ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa
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 (...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
| Language: | English |
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CAMBRIDGE UNIV PRESS
2022
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| Online Access: | http://hdl.handle.net/20.500.11937/90176 |
| _version_ | 1848765345858322432 |
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| author | Spedding, Maxine Kohrt, Brandon Myers, Bronwyn Stein, Dan J Petersen, Inge Lund, Crick Sorsdahl, Katherine |
| author_facet | Spedding, Maxine Kohrt, Brandon Myers, Bronwyn Stein, Dan J Petersen, Inge Lund, Crick Sorsdahl, Katherine |
| author_sort | Spedding, Maxine |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T11:33:47Z |
| format | Journal Article |
| id | curtin-20.500.11937-90176 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:33:47Z |
| publishDate | 2022 |
| publisher | CAMBRIDGE UNIV PRESS |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-901762023-02-20T04:34:50Z ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa Spedding, Maxine Kohrt, Brandon Myers, Bronwyn Stein, Dan J Petersen, Inge Lund, Crick Sorsdahl, Katherine Science & Technology Life Sciences & Biomedicine Psychiatry Evidence-based psychosocial treatments South Africa therapist competencies GLOBAL MENTAL-HEALTH MIDDLE-INCOME COUNTRIES PSYCHOLOGICAL TREATMENTS PSYCHOTHERAPY COMPETENCE CARE METAANALYSIS FEASIBILITY INTEGRATION PREVALENCE 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. 2022 Journal Article http://hdl.handle.net/20.500.11937/90176 10.1017/gmh.2022.40 English http://creativecommons.org/licenses/by/4.0/ CAMBRIDGE UNIV PRESS fulltext |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Psychiatry Evidence-based psychosocial treatments South Africa therapist competencies GLOBAL MENTAL-HEALTH MIDDLE-INCOME COUNTRIES PSYCHOLOGICAL TREATMENTS PSYCHOTHERAPY COMPETENCE CARE METAANALYSIS FEASIBILITY INTEGRATION PREVALENCE Spedding, Maxine Kohrt, Brandon Myers, Bronwyn Stein, Dan J Petersen, Inge Lund, Crick Sorsdahl, Katherine ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa |
| title | ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa |
| title_full | ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa |
| title_fullStr | ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa |
| title_full_unstemmed | ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa |
| title_short | ENhancing Assessment of Common Therapeutic factors (ENACT) tool: adaptation and psychometric properties in South Africa |
| title_sort | enhancing assessment of common therapeutic factors (enact) tool: adaptation and psychometric properties in south africa |
| topic | Science & Technology Life Sciences & Biomedicine Psychiatry Evidence-based psychosocial treatments South Africa therapist competencies GLOBAL MENTAL-HEALTH MIDDLE-INCOME COUNTRIES PSYCHOLOGICAL TREATMENTS PSYCHOTHERAPY COMPETENCE CARE METAANALYSIS FEASIBILITY INTEGRATION PREVALENCE |
| url | http://hdl.handle.net/20.500.11937/90176 |