体NFB得分有显著的交互作用,F(1,407)=5.05, p = 0.025。与男性相比,女性参与者似乎有更多的自省。结果支持使用MBIs来培养青少年的内省能力。带NFB装置的MBI似乎改善了自省,这是准确自我报告的关键因素。
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引用次数: 0
Counseling Program Evaluation: A Key Pathway Through Implementation, Improvement, and Social Change 咨询项目评估:通过实施、改进和社会变革的关键途径
Pub Date : 2022-01-14 DOI: 10.1080/21501378.2022.2029411
A. Lenz
In the next decade, our communities will be looking for ways to heal, grow, and flourish from the deleterious effects of historical inequities, an international pandemic, and a changing planet. Counselors can make unique contributions within these ventures, not just as direct service providers, but as those individuals who identify local-level needs by amplifying historically excluded voices and making complex data plainly understood; identifying and centering existing resources and assets; promoting inclusive planning early and often in a program’s lifecycle; supporting accountability through implementation monitoring; representing outputs and outcomes with transparency and in ways that are accessible to the nonscientific community; contextualizing impact across the ecology of human development; and establishing a program’s successes and growth opportunities as the foundation for value-added advocacy efforts. These may sound like weighty charges, but we are all involved in evaluations and evaluative thinking. When we toss a ball of paper to the bin, we watch to see if we’ve sunk the shot. When we pour a cup of coffee, we get a sense of the temperature before enjoying that bean-based sunshine. While there has always been a need for the systematic use of social science research methods to identify the practical value of programs to their stakeholders, the increased integration of counseling interventions into the fabric of community, education, and hospital-based interventions has cued a watershed moment for counselors to regard the inclusion of program evaluation theories and practices as integral features of our professional identity. Counselors’ training provides a unique foundation for conceptualizing the ecological context within which programs attempt to promote the development and well-being of individuals, groups, and communities across the lifespan. However, many preparation programs across behavioral health professions are not designed to bridge that potential with the evaluation-oriented theories, skills, and experiences that may optimize the potential for meeting community needs. It does not have to be this way. Through personal inquiry, continuing education, specialized training, facilitated engagement, and intentional advocacy efforts, counselors can increase their representation among the ranks of those who complete program evaluations. Make no mistake, whether identifying as evaluation scientists, impact evaluators, or just plainly, counselors who do program evaluation, we all have important roles in defining the pathway through representation of an implementation efforts value, opportunities for program improvement, and the related social changes. In 2017, Counseling Outcome Research and Evaluation (CORE) featured a new Outcome-Based Program Evaluation submission category and has since shown commitment to the associated spirit by publishing articles related to program evaluation methods (Prosek, 2020) and demonstrations (Ikonomopo
在接下来的十年里,我们的社会将寻求从历史上的不平等、国际流行病和不断变化的地球的有害影响中治愈、成长和繁荣的方法。咨询师可以在这些项目中做出独特的贡献,不仅仅是作为直接的服务提供者,而是作为那些通过放大历史上被排除在外的声音和使复杂的数据清晰易懂来识别地方需求的个人;识别和集中现有资源和资产;尽早并经常在项目生命周期中促进包容性规划;通过实施监测支持问责制;以透明和非科学界可获得的方式展示产出和成果;整个人类发展生态的背景影响;建立一个项目的成功和发展机会,作为增值宣传工作的基础。这些听起来像是沉重的指控,但我们都参与评估和评估性思维。当我们把一团纸扔进垃圾桶时,我们会观察是否投中了球。当我们倒一杯咖啡的时候,我们会先感受一下温度,然后再享受豆子带来的阳光。虽然一直需要系统地使用社会科学研究方法来确定项目对其利益相关者的实际价值,但咨询干预越来越多地融入社区、教育和医院干预的结构,这为咨询师提供了一个分水岭,他们将项目评估理论和实践纳入我们的专业身份的整体特征。辅导员的培训为概念化生态环境提供了一个独特的基础,在生态环境中,项目试图促进个人、群体和社区在整个生命周期中的发展和福祉。然而,许多跨行为健康专业的预备课程并不是为了将这种潜力与以评估为导向的理论、技能和经验联系起来而设计的,这些理论、技能和经验可能会优化满足社区需求的潜力。它不必是这样的。通过个人咨询、继续教育、专业培训、促进参与和有意的宣传努力,辅导员可以增加他们在完成项目评估的人群中的代表性。毫无疑问,无论是作为评估科学家、影响评估者,还是仅仅是做项目评估的顾问,我们都在通过表现实施努力价值、项目改进机会和相关的社会变化来定义途径方面发挥着重要作用。2017年,咨询结果研究与评估(CORE)推出了一个新的基于结果的项目评估提交类别,并通过发表与项目评估方法相关的文章(Prosek, 2020)和示范(Ikonomopoulos等人,2021;施瓦茨等人,2020)。这一期CORE代表了通过https://doi.org/10.1080/21501378.2022.2029411对辅导员作为项目评估员的持续承诺
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引用次数: 3
Disempowerment Evaluation and the Risks of Avoiding Stakeholder Feedback 权力剥夺评估与回避利益相关者反馈的风险
Pub Date : 2022-01-05 DOI: 10.1080/21501378.2022.2025586
S. Mason
ABSTRACT Evaluation can bring positive, often cathartic effects for those who participate in evaluation activities. Inviting stakeholder feedback conveys respect, a commitment to improvement, and lets program participants know their perspectives are valued. The absence of evaluation, on the other hand, can cause harm to program recipients by conveying the message that their voices don’t matter—and their experiences matter even less. This is particularly the case for programs and policies that mandate participation, such as recent hotel quarantine policies or federal vaccine mandates. In this article, the notion of disempowerment evaluation—the structural avoidance of stakeholder feedback— is introduced and its potential for negatively affecting participant health and well-being is discussed. Implications for evaluators of counseling and mental health programs are discussed.
评价可以给参与评价活动的人带来积极的、往往是宣泄的效果。邀请利益相关者反馈传达了尊重,对改进的承诺,并让项目参与者知道他们的观点是有价值的。另一方面,缺乏评估可能会对项目接受者造成伤害,因为它传达了这样的信息:他们的声音不重要,他们的经历更不重要。对于强制参与的项目和政策来说尤其如此,比如最近的酒店隔离政策或联邦疫苗规定。在本文中,介绍了权力剥夺评估的概念-对利益相关者反馈的结构性回避-并讨论了其对参与者健康和福祉产生负面影响的可能性。对心理咨询和心理健康项目评估者的影响进行了讨论。
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引用次数: 4
The Use of Counseling Skills Within Evaluative Contexts 在评估环境中使用咨询技巧
Pub Date : 2022-01-02 DOI: 10.1080/21501378.2022.2025771
Monica L. Coleman
Abstract The use of non-therapeutic counseling skills within evaluative contexts can be of great utility, particularly when lack of trust can lead to challenges in design, data collection, analysis, and contextualization. Because counselors and program evaluators share commonalities in their competencies, counselors can leverage their mastery of interpersonal skills to facilitate a depth of connection and understanding among stakeholders that supports evaluation validity. This article describes how counselors’ training and experiences focused on using empathic communication, becoming aware of and accounting for bias, broaching differences in identities and sensitive conversations with clients, and connecting with clients using basic attending skills can ground evaluation activities in ways that promote representation of experiences and utility of findings.
在评估环境中使用非治疗性的咨询技巧可能是非常有用的,特别是当缺乏信任会导致设计、数据收集、分析和情境化方面的挑战时。因为咨询师和项目评估员在他们的能力上有共同点,咨询师可以利用他们对人际关系技巧的掌握来促进利益相关者之间的联系和理解的深度,从而支持评估的有效性。本文描述了辅导员的培训和经验如何集中在使用移情沟通,意识到并考虑偏见,提出身份差异和与客户的敏感对话,以及使用基本的出席技能与客户建立联系,从而以促进经验的表现和结果的实用性的方式进行评估活动。
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引用次数: 2
Empowerment Evaluation: A Practical Strategy for Promoting Stakeholder Inclusion and Process Ownership 授权评估:促进利益相关者包容和过程所有权的实用策略
Pub Date : 2022-01-02 DOI: 10.1080/21501378.2022.2025772
C. Sheperis, Bryan Bayles
Abstract Empowerment Evaluation is an evolving approach based in empowerment theory, self-determination theory, and evaluation capacity building theory. This strategy prioritizes a wrap-around approach that situates program stakeholders at the center of evaluation activities and collaborators in the development of many key processes. By adopting an empowerment evaluation approach, all stakeholders are subjected to an immersive learning experience which culminates in pride in ownership over the initiatives. In this article, we introduce the underlying principles of the three-step empowerment evaluation framework (Fetterman, Empowerment evaluation (pp. 20–42). SAGE Publications, Inc., 2015) and provide examples that can guide evaluation capacity building for programs and organizations. We illustrate how evaluators can assist programs and organizations in developing a mission, taking stock of their current status, and planning for the future. We provide a case example of an empowerment evaluation of an autism services collaborative using the three-step framework. Implications for evaluators of counseling and mental health programs are discussed.
授权评价是在授权理论、自我决定理论和评价能力建设理论的基础上发展起来的一种评价方法。该策略优先考虑了一种环绕式方法,该方法将项目涉众置于评估活动和许多关键过程开发中的协作者的中心。通过采用授权评估方法,所有利益相关者都受到沉浸式学习体验的影响,最终以对计划的所有权感到自豪。在本文中,我们介绍了三步授权评估框架的基本原则(Fetterman,授权评估(第20-42页))。SAGE Publications, Inc., 2015),并提供可以指导项目和组织评估能力建设的示例。我们说明了评估人员如何协助项目和组织发展使命,评估他们的现状,并为未来做计划。我们提供了一个使用三步框架对自闭症服务协作进行授权评估的案例。对心理咨询和心理健康项目评估者的影响进行了讨论。
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引用次数: 3
Client Predictors of Individual Counseling Attendance at a Counselor Training Clinic 在咨询师培训诊所参加个别咨询的客户预测因素
Pub Date : 2021-11-11 DOI: 10.1080/21501378.2021.1989576
R. Cade, Aamir Fidai
Abstract The purpose of this study was to explore the effects of client predictors of individual counseling session attendance at a counselor training clinic. Archived files of adult clients (n = 752) who participated in individual counseling at the counselor training clinic between 2014 and 2019 were coded for variables from the intake form and counseling session attendance. Using ordinary least squares multiple regression, authors examined the predictive ability of these variables on individual counseling session attendance rate. Gender, ethnicity, and highest level of education were statistically significant predictors of client attendance. The overall model was statistically significant and accounted for 3% of the variance in client attendance. These results highlight the need for exploration of predictor variables beyond individual characteristics of clients that may inform efforts to prevent and intervene with clients at risk of decreased attendance, increased absences, or termination of counseling prior to symptom reduction or goal attainment.
摘要本研究的目的是探讨咨询师培训诊所个别咨询会议出席的来访者预测因子的影响。对2014年至2019年期间在咨询师培训诊所参加个别咨询的成年客户(n = 752)的存档文件进行编码,以获取接收表格和咨询会议出席率的变量。使用普通最小二乘多元回归,作者检验了这些变量对个人咨询会议出勤率的预测能力。性别、种族和最高教育水平是统计上显著的客户出勤率预测因子。整个模型在统计上是显著的,占到客户出勤方差的3%。这些结果强调了探索预测变量的必要性,超出了客户的个人特征,可以告知努力预防和干预有减少出勤、增加缺勤或在症状减轻或目标实现之前终止咨询的风险的客户。
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引用次数: 1
Alpha, Omega, and H Internal Consistency Reliability Estimates: Reviewing These Options and When to Use Them Alpha, Omega和H内部一致性可靠性评估:回顾这些选项以及何时使用它们
Pub Date : 2021-07-30 DOI: 10.1080/21501378.2021.1940118
Michael T. Kalkbrenner
Abstract Reliability evidence of test scores is essential in counseling research and program evaluation, as the quality of client care is, in part, based on the proper interpretation of test scores. Cronbach’s coefficient alpha is unquestionably the most frequently reported estimate of internal consistency reliability in counseling research. For over a decade scholars in other disciplines have raised a number of concerns about the utility of coefficient alpha for capturing the reliability of psychological traits, in favor of composite reliability estimates. However, coefficient alpha remains the most dominant reliability index in counseling research. To this end, this article provides a non-technical summary of coefficient alpha, coefficient omega, hierarchical omega, and coefficient H, guidelines for their appropriate usage, and can serve as a reference for counseling practitioners and researchers when conducting outcome research and program evaluation.
测试分数的可靠性证据在咨询研究和项目评估中是必不可少的,因为客户服务的质量在一定程度上是基于对测试分数的正确解释。克朗巴赫系数无疑是咨询研究中最常报道的内部一致性信度估计。十多年来,其他学科的学者已经提出了一些关于系数α在捕捉心理特征可靠性方面的效用的担忧,支持复合可靠性估计。然而,在心理咨询研究中,alpha系数仍然是最主要的信度指标。为此,本文对alpha系数、omega系数、hierarchical omega系数和H系数进行了非技术的总结,并给出了适当的使用指南,可供咨询从业者和研究人员在进行结果研究和项目评估时参考。
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引用次数: 72
期刊
Counseling Outcome Research and Evaluation
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