JoAnne,

I really like this idea. If I understand it correctly, the primary outcome of
interest would be the quality of the therapeutic relationship (e.g, the
alliance). So the idea is: Does FAP training improve the therapeutic
alliance? There are lots of ways to measure the alliance including
client-report and observer (video-tape)-based, so you can have multiple outcome
measures. It seems like a very clever idea - given that the alliance predicts
outcome in lots of studies, can we actually provide a training that improves
the alliance? Now I want to do a study like that, too!

The second question is: Does FAP training improve therapeutic skill? I'm not
sure how you would measure skill, but you could certainly measure if the
student therapist engages in FAP techniques after FAP training. In that case
the question is: Does FAP training actually lead to use of FAP techniques? A
simple question to ask but useful I think.

The third question you describe has to do with the FIAT but I'm not quite sure
what you were writing there. Please clarify.

The final question has to do with symptom function outcome measures, which seems
great except hard to do given only 3-4 sessions of therapy!

Jonathan


Quoting JoAnne Dahl <jo_anne.dahl@...>:

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> Begin forwarded message:
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> > From: JoAnne Dahl <joanne.dahl@...>
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> > Date: May 9, 2005 3:27:39 PM CEST
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> > To: JoAnne Dahl <jo_anne.dahl@...>
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> > Subject: Fwd: FAP study
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> >
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> >
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> >
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> > Vidarebefordrat brev:
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> >
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> >> Från: JoAnne Dahl <joanne.dahl@...>
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> >> Datum: den 9 maj 2005 14.11.26 MET
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> >> Till: Katarina Wiberg <Katarina.Wiberg.6846@...>, Christina
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> >> Hägnebo <Christina.Hagnebo@...>, glennc@...,
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> >> Staffan Sohlberg <Staffan.Sohlberg@...>, Magnus Johansson
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> >> <mj@...>, Elin Rosengren <elinrosengren@...>, Tobias
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> >> Lundgren <tobiaslundgren455@...>,
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> >> functionalanalyticpsychotherapy@yahoogroups.com
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> >> Ämne: FAP study
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> >>
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> >>
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> >> FAP Study at Uppsala University, graduate thesis
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> >>
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> >> After some thought and discussion with the people in charge of our
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> >> clinical supervision and the clinic here, I have been developing some
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> >> other thoughts with regard to the FAP study we were thinking of.
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> >>
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> >> Our original thought was to do a quasi experimental design with a FAP
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> >> and a control group (no randomiszatioin) of 16 student therapists, 8
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> >> of which would get the FAP training and we would study on video the
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> >> differences using the dependent measures we had recieved from Glenn
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> >> and Jonathan.
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> >>
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> >> The major problem with this was that we would have not been allowed
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> >> to randomise and we could only train JoAnnes students and not the
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> >> others which would present some serious confounding factors.I wont go
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> >> into the reasons why this was necessary.
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> >>
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> >> A new design which could solve these confounding problems and give a
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> >> much larger study with randomization is as follows:
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> >>
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> >> Research question: the same as before. Does an add on FAP traiining
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> >> done by graduate students to graduate students influence the
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> >> therapeutic relationship and the outcome of therapy as compared to no
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> >> training.
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> >>
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> >> Procedure: 24 last term graduate students (term 10) are offered to
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> >> participate in this study and take a client as  under our
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> >> supervision. They enter the study knowing that they will be
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> >> randomized into a FAP training group or minimal cbt supervison.  24
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> >> clients are recruited either thru our own clinic or thru a newpaper
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> >> advertisement. Number of sessions of treatment are limited to max
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> >> 3-4.
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> >>
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> >> Design: An ABC randomized controlled group design with repeated
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> >> measures using two conditions: FAP and control.
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> >>
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> >> independant variable: FAP training in the form of two graduate
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> >> students (T) with FAP training will train and supervise 12 other
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> >> fellow students (Ss). The two T's will hold an intensive FAP course
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> >> for the Ss in the FAP condition. During th study, the T 's will
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> >> supervise under supervision 2 hours a week in goups of 4 the Ss in
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> >> both conditions. Those in the FAP group will recieve specific FAP
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> >> supervision and those in the control condition will receive
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> >> supportive therapy and reflective listening.  The control condition
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> >> will contain no extra education, only a minimal of clinical
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> >> supervision. None of the participating Ss will know which condition
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> >> they belong to.
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> >>
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> >> Dependant variables: measures of the qualtiy of the therapeutic
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> >> relationship, therapeutic skills on the part of the therapist, and
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> >> the graduate students doing the FAP training will be done by using
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> >> the FIAT which includes ratings from the client, the students, the
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> >> therapists and obsevers rating the sessions on video. We could also
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> >> include symptom function outcome measures of therapy as well.
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> >>
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> >> i would appreciate any comments on this study.
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> >> best from joAnne
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> >>
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> >>
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> >> JoAnne Dahl, Ph.D., Docent
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> >> Associate Professor
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> >> Department of Psychology
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> >> Box 1225, 751 42 Uppsala
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> >> Uppsala University
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> >> Telefon: 018-471 00 00 (växel), 018-471 + ankn. (direkt)
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> >>  Telefax: 018-471 21 23
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> >>
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> >>
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> >>
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> >>
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> >>
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> > JoAnne Dahl, Ph.D., Docent
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> > Associate Professor
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> > Department of Psychology
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> > Box 1225, 751 42 Uppsala
>
> > Uppsala University
>
> > Telefon: 018-471 00 00 (växel), 018-471 + ankn. (direkt)
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> >  Telefax: 018-471 21 23
>
> >
>
> >
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> >
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> >
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> >
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> >
>
> JoAnne Dahl, Ph.D
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> Associate Professor
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> Department of Psychology
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> Uppsala University, Uppsala Sweden
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> cell 070 6634345
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--
Jonathan W. Kanter, Ph.D.
Assistant Professor & Psychology Clinic Coordinator
Department of Psychology, University of Wisconsin-Milwaukee
PO Box 413, Milwaukee, WI 53201
Office: Garland Hall 238C
(414) 229-3834