The Evaluation of ENhancing Assessment of Common Therapeutic factors – Sri Lanka (ENACT-SL) to Assess Common Factors in Counselling in Determining Therapist Competence in Sri Lanka

Abstract

Counselling and psychotherapy play an essential part in mental health care. The modern field of mental health care includes many counselling modalities. Each modality consists of specific knowledge and skills. This diversity makes objective evaluation of a therapist's competence across counselling modalities challenging. The "common factors" theory claims that along with each modality's specific strengths and techniques, common factors in counselling are essential for successful counsellor–client relationships. In high-income countries, the mental health care field has developed many tools to evaluate counselling skills based on the common factors relevant to specific socio-cultural settings. Hence, the usefulness of these tools is limited to the socio-cultural backgrounds where the tools were developed. The current study evaluated the ENhancing Assessment of Common Therapeutic factors – Sri Lanka (ENACT-SL) rating scale with the participation of 68 novice and experienced counsellors who used two versions of the scale to evaluate 10- minute pre-recorded counselling sessions. The scale's reliability was assessed using Intraclass Correlation Coefficients (ICC). The ICC for interrater reliability was above 0.75, denoting ‘good’ inter-rater reliability, while the ICC for intrarater repeatability was poor for both groups. The research findings contributed in developing a new version of ENACT-SL based on 'five domains' of counselling skills to be used in counsellor training and assessment in Sri Lanka.