Validity of therapist self-report ratings of fidelity to evidence-based practices for adolescent behavior problems: correspondence between therapists and observers.
Adm Policy Ment Health
; 42(2): 229-43, 2015 Mar.
Article
en En
| MEDLINE
| ID: mdl-24711046
ABSTRACT
Developing therapist-report fidelity tools to support quality delivery of evidence-based practices in usual care is a top priority for implementation science. This study tested the reliability and accuracy of two groups of community therapists who reported on their use of family therapy (FT) and motivational interviewing/cognitive-behavioral therapy (MI/CBT) interventions during routine treatment of inner-city adolescents with conduct and substance use problems. Study cases (n = 45) were randomized into two conditions (a) Routine Family Therapy (RFT), consisting of a single site that featured family therapy as its standard of care for behavioral treatment; or (b) Treatment As Usual (TAU), consisting of five sites that featured non-family approaches. Therapists and trained observational raters provided FT and MI/CBT adherence ratings on 157 sessions (104 RFT, 53 TAU). Overall therapist reliability was adequate for averaged FT ratings (ICC = .66) but almost non-existent for MI/CBT (ICC = .06); moreover, both RFT and TAU therapists were more reliable in reporting on FT than on MI/CBT. Both groups of therapists overestimated the extent to which they implemented FT and MI/CBT interventions. Results offer support for the feasibility of using existing therapist-report methods to anchor quality assurance procedures for FT interventions in real-world settings, though not for MI/CBT.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Psicoterapia
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Trastorno por Déficit de Atención con Hiperactividad
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Terapia Cognitivo-Conductual
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Trastorno de la Conducta
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Terapia Familiar
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Práctica Clínica Basada en la Evidencia
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Autoinforme
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Entrevista Motivacional
Tipo de estudio:
Clinical_trials
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Guideline
Límite:
Adolescent
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Female
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Humans
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Male
Idioma:
En
Año:
2015
Tipo del documento:
Article