Homework is a defining component of cognitive-behavioral therapy (CBT), however, few studies have examined homework adherence in youth CBT. Homework adherence was coded from audiotapes of school-based CBT for 50 depressed adolescents and evaluated as a predictor of proximal and distal treatment outcomes. Six therapist behaviors hypothesized to promote homework adherence were also coded from audiotapes of early sessions and examined in relation to subsequent homework adherence. Results showed no significant associations between client homework adherence and outcomes. Results also revealed several therapist behaviors to be associated with homework adherence in the context of planned moderator analyses. Adolescents considered at risk for non-adherence tended to show better adherence when therapists provided strong rationale for homework tasks, spent more time assigning homework in Session 1, and elicited client reactions and troubleshot obstacles in Session 2. Methodological and clinical implications are discussed.
","abstract_html":"<p>Homework is a defining component of cognitive-behavioral therapy (CBT), however, few studies have examined homework adherence in youth CBT. Homework adherence was coded from audiotapes of school-based CBT for 50 depressed adolescents and evaluated as a predictor of proximal and distal treatment outcomes. Six therapist behaviors hypothesized to promote homework adherence were also coded from audiotapes of early sessions and examined in relation to subsequent homework adherence. Results showed no significant associations between client homework adherence and outcomes. Results also revealed several therapist behaviors to be associated with homework adherence in the context of planned moderator analyses. Adolescents considered at risk for non-adherence tended to show better adherence when therapists provided strong rationale for homework tasks, spent more time assigning homework in Session 1, and elicited client reactions and troubleshot obstacles in Session 2. Methodological and clinical implications are discussed.</p>","abstract_has_math":false,"creators":["Jungbluth, Nathaniel John"],"institution":null,"degree_name":"Ph.D.","degree_level":"Dissertation","degree_discipline":null,"degree_department":null,"school":null,"contributors":["Stephen R. Shirk, Ph.D.","Anne DePrince","Martha Wadsworth","Kathy Green"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2012,"date_issued":"2012-01-01T08:00:00Z","date_published":"2012-01-01T08:00:00Z","updated_at":"2026-07-24T02:02:38Z","subjects":["Adolescent depression","Cognitive behavioral therapy","Homework","Therapist behavior","Treatment process","Counseling","Education","Educational Psychology"],"languages":["en"],"rights":["Copyright is held by the author. User is responsible for all copyright compliance.
"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://digitalcommons.du.edu/etd/839","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Stephen R. Shirk, Ph.D.","Anne DePrince","Martha Wadsworth","Kathy Green"]},{"key":"dc:creator","label":"Author","values":["Jungbluth, Nathaniel John"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2001-01-01T08:00:00Z"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D."]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Adolescent depression","Cognitive behavioral therapy","Homework","Therapist behavior","Treatment process","Counseling","Education","Educational Psychology"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright is held by the author. User is responsible for all copyright compliance.
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"],"dc:format":["application/pdf"],"dc:identifier":["https://digitalcommons.du.edu/etd/839"],"dc:language":["en"],"dc:rights":["Copyright is held by the author. User is responsible for all copyright compliance.
"],"dc:subject":["Adolescent depression","Cognitive behavioral therapy","Homework","Therapist behavior","Treatment process","Counseling","Education","Educational Psychology"],"dc:title":["Homework Adherence in Cognitive-Behavioral Therapy for Adolescent Depression"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Ph.D."]},"updated_at":"2026-07-24T02:02:38Z"}