Examining the Relation Between Technical and Global Competence in Two Treatments for Youth Anxiety.
Examining the Relation Between Technical and Global Competence in Two Treatments for Youth Anxiety.
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DOI：
10.1016/j.beth.2021.03.009
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发表时间：
2021-11
期刊：
影响因子：
3.7
通讯作者：
Chorpita BF
中科院分区：
文献类型：
--
作者：
Cecilione JL;McLeod BD;Southam-Gerow MA;Weisz JR;Chorpita BF
虽然技术（从特定治疗中提供技术的质量）和全球（一般临床专业知识）能力被认为是成功的青少年心理社会治疗的重要组成部分，但很少有实证努力来衡量这两个方面。要了解每个能力维度在青少年治疗过程和结果中所起的作用，首先要确定这些维度是否可以单独测量。这项研究考察了旨在评估技术能力和全球能力的措施的得分是否不同。在一项随机有效性试验中，对38名治疗原发性焦虑问题的年轻人（M年龄= 9.84岁，SD = 1.65；白人60.5%；男性52.6%）的治疗疗程（N = 603）进行编码。四名编码员使用了旨在评估技术能力、全球能力、协议遵守情况和联盟的观察性措施。平均项目间信度为。70 （SD = .09）。66 （SD = 0.05）。虽然全球能力的大部分组成部分与技术能力得分不同，但有两个组成部分显示冗余（r = 0.70）。两种能力测量的得分与协议遵守和联盟测量的得分在经验上是不同的（r < .70）。虽然这些措施没有完全区分技术能力和全球能力，但我们的发现确实表明，技术能力和全球能力的某些组成部分可能提供了关于能力的独特信息。
Although technical (quality of delivering techniques from a specific treatment) and global (general clinical expertise) competence are believed to be important ingredients of successful psychosocial treatment with youth, there have been few empirical efforts to measure both dimensions. Efforts to understand the role that each competence dimension plays in the process and outcome of youth treatment starts with determining whether the dimensions can be measured separately. This study examined whether scores from measures designed to assess technical and global competence were distinct. Treatment sessions (N = 603) from 38 youths (M age = 9.84 years, SD = 1.65; 60.5% White; 52.6% male) treated for primary anxiety problems within a randomized effectiveness trial were coded. Four coders used observational measures designed to assess technical competence, global competence, protocol adherence, and the alliance. Mean item interrater reliability was .70 (SD = .09) for technical competence and .66 (SD = .05) for global competence. While most components of global competence were distinct from technical competence scores, two components showed redundancy (r > .70). Scores on both competence measures were empirically distinct (r < .70) from scores on measures of protocol adherence and the alliance. Although the measures did not fully distinguish between technical and global competence, our findings do indicate that some components of technical and global competence may provide unique information about competence.
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