Table 1.
Comprehensibility and Therapeutic Importance for 49 Highest Ranked Items
| Item | Comprehensiona | Therapeutic Importanceb | ||
|---|---|---|---|---|
| Mean | Std. Err. | Mean | Std. Err. | |
| 1. Collaboration between therapist and patient | 3.00 | 0.00 | 3.00 | 0.00 |
| 2. Assessing patient's social support network | 3.00 | 0.00 | 3.00 | 0.00 |
| 3. Warmth, friendliness, and respect toward patient | 3.00 | 0.00 | 3.00 | 0.00 |
| 4. Empathic understanding of patient | 3.00 | 0.00 | 3.00 | 0.00 |
| 5. Reflective listening | 3.00 | 0.00 | 3.00 | 0.00 |
| 6. Rapport building with patient | 3.00 | 0.00 | 3.00 | 0.00 |
| 7. Problem assessment and prioritization | 3.00 | 0.00 | 3.00 | 0.00 |
| 8. Goal setting | 3.00 | 0.00 | 3.00 | 0.00 |
| 9. Explaining confidentiality | 3.00 | 0.00 | 3.00 | 0.00 |
| 10. Assessing patient's insight for key problem | 2.88 | 0.13 | 3.00 | 0.00 |
| 11. Use of problem solving strategies | 2.88 | 0.13 | 3.00 | 0.00 |
| 12. Identification of patient coping strategies | 2.88 | 0.13 | 3.00 | 0.00 |
| 13. Making a plan of action for each session | 2.88 | 0.13 | 3.00 | 0.00 |
| 14. Identification of patient's resources | 2.88 | 0.13 | 3.00 | 0.00 |
| 15. Providing emotional support toward patient | 2.88 | 0.13 | 3.00 | 0.00 |
| 16. Nonverbal communication | 2.75 | 0.16 | 3.00 | 0.00 |
| 17. Praising patient's efforts | 2.75 | 0.16 | 3.00 | 0.00 |
| 18. Develop therapy agenda for course of treatment | 3.00 | 0.00 | 2.88 | 0.13 |
| 19. Therapist's belief that treatment approach will help patient | 3.00 | 0.00 | 2.88 | 0.13 |
| 20. Assessing patient's strengths | 2.88 | 0.13 | 2.88 | 0.13 |
| 21. Explaining how therapy works | 2.88 | 0.13 | 2.88 | 0.13 |
| 22. Assessing patient's active help seeking | 2.75 | 0.16 | 2.88 | 0.13 |
| 23. Discussing patient's explanation for difficulties (explanatory model) | 2.75 | 0.16 | 2.88 | 0.13 |
| 24. Assessing patient's ability to develop multiple solutions to problems (pathways thinking) | 2.75 | 0.16 | 2.88 | 0.13 |
| 25. Therapist's ability to flexibly employ different therapy techniques | 2.63 | 0.18 | 2.88 | 0.13 |
| 26. Assessing patient's recent life events | 2.75 | 0.16 | 2.75 | 0.16 |
| 27. Identification of appropriate location for confidentiality | 2.75 | 0.16 | 2.75 | 0.16 |
| 28. Providing general psychoeducation | 2.75 | 0.16 | 2.75 | 0.16 |
| 29. Operate within time-limited treatment frame and prepare for termination | 2.63 | 0.26 | 2.75 | 0.16 |
| 30. Therapist adjusts content of session to limitations of settings | 2.63 | 0.26 | 2.75 | 0.25 |
| 31. Patient's belief that therapy will address problem | 2.63 | 0.26 | 2.75 | 0.25 |
| 32. Patient leads in ranking goals | 2.63 | 0.18 | 2.75 | 0.16 |
| 33. Pacing and efficient use of time | 2.50 | 0.19 | 2.75 | 0.16 |
| 34. Eliciting patient's feedback | 2.38 | 0.26 | 2.75 | 0.16 |
| 35. Develop trust and respect for therapist | 2.25 | 0.31 | 2.75 | 0.16 |
| 36. Use of specific family psychoeducation | 2.88 | 0.13 | 2.63 | 0.18 |
| 37. Assessing and managing harm and safety | 2.88 | 0.13 | 2.63 | 0.18 |
| 38. Assess patient's experience of empathy and feeling understood | 2.88 | 0.13 | 2.63 | 0.18 |
| 39. Therapist exploration of patients experiences and feelings | 2.75 | 0.16 | 2.63 | 0.26 |
| 40. Avoiding negative therapist attitude | 2.75 | 0.16 | 2.63 | 0.26 |
| 41. Therapist exploring level of patient's family support | 2.75 | 0.16 | 2.63 | 0.18 |
| 42. Giving feedback | 2.63 | 0.18 | 2.63 | 0.18 |
| 43. Assessing patient's level of functioning before treatment | 2.63 | 0.18 | 2.63 | 0.18 |
| 44. Assessing patient's belief in self to solve problems (agency thinking) | 2.63 | 0.18 | 2.63 | 0.26 |
| 45. Discussing patient's secure attachment relationships | 2.63 | 0.18 | 2.63 | 0.18 |
| 46. Assessing patient's personal motivation | 2.50 | 0.19 | 2.63 | 0.18 |
| 47. Building patient's hope | 2.50 | 0.19 | 2.63 | 0.18 |
| 48. Assessing patient's amount of hope | 2.50 | 0.19 | 2.63 | 0.18 |
| 49. Family's belief that therapy will help patient | 2.25 | 0.25 | 2.63 | 0.26 |
Comprehension of Items was rated on 1 to 3 scale: '1' Concept/process is not clearly comprehensible in my experience and training (for example, I have rarely heard this term or process discussed). '2' Concept is generally clear and comprehensible in my experience and training (for example, I have heard of this term or process, but I still have some questions about the term or process). '3' Concept is very clear and I could explain it to any of my patients/clients or to therapy trainees.
Importance for Therapeutic Change was rated on a 1 to 3 scale: '1' Concept/process is not usually essential for effective therapy in my experience. '2' Concept/process is important sometimes in my therapy and with some patients/clients. '3' Concept/process is important for all of my patients/clients.