Evaluating motivational enhancement therapy adherence and competence among Spanish-speaking therapists
Evaluating motivational enhancement therapy adherence and competence among Spanish-speaking therapists
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DOI：
10.1016/j.drugalcdep.2009.03.006
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发表时间：
2009-07-01
影响因子：
4.2
通讯作者：
Martino, Steve
中科院分区：
文献类型：
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作者：
Ana, Elizabeth J. Santa;Carroll, Kathleen M.;Martino, Steve
尽管事实上，需要治疗的物质使用问题的西班牙裔个人的数量在国际上正在增加，没有研究调查在何种程度上治疗师可以提供经验支持的治疗，以西班牙语客户有足够的保真度。来自美国五个社区门诊治疗项目的23名双语西班牙裔治疗师被随机分配到405名随机分配到这些条件的西班牙语客户中，进行三次动机增强治疗（MET）或同等数量的西班牙语药物咨询（CAU）。325次会议的独立评级表明，依从性/能力评级系统具有良好的评价者间的可靠性，并表示强有力的支持先验定义的基本MET技能因素。对高级MET技能因素的支持相对较弱。评定量表表明治疗师的MET依从性和能力在不同条件下存在显着差异。这些研究结果表明，评级系统有希望评估的治疗师谁提供MET在西班牙语的表现，并建议双语西班牙语治疗师从社区可以接受培训，实施MET与足够的保真度和技能，使用密集的多站点培训和监督模式。出版社：Elsevier爱尔兰Ltd.
Despite the fact that the number of Hispanic individuals in need of treatment for Substance use problems is increasing internationally, no studies have investigated the extent to which therapists can provide empirically supported treatments to Spanish-speaking clients with adequate fidelity. Twenty-three bilingual Hispanic therapists from five Community outpatient treatment programs in the United States were randomly assigned to deliver either three sessions of motivational enhancement therapy (MET) or an equivalent number of drug counseling-as-usual (CAU) sessions in Spanish to 405 Spanish-speaking clients randomly assigned to these conditions. Independent ratings of 325 sessions indicated the adherence/competence rating system had good to excellent interrater reliability and indicated strong support for an a priori defined fundamental MET skill factor. Support for an advanced MET skill factor was relatively weaker. The rating scale indicated significant differences in therapists' MET adherence and competence across conditions. These findings indicate that the rating system has promise for assessing the performance of therapists who deliver MET in Spanish and suggest that bilingual Spanish-speaking therapists from the community can be trained to implement MET with adequate fidelity and skill using an intensive multisite training and supervision model. Published by Elsevier Ireland Ltd.