A general system for evaluating therapist adherence and competence in psychotherapy research in the addictions
A general system for evaluating therapist adherence and competence in psychotherapy research in the addictions
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DOI：
10.1016/s0376-8716(99)00049-6
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发表时间：
2000-01-01
影响因子：
4.2
通讯作者：
Rounsaville, BJ
中科院分区：
文献类型：
--
作者：
Carroll, KM;Nich, C;Rounsaville, BJ
耶鲁依从性和能力量表（YACS）是评定治疗师依从性和提供物质使用障碍行为治疗能力的通用系统。该系统包括三个量表测量药物滥用治疗的“一般”方面（评估，一般支持，治疗目标），以及三个量表测量三种治疗的关键要素，这些治疗经常在成瘾临床研究中作为对照或比较治疗（临床管理（CM），十二步促进（TSF）和认知行为治疗（CBT））。使用随机临床试验的数据验证的YACS表明，量表具有良好的信度，因素结构，同时和判别效度。坚持和能力的分数在规模之间的相关性是在中等范围内，表明这些方面的独立性（因此非冗余）。在成瘾的心理治疗和药物治疗研究中使用YACS的策略进行了描述。(C)2000爱思唯尔科学爱尔兰有限公司保留所有权利。
The Yale Adherence and Competence Scale (YACS) is a general system for rating therapist adherence and competence in delivering behavioral treatments for substance use disorders. The system includes three scales measuring 'general' aspects of drug abuse treatment (assessment, general support, goals of treatment), as well as three scales measuring critical elements of three treatments that are frequently implemented as control or comparison treatments in clinical research in the addictions (clinical management (CM), twelve step facilitation (TSF), and cognitive behavioral therapy (CBT)). Validation of the YACS using data from a randomized clinical trial indicated that the scales have excellent reliability, factor structure, concurrent and discriminant validity. Correlations between adherence and competence scores within scales were in the moderate range, indicating independence (and thus nonredundancy) of these dimensions. Strategies for using the YACS in both psychotherapy and pharmacotherapy research in the addictions are described. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.