Single Counseling Session Research Articles

대학생을 위한 단회기 진로상담 모형 및 운영 매뉴얼 개발

Objectives The purpose of this study is to develop a career counseling model and manual so that career counseling instructors (or school counselors) can provide career counseling services to students (clients) during one session (single session). Methods For this purpose, we conducted a literature analysis and collected basic data by analyzing the current status of career counseling linked to career courses at D University in Gyeonggi-do. Based on basic data, the theoretical components of the research model were selected and the opinions of the expert group were collected to establish the research model. In the second Delphi survey, the suitability of the research model was verified and expert opinions were collected on the components of the career counseling manual. In the third Delphi survey, the validity of the single-session career counseling manual was verified. Results The single-session career counseling model consisted of a total of four stages. Step 1 is the start/preparation step, step 2 is the in-depth exploration step, step 3 is the action execution step, and step 4 is the finishing step. The career counseling manual consists of a total of 6 chapters. Chapter 1 outlines single-session career counseling (definition of single-session career counseling, operating period, operation procedure), chapter 2 prepares for single-session career counseling (application and operation method for counseling, how to use Online, schedule management method, notes, Guidance on screening potential students and related support), Chapter 3, single-session career counseling process and strategies (4 stages of single-session career counseling, career counseling intervention strategies), Chapter 4, counseling guide by type of career problem (types of career counseling for college students and intervention strategies, majors) Cases according to satisfaction and goal setting), Chapter 5 Examination of counselor preparation behavior (consultation preparation checklist, basic role of counselor, communication checklist, core skills of counseling), Chapter 6 Appendix (Risk assessment of high-risk group, satisfaction with major, career goals), conflict situation, goal setting, list for career efficacy, etc.). Conclusions A model was developed so that career course instructors (counselors) could efficiently counsel many students (clients) within a limited time, and a manual was developed to facilitate smooth counseling activities. Although single-session counseling has existed for a long time, it is meaningful that a plan that can be practically used in a situation where there are not many studies has been prepared.

How is the Muslim Counselor's Experience in Implementing Single-Session Online Counseling on Adolescent?

Effective and efficient counseling service interventions are the goal of every counselor in providing psychological assistance to adolescents. This study aims at describing the Muslim counselors' experience in implementing single-session online counseling services focusing on solutions for adolescents. Before the researchers conducted this study, first of all, they were preparing instruments, and a list of questions, as an interview guide for data collection. After the data collection process, the researchers analyzed and interpreted the data. Data were analyzed using a qualitative approach through thematic analysis. The data were then classified into three sub-themes; Namely creating a safe and comfortable online counseling relationship, basic communication skills in online counseling, and time management in online counseling. The results show that relationship building in online counseling services requires counselors' acceptance, strategy, and self-disclosure. During the online counseling process, counselors need to apply basic counseling skills and specific techniques in solution-focused single-session counseling strategies. They are scaling questions, miracle questions, and exception questions. Time management in the implementation of online counseling is also a challenge for counselors. Flexible time needs to be managed properly so as not to hinder the counseling process.

예비부부의 사례 개념화 기반 단회 상담 참여경험에 관한 내러티브 탐구

Objectives The purpose of this study aims to provide basic data on single-session counseling conducted in the clinical field by examining the counseling experience of single-session counseling clients based on case conceptualization and what the experience means in the context of their lives.
 Methods As a narrative exploration method that can help participants separate problems from themselves and explore exceptional situations outside the problem, this researcher conducted a study on a pair of prospective couples who have experienced single counseling. To this end, after three in-depth video interviews were conducted from June 16, 2021 to November 8, 2021, additional interviews were conducted by phone or text message.
 Results The results of the study are as follows. First, participants were disappointed, but they participated in counseling more honestly and actively since it was a single counseling. Second, through single counseling, participants increased their self-understanding as well as self-acceptance. Third, as the participant participated in the single consultation, recognized and accepted problems, and decided to try for change, so felt lighthearted. Fourth, through the experience of single counseling, participants were able to have a positive perception of counseling, and if they faced problems that were difficult to solve alone in their daily lives again, they wanted to be consulted again.
 Conclusions Based on the results of the study, the counseling implications and limitations were presented, and the single counseling experience improved the image of counseling, but it was regrettable to experience the changed results directly by changing one's old habits in daily life. Therefore, it is necessary to study so that case conceptualization education is conducted in detail and in detail so that the effect of single counseling can be further improved through counselor training. It can be seen that this study has implications in that it showed how to approach and conduct single counseling in the clinical field.

‘Single Session Counseling Model’ Positive Art Therapy Group Counseling: Training of Psychological Committee Members in Art Colleges

‘Single Session Counseling Model’ Positive Art Therapy Group Counseling: Training of Psychological Committee Members in Art Colleges

Meaningful Change in a Single Session? Interview With Jessica Schleider, PhD

Can a single counseling session make a lasting impact on patients? Dr. Jessica Schleider weighs in on when single session interventions (SSIs) are or aren’t useful, how to know if your SSIs led to real change, and ideas for integrating SSIs with traditional, ongoing counseling practices.

초심상담자의 단회상담 인식에 관한 개념도 연구

The purpose of this study was to explore how novice counselors who start counseling areaware of single-session counseling using the conceptual mapping method. Conceptual mappingis a way to visually demonstrate the concept that study participants perceive about aphenomenon by analyzing subjective and psychological data experienced by study participantsusing multivariate statistical methods such as multidimensional scaling (MDS). were selected asresearch participants and conducted in-depth interviews. As a result of the interview, 45 finalstatements were drawn on the novice counselor's perception of single counseling. In addition,the study participants sorted these statements into piles in terms of similarity and rated theimportance of each statement for single counseling recognition.As a result of analyzing thecollected data, four clusters were identified. This study is expected to suggest usefulimplications for novice counselors' single counseling education by exploring how they perceivesingle counseling sessions.

The efficacy of thought field therapy and its impact on heart rate variability in student counseling: A randomized controlled trial

ContextThought Field Therapy is an evidence-based method validated by 17 clinical trials, including five Randomized Controlled Trials. This study investigates whether a single Thought Field Therapy session can improve psychological issues such as stress, depression, and performance anxiety in university students. MethodsFifty university students were randomly assigned to an intervention group or a waitlist control group. The intervention group received a single counseling session of Thought Field Therapy and was assessed by Subjective Units of Distress and Heart Rate Variability before and after the session. The waitlist group received Thought Field Therapy and was administered the Profile of Mood States Second Edition. All participants completed the latter after a waiting period of 1–3 weeks. ResultsThe 39 students who received Thought Field Therapy showed significantly higher Heart Rate Variability post-compared to pre-therapy (p < .001). The 33 students who were assessed for Subjective Units of Distress also reported significant improvements (p < .001) by a 91% reduction in distress for an average duration of 36 minutes. The Profile of Mood States Second Edition score did not show significant improvements in the intervention group (n = 24) as compared to the control group (n = 15). ConclusionA brief intervention of Thought Field Therapy can reduce stress and psychological distress among university students, and increase their physiological resilience in a limited timeframe, after a single session of counseling. However, the single session did not suffice to significantly improve their psychological conditions over the long term.

Effects of Lifestyle Modification on Patients With Resistant Hypertension: Results of the TRIUMPH Randomized Clinical Trial.

Although lifestyle modifications generally are effective in lowering blood pressure (BP) among patients with unmedicated hypertension and in those treated with 1 or 2 antihypertensive agents, the value of exercise and diet for lowering BP in patients with resistant hypertension is unknown. One hundred forty patients with resistant hypertension (mean age, 63 years; 48% female; 59% Black; 31% with diabetes; 21% with chronic kidney disease) were randomly assigned to a 4-month program of lifestyle modification (C-LIFE [Center-Based Lifestyle Intervention]) including dietary counseling, behavioral weight management, and exercise, or a single counseling session providing SEPA (Standardized Education and Physician Advice). The primary end point was clinic systolic BP; secondary end points included 24-hour ambulatory BP and select cardiovascular disease biomarkers including baroreflex sensitivity to quantify the influence of the baroreflex on heart rate, high-frequency heart rate variability to assess vagally mediated modulation of heart rate, flow-mediated dilation to evaluate endothelial function, pulse wave velocity to assess arterial stiffness, and left ventricular mass to characterize left ventricular structure. Between-group comparisons revealed that the reduction in clinic systolic BP was greater in C-LIFE (-12.5 [95% CI, -14.9 to -10.2] mm Hg) compared with SEPA(-7.1 [-95% CI, 10.4 to -3.7] mm Hg) (P=0.005); 24-hour ambulatory systolic BP also was reduced in C-LIFE (-7.0 [95% CI, -8.5 to -4.0] mm Hg), with no change in SEPA (-0.3 [95% CI, -4.0 to 3.4] mm Hg) (P=0.001). Compared with SEPA, C-LIFE resulted in greater improvements in resting baroreflex sensitivity (2.3 ms/mm Hg [95% CI, 1.3 to 3.3] versus -1.1 ms/mm Hg [95% CI, -2.5 to 0.3]; P<0.001), high-frequency heart rate variability (0.4 ln ms2 [95% CI, 0.2 to 0.6] versus -0.2 ln ms2 [95% CI, -0.5 to 0.1]; P<0.001), and flow-mediated dilation (0.3% [95% CI, -0.3 to 1.0] versus -1.4% [95% CI, -2.5 to -0.3]; P=0.022). There were no between-group differences in pulse wave velocity (P=0.958) or left ventricular mass (P=0.596). Diet and exercise can lower BP in patients with resistant hypertension. A 4-month structured program of diet and exercise as adjunctive therapy delivered in a cardiac rehabilitation setting results in significant reductions in clinic and ambulatory BP and improvement in selected cardiovascular disease biomarkers. Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT02342808.

Telemedicine Intervention to Improve Long-Term Risk Factor Control and Body Composition in Persons with High Cardiovascular Risk: Results from a Randomized Trial: Telehealth strategies may offer an advantage over standard institutional based interventions for improvement of cardiovascular risk in high-risk patients long-term.

Background:Telehealth strategies are increasingly used to support people at high cardiovascular risk long-term, but is it unclear if these interventions are effective at improving cardiovascular risk.Objective:To evaluate the effects of a telemedicine technology-based program on risk factor control and body composition in patients at high cardiovascular risk.Methods:This is a population based randomized controlled trial. 100 patients at high and very high cardiovascular risk were randomly assigned to a telemedicine technology-based program consisting of: Comprehensive counseling on risk factors delivered by a physician; biweekly remote support via phone delivered by a trained nurse during the first three months after enrollment; and a control group receiving routine care with individual single-session counseling on patients’ current risk factors without further support. The follow-up period was 1 year.Results:Mean age of participants was 59.9 ± 4.5 years, 80% were women. Weight (–0.582; p < 0.001), waist circumference (–0.429; p = 0.01), body mass index (–0.216; p < 0.001) diastolic blood pressure (–0.881; p = 0.04), total cholesterol (–0.149; p = 0.01) and LDL cholesterol (–0.123; p = 0.003) were lower in the intervention group compared to the control group after 12-month. Body fat mass was also lower (–0.352; p = 0.01) and lean mass was higher (0.92; p = 0.03) in the intervention group. Anxiety scores (–2.5; p < 0.002) and depression scores (–2.6; p < 0.001) were also lower in the intervention group.Conclusions:Among older people at high cardiovascular risk, the addition of telehealth strategies using remote support by phone calls over a period of 3 month resulted in small but significant improvements of cardiovascular risk factors, body composition, anxiety, and depression which are maintained long-term. Such telehealth strategies may offer an advantage over standard institution-based interventions.

Research on the Application of Single Session Counseling Model in College Students’ Psychological Crisis Intervention

Single session counseling model; Crisis intervention; Depression

Brief Enhanced Partner Notification and Risk Reduction Counseling to Prevent Sexually Transmitted Infections, Cape Town, South Africa.

Evidence-based interventions are needed to stem sexually transmitted infections (STIs). Clinic-delivered counseling remains an important avenue for effective STI prevention. A 3-arm randomized clinical trial compared (a) STI health education control condition, (b) risk reduction counseling, and (c) enhanced partner notification counseling. Men and women (n = 1050) were recruited from an STI clinic in Cape Town, South Africa. After baseline assessments, participants were randomly allocated to receive 1 of the 3 single-session counseling interventions and were followed up for 9 months of behavioral assessments and 12 months of electronic medical records abstraction for STI clinic services. Sexual risk reduction counseling reported greater condom use than did the other 2 conditions during the 3 and 6 months follow-ups. In addition, women receiving risk reduction counseling were significantly less likely to have returned for STI clinic services but did not differ in the number of STI clinic visits over the year. Brief single-session STI prevention counseling demonstrates significant targeted outcomes. The findings suggest that counseling approaches to both increase condom use and enhance partner notification may offer more robust and sustained outcomes and should be tested in future research.

Bathhouse Counseling, or the Relevance of Psychoanalytic Interventions in Clinical Social Work

ABSTRACTThe present article explores ways in which psychoanalytic theory and technique can help clinical social workers and psychoanalytic clinicians face some of the challenges of working with difficult-to-access populations. It addresses how to bridge gaps in mental health services by doing culturally sensitive mental health outreach to specific vulnerable communities. The article addresses clinical competencies, and how we can strengthen them with psychoanalytic theory to reach out to marginalized populations considered “difficult to reach.” Specifically, this article examines the experience of providing mental health counseling in male bathhouses, using psychoanalytic theory to support a single-session counseling model geared to decreasing the risk of HIV transmissions among gay, bisexual, and other men who have sex with men (MSM).

The risk of metacommunication to manage interactional trouble in online chat counseling

The main handbook on online counseling used in the Netherlands recommends counselors to use metacommunication, i. e. to state what happens during the interaction, in case of interactional trouble. The aim of this study was to explore this interactional strategy by describing how counselors may use metacommunication to respond to interactional problems in online counseling of the “helpline” type (single chat sessions). Data were derived from a corpus of 197 sessions of the Dutch information chat service on alcohol and drugs and 348 sessions from a Dutch general chat help service. The theoretical and analytical framework of (digital) conversation analysis (CA) was used to analyze the data. The analyses show that metacommunication is used, but only rarely. Clients tend to log out from problematic sessions, often even before the counselor is able to identify interactional trouble at all. This means online counselors operate under the constant risk of clients’ disengagement. Second, we identified and described three metacommunicative practices counselors use to respond to problematic interaction: 1) Self-criticizing; the counselor is regretting (s)he was not able to help due to a lack of useful advice or to the boundaries of the institutional context. This strategy seems to elicit client acknowledgement followed by an aligned closing; 2) Accusing: the counselor is questioning the client’s advice recipiency. This strategy seems to elicit even more client resistance. 3) Explaining: the counselor explains the institutional tasks and responsibilities and/or suggests the client has unrealistic expectations. We conclude that although metacommunication can be useful to restore the relationship with the client when it is apologetic, it can also be counterproductive to deal with problematic interaction when the counselor questions the client’s willingness or ability to accept the advice. For this reason, our analysis warrants the advice to avoid metacommunication as a strategy in single session counseling.

Efficacy of Adjunctive Single Session Counseling for Medically Unexplained Symptoms: A Randomized Controlled Trial

Context:Medically unexplained symptoms (MUS) are often poorly responsive to standard treatments.Aim:The aim of the study is to assess short-term efficacy of adjunctive single session cognitive behavior therapy (CBT)-based counseling for patients with MUS.Setting and Design:Randomized controlled trial at a psychosomatic clinic of a tertiary care hospital.Materials and Methods:Patients with MUS were randomized to receive either the single session counseling (intervention group) (n = 41) or control group which received treatment as usual (n = 35). The counseling intervention focused on three areas – cognitive reattribution, shifting focus, and guided muscular relaxation and lasted around 30 min. The two groups were assessed at baseline and after 1 month for change in outcome measures.Statistical Analysis Used:Repeated measures analysis of variance. P value was adjusted for multiple comparisons using Bonferroni correction and set at <0.01 for significance.Results:Both groups did not differ on change in the primary outcome measure: Patient Health Questionnaire – 15 scores (P = 0.055). However, at follow-up, the intervention group showed statistically greater reduction in the number of workdays lost (P = 0.005). Trend level changes were noted for depressive symptom reduction only in the intervention group (P = 0.022).Conclusions:One session CBT-based therapy demonstrates potentially important benefits over standard care among Indian patients with MUS. Further testing in larger samples with longer follow-up periods is therefore recommended.

Training counsellors in low and middle income countries in single session counselling

Training counsellors in low and middle income countries in single session counselling

Step Care treatment for smoking cessation.

We compared the effectiveness of a ‘stepped care’ approach with increasing treatment intensity (‘Step Care’) to one with repeated treatments (‘Recycle’) among cigarette smokers interested in quitting smoking. Step 1 of the Step Care intervention consisted of a single counseling session, nicotine patch for six weeks and telephonic contact. For smokers not achieving tobacco abstinence 6 months after randomization with Step 1, the intensity of the intervention increased to four counseling sessions, bupropion sustained-release, nine telephone calls and three mailings (Step 2). For those not achieving tobacco abstinence 12 months after randomization, smokers received six behavioral counseling sessions, nicotine patch and nicotine gum, nine telephone calls and three mailings (Step 3). The Recycle participants received one session of health behavior counseling, six weeks of the nicotine patch and a telephone call at each step. 270 cigarette smokers were randomized. At 24 months after randomization using an intention to treat analysis, no statistically significant difference was observed in prolonged smoking abstinence between the Step Care and Recycle condition (16.9% versus 9.4%; adjusted OR = 1.88; 95% CI 0.88–4.01; P =0.10). Additional research is needed to explore whether a stepped care intervention increases long-term smoking abstinence rates compared with repeating the same intervention.

Motivational interviewing and the decisional balance procedure for cessation induction in smokers not intending to quit

IntroductionThe decisional balance (DB) procedure examines the pros and cons of behavior change and was considered a component in early formulations of Motivational Interviewing (MI). However, there is controversy and conflicting findings regarding the use of a DB exercise within the treatment of addictions and a need to clarify the role of DB as a component of MI. MethodsCollege tobacco smokers (N=82) with no intentions on quitting were randomly assigned to receive a single counseling session of either Motivational Interviewing using only the decisional balance component (MIDB), or health education around smoking cessation (HE). Assessments were obtained at baseline, immediately post-treatment, 1week, and 4weeks. ResultsCompared to HE, the MIDB sessions scored significantly higher on the Motivational Interviewing Treatment Integrity (MITI) scale (all standardized differences d>1, p<0.001). Unexpectedly, self-report Pros of smoking scores increased for MIDB but decreased for HE (MIDB vs HE standardized difference d=0.5; 95%CI 0.1 to 1.0, p=0.021). Both groups showed significant reductions in smoking rates and increases in motivation to quit, quit attempts, and self-reported abstinence, with no significant group differences. Changes in the Pros of smoking were correlated with MITI scores, but not with cessation outcomes. In contrast, increases in the Cons of smoking and therapeutic alliance were predictive of better cessation outcomes. ConclusionsThe decisional balance exercise as formulated by earlier versions of MI may be counter-productive and cautions around its use are warranted. Instead, improved cessation outcomes appear associated with increasing perceived benefits of quitting and positive therapeutic alliance.

Practice-based qualitative research: Participant experiences of walk-in counselling and traditional counselling

Walk-in single session counselling is becoming a more widely used model for delivering mental health services across Ontario. This paper reports findings from the qualitative phase of a mixed method study, exploring the experiences of those attending walk-in counselling model compared to the traditional service delivery model employing a wait list. We used a comparative case study design for the qualitative phase. Findings reveal that participant outcomes of the walk-in counselling model are influenced by accessibility, how a participant makes sense of the service and the degree to which a participant is motivated and able to engage in counselling. Walk-in counselling supports the mental health system by reducing wait lists associated with traditional service delivery models and meeting the needs many people identify for immediate consultation. Other participants still perceive themselves as requiring ongoing counselling over time and involving in-depth exploration. This research supports health systems providing access to both models.

Same-Day Counseling: Study Protocol for the Evaluation of a New Mental Health Service.

BackgroundSingle-session counseling is being implemented across Canada to increase the accessibility and availability of mental health services. Despite increasing use, existing research on single-session counseling is sparse and has methodological limitations. In addition, some stakeholders are skeptical that this model of care can support meaningful change for clients.ObjectiveThe aim of this study is to evaluate a new single-session counseling program (called Same-Day Counseling) offered in an outpatient community mental health clinic in Northwestern Ontario, Canada.MethodsClients who attend Same-Day Counseling services will be given the opportunity to participate in the program evaluation. Those who consent will complete measures before their session, after their session, and at 1-month follow-up. Data will provide information on who accesses Same-Day Counseling (eg, typical presenting problems, symptom severity), client satisfaction with services, and whether clients benefit from the services (eg, improved functioning and reduced symptom severity).ResultsData collection is underway with 80 participants having completed baseline measures and 55 participants having completed follow-up measures. Data collection is expected to conclude in December 2015.ConclusionsThis study is designed to contribute to the literature regarding the integration of single-session counseling into ongoing mental health services, with additional attention to methodological rigour. Our approach will help to address ongoing concerns regarding the implementation of single-session counseling, and inform health care providers and policy makers regarding the utility of this model for addressing the mental health care need of the community.

Developing physical activity interventions for adults with spinal cord injury. Part 2: Motivational counseling and peer-mediated interventions for people intending to be active.

The majority of people with spinal cord injury (SCI) do not engage in sufficient leisure-time physical activity (LTPA) to attain fitness benefits; however, many have good intentions to be active. This paper describes two pilot interventions targeting people with SCI who are insufficiently active but intend to be active (i.e., "intenders"). Study 1 examined the effects of a single, telephone-based counseling session on self-regulatory efficacy, intentions, and action plans for LTPA among seven men and women with paraplegia or tetraplegia. Study 2 examined the effects of a home-based strength-training session, delivered by a peer and a fitness trainer, on strength-training task self-efficacy, intentions, action plans, and behavior. Participants were 11 men and women with paraplegia. The counseling session (Study 1) yielded medium- to large-sized increases in participants' confidence to set LTPA goals and intentions to be active. The home visit (Study 2) produced medium- to large-sized increases in task self-efficacy, barrier self-efficacy, intentions, action planning, and strength-training behavior from baseline to 4 weeks after the visit. Study 1 findings provide preliminary evidence that a single counseling session can impact key determinants of LTPA among intenders with SCI. Study 2 findings demonstrate the potential utility of a peer-mediated, home-based strength training session for positively influencing social cognitions and strength-training behavior. Together, these studies provide evidence and resources for intervention strategies to promote LTPA among intenders with SCI, a population for whom LTPA interventions and resources are scarcely available.