Therapist predictors of treatment delivery fidelity in a community-based trial of 12-step facilitation.
Therapist predictors of treatment delivery fidelity in a community-based trial of 12-step facilitation.
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DOI：
10.3109/00952990.2013.799175
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发表时间：
2013-09
期刊：
影响因子：
--
通讯作者：
Guydish JR
中科院分区：
文献类型：
--
作者：
Campbell BK;Buti A;Fussell HE;Srikanth P;McCarty D;Guydish JR
治疗师的特征可能与治疗实施的一致性、质量和有效性的变化有关。我们在十二步促进（TSF）的随机、多地点试验中检查了治疗忠诚度与治疗师教育、经验、治疗方向和感知技能之间的关联。评估者对 32 位经过培训的社区治疗师的录音 TSF 课程（n = 966；97% 的 TSF 课程）的依从性、能力、同理心和整体课程表现进行评分。拥有研究生学位的治疗师的依从性和整体表现保真度评级明显更高。对 12 步小组持更积极态度的治疗师的遵守率较低。处于恢复状态与单变量测试中较低的保真度相关，但在多变量分析中与较高的依从性相关。治疗师在基本咨询技能方面的自我效能感较高，而在成瘾特定咨询技能方面的自我效能感较低。相对于单独的 TSF 会话，团体的保真度也更高。结果对基于社区的有效性试验的治疗师选择、培训和监督以及循证治疗的社区实施具有影响。为了获得高保真度并改善结果，最好选择愿意学习新疗法并具有良好的一般咨询技能的大师级治疗师。
Therapist characteristics may be associated with variation in consistency, quality and effectiveness of treatment delivery. We examined associations between treatment fidelity and therapist education, experience, treatment orientation, and perceived skills in a randomized, multi-site trial of Twelve Step Facilitation (TSF). Raters scored audio-recorded, TSF sessions (n = 966; 97% of TSF sessions) from 32 community-based, trained therapists for adherence, competence, empathy, and global session performance. Therapists with graduate degrees had significantly higher adherence and global performance fidelity ratings. Therapists reporting more positive attitudes towards 12-Step groups had lower adherence ratings. Being in recovery was associated with lower fidelity in univariate tests, but higher adherence in multivariate analysis. Fidelity was higher for therapists reporting self-efficacy in basic counseling skills and lower for self-efficacy in addiction-specific counseling skills. Fidelity was also superior in group relative to individual TSF sessions. Results have implications for therapist selection, training and supervision in community-based, effectiveness trials and community implementation of evidence-based treatments. To obtain high fidelity and improve outcomes, it may be preferable to choose masters level therapists who are open to learning new treatments and have good, general counseling skills.
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影响因子：
3.4
作者：
Campbell, Barbara K.;Fuller, Bret E.;McCarty, Dennis
通讯作者：
McCarty, Dennis
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：
3.9
作者：
Baer, John S.;Wells, Elizabeth A.;Dunn, Chris
通讯作者：
Dunn, Chris
影响因子：
6
作者：
Carroll, KM;Nich, C;Rounsavile, BJ
通讯作者：
Rounsavile, BJ
NIDA 临床试验网络中针对兴奋剂滥用的组合团体和个人 12 步辅助干预：STAGE-12。
DOI：
10.1080/1556035x.2011.597196
发表时间：
2011
期刊：
Journal of groups in addiction & recovery
影响因子：
--
作者：
Daley DC;Stuart Baker MA;Donovan DM;Hodgkins CG;Perl H
通讯作者：
Perl H