Factors Affecting Compliance of CBT Homework
According to Detweiler and Whisman’s (1999) study, there are three types of factors: therapist factors, client factors, and factors that cause mismatch in homework.
Factors related to the client include variables such as pessimism, self-efficacy, severity of illness, and motivation.
Therapist-related factors are more about the way the therapist reinforces a strong and effective assignment of harmony and predicts barriers to develop and maintain a positive therapeutic alliance.
Factors related to homework, the last factor, include whether the homework is appropriate to the patient’s level in order to increase the likelihood of the patient doing homework, and therapist clearly and concretely describes that homework is clearly and concretely described to the client.
Completing homework can contribute to the outcome of psychotherapy (Addis and Jacobson 2000). In a study by Edelman and Chambless (1995) in which 52 patients undergoing group CBT treatment. Researchers examined them for their commitment to homework, they said that patients who showed more commitment to homework and completed homework had lower anxiety and that homework could be more important in the long term. Indeed, in a recent study by LeBeau et al. (2013), increasing compliance with homework was a highly practical and effective way to improve CBT outcomes. When researchers examine the relationship between homework and patient characteristics; they also found that elderly and unemployed patients did their homework better.
In a different study conducted on the same subject; Willingness of the patients about homework result in positive outcomes in depression-oriented CBT. On the other hand, some researchers focused on adaptation to illness and homework. They said that there’s no relationship between disease severity and compliance with homework. In 2006 researchers examined the relationship between therapeutic alliance and homework compliance on 29 patients. (They were recieving CBT). And stated that therapeutic alliance was variable predicting compliance with homework. In a recent study in 2013 , researchers found that the therapeutic compliance during homework review was related to the completion of homework, but there was no relationship between homework completion and treatment outcomes.
Therefore, checking homework assignments and giving new assignments to the patient may increase the likelihood of homework compliance.