Do supervisors and independent judges agree on evaluations of therapist adherence and competence in the treatment of cocaine dependence?

Do supervisors and independent judges agree on evaluations of therapist adherence and competence in the treatment of cocaine dependence?
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主管和独立法官是否同意对治疗师在治疗可卡因依赖方面的依从性和能力的评估?

DOI:
10.1080/10503307.2012.716528
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发表时间:
2012
期刊:
Psychotherapy research : journal of the Society for Psychotherapy Research
影响因子:
--
通讯作者:
Crits-Christoph,Paul
Crits-Christoph,Paul
中科院分区:
--
文献类型:
--
作者:
Dennhag,Inga;Gibbons,MaryBethConnolly;Barber,JacquesP;Gallop,Robert;Crits-Christoph,Paul

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目前的研究检查了主管和独立的法官之间的协议治疗师的依从性和能力的评价在可卡因依赖的三种治疗:支持性表达疗法(SE),认知疗法(CT),和个别药物咨询(IDC)。我们使用的数据来自美国国家药物滥用研究所的协作治疗研究(n =295)。训练有素和经验丰富的主管和独立的法官评价治疗的保真度。在治疗师水平的分析,监督员和独立的法官的评级之间的协议是弱SE能力,CT的坚持,CT能力。IDC的坚持和能力的中度关系。在CT和IDC中,主管对遵守和能力的评价始终高于法官。讨论了监管者评级中的潜在偏差。
The current study examined the agreement between supervisors' and independent judges' evaluations of therapist adherence and competence in three treatments of cocaine dependence: supportive expressive therapy (SE), cognitive therapy CT), and individual drug counseling (IDC). We used data from The National Institute on Drug Abuse Collaborative Cocaine Treatment Study (n =295). Trained and experienced supervisors and independent judges rated treatment fidelity. At the therapist level of analysis, the agreement between supervisors' and independent judges' ratings was weak for SE competence, CT adherence, and CT competence. Moderate relations were found for IDC adherence and competence. Supervisors consistently rated adherence and competence more positively than judges in CT and IDC. The potential bias in supervisors' ratings is discussed.