Exploring the Effect of Therapists' Treatment Practices on Client Attendance in Community-Based Care for Children
Exploring the Effect of Therapists' Treatment Practices on Client Attendance in Community-Based Care for Children
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DOI：
10.1037/a0027098
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发表时间：
2012-02-01
影响因子：
2.3
通讯作者：
Brookman-Frazee, Lauren
中科院分区：
文献类型：
--
作者：
Garland, Ann F.;Haine-Schlagel, Rachel;Brookman-Frazee, Lauren
据报告，在为儿童和家庭提供服务的公共资助的社区诊所环境中，持续的治疗就诊率很低。一些儿童和家庭特征被证明可以预测社区护理的出勤率，但几乎没有进行过研究来检验护理经验，包括心理治疗师的会诊实践，如何影响客户的出勤率。这项探索性研究的目标是检查在治疗过程中观察到的实践，特别是治疗师提供与循证实践相一致的元素的程度，如何影响参加的会议总数，同时考虑到一系列其他潜在的预测因素。参与者包括181名4-13岁的儿童和他们的父母，他们参加了公共资助诊所新一轮的破坏性行为问题护理。数据来源包括治疗出勤的行政账单记录；治疗过程的编码录像；以及来自儿童、父母和治疗师的自我报告。结果表明，父母教育、服务资金来源、父母与治疗师的联盟以及治疗师的经验预测了参加会议的次数；向儿童提供循证治疗技术的强度与出席人数略有关联(p=.059)。对提高社区护理参与度的意义进行了讨论。
Sustained treatment attendance has been reported to be poor in publicly funded community-based clinic settings serving children and families. Several child and family characteristics have been shown to predict attendance in community-based care, but virtually no research has been conducted to examine how experiences in care, including psychotherapists' within-session practices, influence client attendance. The goal of this exploratory study was to examine how observed practice within sessions, in particular the extent to which therapists delivered elements consistent with evidence-based practices, impacts total number of sessions attended, while accounting for an array of other potential predictors. Participants include 181 children ages 4-13 and their parents entering a new episode of care for disruptive behavior problems in publicly funded clinics. Data sources include administrative billing records on treatment attendance; coded videotaped treatment sessions; and self-reports from children, parents, and therapists. Results indicate that parent education, service funding source, parent alliance with therapist, and therapist experience predicted number of sessions attended; intensity of evidence-based treatment techniques delivered to children was marginally associated with attendance (p = .059). Implications for improving engagement in community-based care are discussed.