Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs

Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs
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DOI:
10.1207/s15374424jccp3102_02
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发表时间:
2002-06-01
影响因子:
4.2
通讯作者:
Edwards, DL
Edwards, DL
中科院分区:
心理学1区
文献类型:
--
作者:
Henggeler, SW;Schoenwald, SK;Edwards, DL

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验证了临床监督实践的措施,进一步验证了治疗师依从性的措施,并检查了监督实践与治疗师依从循证治疗模式(即,多系统治疗[MST])。监督员遵守MST监督协议之间的联系,通过治疗师的报告进行评估,和治疗师遵守MST原则,通过护理报告进行评估的证据,从285个家庭的青少年提出严重的临床问题,74名治疗师和12名主管的16个团队在9个组织提供MST跨3个州。研究结果提供了一个有价值的一步,在现实世界的临床环境中检查治疗师的保真度复杂的治疗的决定因素。
Validated a measure of clinical supervision practices, further validated a measure of therapist adherence, and examined the association between supervisory practices and therapist adherence to an evidence-based treatment model (i.e., multisystemic therapy [MST]) in real-world clinical settings. Evidence of linkages between supervisor adherence to the MST supervisory protocol, as assessed through therapist reports, and therapist adherence to MST principles, as assessed through caregiver reports, was obtained from 285 families of youths presenting serious clinical problems, and 74 therapists and 12 supervisors of 16 teams in 9 organizations providing MST across 3 states. The findings provide a valuable step in examining the determinants of therapist fidelity to complex treatments in real-world clinical settings.