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Client perspectives on perceived barriers to homework adherence in psychotherapy: An exploratory study from India
Apoorva Malik1, Paulomi M Sudhir1, Prathyusha P V2
1Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bangalore 560029 Karnataka, India.
Abstract:
We explored perceived barriers to homework adherence in clients receiving individual psychotherapy. Ninety-four adults with at least four individual psychotherapy sessions were recruited from outpatient services of a tertiary hospital in India and assessed on the Barriers to CBT Homework Completion Scale, Homework Compliance Scale, and Clinical Global Impressions scale. More than one-fourth completed some portion of the homework. Participants reported a high level of overall perceived barriers to homework, with more task-and-patient related factors. Higher perceived barriers were associated with lower adherence. Findings highlight the importance of understanding perceived barriers to homework adherence and addressing them systematically.
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