Predictors of Client Implementation of Counselor Recommendations: Match With Problem, Difficulty Level, and Building on Client Strengths

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Three variables were used to predict whether clients would implement a treatment recommendation suggested by their counselor. The 3 predictor variables were (a) the match between the problem and the recommendation, (b) the difficulty level of the recommendation, and (c) the degree to which the recommendation was built on the client's strengths. Implementation of the treatment recommendation was the criterion variable, which was operationalized as the end-of-session homework assignment given by the counselor. Thirty-seven archived videotaped counseling sessions were rated by 7 raters. Using multiple regression analysis, the strength, matching, and difficulty variables were found to predict recommendation implementation.

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