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Research Papers
Neurofeedback Practitioner Factors Related to Client Adherence
Introduction. This study systematically identified, extracted, and organized neurofeedback (NFB) practitioner factors connected to client adherence. It is important to understand this connection because increased adherence leads to improved NFB outcomes. A previous NFB conceptual framework and previous NFB client adherence findings were used to guide the current study. Method. One hundred and ninety-eight NFB practitioners completed online surveys gathering demographic information and ratings of practice behaviors and characteristics. For data set analyses, this study utilized SPSS version 20 for descriptive statistics, frequencies, means, standard deviations, ranges, Pearson product-moment correlation analyses, and independent samples t-tests. Results. Findings indicated that the following significantly correlated with client adherence: (a) practitioner technical and interpersonal techniques; (b) practitioner commitment to improving technical and interpersonal skills; and (c) practitioner confidence displayed during sessions. Results also indicated commitment correlated separately with techniques and confidence. These results suggested that practitioners engaging in self-NFB sessions reported significantly higher adherence rates compared to practitioners not engaging in self-NFB sessions. Findings demonstrated that practitioners conducting ≧ 40 monthly NFB sessions reported significantly higher adherence rates compared to practitioners conducting < 40 monthly NFB sessions. Conclusion. This study concluded that practitioners with commitment to improving their technical and interpersonal expertise leads to increased confidence during NFB sessions, ultimately improving adherence and outcome rates. When averaging 40 or more NFB sessions with clients per month, practitioners provide themselves with continued opportunities to practice current and new technical and interpersonal skills. By conducting self-NFB, practitioners develop their own descriptions of physiological regulation and share their own results with clients, which in turn builds rapport and increases therapeutic bonds leading to higher adherence.
View Full Paper →Quality of Work Life Factors for Mental Health Therapists Providing Neurofeedback
The current study investigates factors connected to Quality of Work Life (QWL) for mental health therapists providing neurofeedback (NFB) based on previous NFB conceptual framework and QWL findings (Larson, In Press; Larson, Cothran, Drandorff, Morgan, & Ryan, 2012; Larson, Ryan, & Baerentzen, 2010). One hundred and ninety-eight NFB therapists completed online surveys gathering demographics and ratings of practice behaviors and characteristics. SPSS version 20 was utilized for descriptive statistics, frequencies, means, standard deviations, ranges, Pearson Product-Moment Correlation analyses, independent samples t-tests, and a regular simultaneous regression analysis. Results of this study found that QWL separately correlated with calmness, observant, realistic, and optimistic scores, and therapists with high levels of technique and commitment reported significantly higher QWL scores compared to therapists with moderate levels of technique and commitment. The current findings indicated that 40% of the variance in the QWL can be determined by variance in a significant multiple correlation of confidence, monthly NFB sessions, years of NFB experience, and burnout.
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