OBJECTIVE Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome. METHOD Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback group (CFG) or a control group (CG). Patients with a diagnosis of major depression (N = 114) were randomly assigned to CFG or CG. Treatment included 20 individual sessions of cognitive behavioral therapy (CBT). In CFG, therapists received, parallel to the treatment, five competence feedbacks, based on videotaped therapy sessions. Independent raters assessed therapist competence with the Cognitive Therapy Scale (CTS) and provided the competence feedback. Patient outcome was evaluated with the Beck Depression Inventory-II (BDI-II) and therapeutic alliance (Helping Alliance Questionnaire [HAQ]) from both therapist's (HAQ-T) and patient's (HAQ-P) perspective were evaluated after each of the 20 sessions. RESULTS (a) Therapist competence (CTS) increased significantly more for CFG than CG. (b) Depression (BDI-II) decreased significantly across sessions for both groups, but without evidence for a group-differential benefit for the CFG. (c) Therapeutic alliance (HAQ-T/P) increased significantly across sessions for both groups from both perspectives, but without group differences. (d) There is a positive effect of BDI-II on CTS at the beginning and a negative effect of CTS on BDI-II at the end of therapy. CONCLUSION Competence feedback improves therapists' independently rated competence, but there is no evidence that competence feedback in CBT leads to better outcome. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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能力反馈对治疗师能力和患者结果的影响：一项随机对照试验。

目标治疗师的能力被认为是心理治疗成功的关键。反馈是一种干预措施，有可能提高治疗师的能力。本研究调查了能力反馈是否会导致治疗师能力和患者结果的改善。方法 67 名硕士级临床实习生被随机分配到能力反馈组 (CFG) 或对照组 (CG)。诊断为重度抑郁症的患者 (N = 114) 被随机分配到 CFG 或 CG。治疗包括 20 次单独的认知行为疗法 (CBT)。在 CFG 中，治疗师在治疗的同时收到了五个基于录像治疗课程的能力反馈。独立评估者使用认知治疗量表 (CTS) 评估治疗师的能力并提供能力反馈。在 20会议。结果 (a) CFG 的治疗师能力 (CTS) 比 CG 显着增加。(b) 两组的抑郁 (BDI-II) 在整个疗程中均显着降低，但没有证据表明 CFG 具有组间差异益处。(c) 从两个角度来看，两组的治疗联盟 (HAQ-T/P) 在整个疗程中显着增加，但没有组差异。(d) BDI-II 在治疗开始时对 CTS 有积极影响，在治疗结束时 CTS 对 BDI-II 有消极影响。结论 能力反馈提高了治疗师的独立评估能力，但没有证据表明 CBT 中的能力反馈会导致更好的结果。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。