Therapist-Observer Concordance in Ratings of EBP Strategy Delivery: Challenges and Targeted Directions in Pursuing Pragmatic Measurement in Children's Mental Health Services.
Therapist-Observer Concordance in Ratings of EBP Strategy Delivery: Challenges and Targeted Directions in Pursuing Pragmatic Measurement in Children's Mental Health Services.
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DOI：
10.1007/s10488-020-01054-x
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Lau AS
中科院分区：
文献类型：
--
作者：
Brookman-Frazee L;Stadnick NA;Lind T;Roesch S;Terrones L;Barnett ML;Regan J;Kennedy CA;F Garland A;Lau AS
治疗师提供的循证实践（EBP）的务实措施是至关重要的，以评估大规模的，多个EBP实施工作的影响。作为务实的测量发展的第一步，目前的研究探讨了治疗师和观察员之间的一致性评估项目提供的EBP策略被认为是必不可少的共同儿童EBP目标的评级。还探讨了与一致性相关的可能的EBP、会话和治疗师水平因素。治疗师和独立的观察员评价治疗师（n = 103）EBP策略交付的广泛性，在680个社区心理治疗会议中，使用6个EBP。治疗师和非治疗师报告的EBP策略使用的广泛性之间的一致性至少是公平的（ICC ≥.40），大约一半的项目。更大的治疗观察员一致性观察会议中，一个结构化的EBP交付和治疗师报告能够进行计划的活动。研究结果强调了可能改善或阻碍治疗师以与独立观察者一致的方式报告自己的EBP策略交付的能力的条件。这些结果可以帮助告知务实的治疗师报告措施的EBP战略交付和实施工作的发展更广泛。
Pragmatic measures of therapist delivery of evidence-based practice (EBP) are critical to assessing the impact of large-scale, multiple EBP implementation efforts. As an initial step in the development of pragmatic measurement, the current study examined the concordance between therapist and observer ratings of items assessing delivery of EBP strategies considered essential for common child EBP targets. Possible EBP-, session-, and therapist-levels factors associated with concordance were also explored. Therapists and independent observers rated the extensiveness of therapist (n=103) EBP strategy delivery in 680 community psychotherapy sessions in which six EBPs were used. Concordance between therapist- and observer-report of the extensiveness of therapist EBP strategy use was at least fair (ICC ≥ .40) for approximately half of the items. Greater therapist-observer concordance was observed in sessions where a structured EBP was delivered and in sessions where therapists reported being able to carry out planned activities. Findings highlighted conditions that may improve or hinder therapists’ ability to report on their own EBP strategy delivery in a way that is consistent with independent observers. These results can help inform the development of pragmatic therapist-report measures of EBP strategy delivery and implementation efforts more broadly.
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影响因子：
5.9
作者：
Chorpita, Bruce F.;Bernstein, Adam;Daleiden, Eric L.
通讯作者：
Daleiden, Eric L.
DOI：
10.1023/b:mhsr.0000024351.12294.65
发表时间：
2004-06-01
期刊：
Mental health services research
影响因子：
--
作者：
Aarons, Gregory A
通讯作者：
Aarons, Gregory A
影响因子：
4.2
作者：
Decker SE;Martino S
通讯作者：
Martino S
DOI：
10.1007/s10488-014-0548-2
发表时间：
2015-03
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Hogue A;Dauber S;Lichvar E;Bobek M;Henderson CE
通讯作者：
Henderson CE
影响因子：
3.9
作者：
Brookman-Frazee, Lauren I.;Drahota, Amy;Stadnick, Nicole
通讯作者：
Stadnick, Nicole