Reliability, factor structure, and validity of an observer-rated alliance scale with youth.
Reliability, factor structure, and validity of an observer-rated alliance scale with youth.
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DOI：
10.1037/pas0001036
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发表时间：
2021-10
影响因子：
3.6
通讯作者：
Kendall PC
中科院分区：
文献类型：
--
作者：
McLeod BD;Cecilione J;Jensen-Doss A;Southam-Gerow MA;Kendall PC
测量的局限性减少了关于联盟在青年心理社会治疗中的作用的结论。本研究旨在探讨儿童心理治疗联盟量表（TPOCS-A）的信度、因子结构和效度。样本为51名7-15岁的青年（M年龄= 10.36岁，SD = 1.90; 86.3%为白色; 60.8%为男性，39.2%为女性），符合主要焦虑症的诊断标准，并接受了认知行为治疗。治疗疗程（N = 463）由独立编码员使用TPOCS-A沿着以及治疗依从性和治疗师能力的观察指标进行编码。青少年和治疗师也完成了自我报告联盟的措施，在每次会议结束。项目水平的可靠性估计ICC（2，2）表明平均评分者间可靠性为0.68（SD = 0.10），平均编码器稳定性为0.64（SD = 0.11）。探索性因素分析确定了一个单因素的解决方案，有五个项目。TPOCS-A分数证明收敛效度与治疗师和治疗师的联盟报告，但没有收敛与儿童报告联盟措施。TPOCS-A分数证明区分效度的分数相比，坚持和能力的措施。TPOCS-A的9项和5项版本的信度和效度特征相似。总体而言，研究结果支持TPOCS-A评分的可靠性和有效性，但问题仍然是如何最好地评估与儿童的联盟。
Measurement limitations lessen the conclusions about the role of the alliance in youth psychosocial treatment. This paper examined the score reliability, factor structure, and validity of the 9-item Therapy Process Observational Coding System for Child Psychotherapy – Alliance scale (TPOCS-A). The sample, 51 youth aged 7-15 years (M age = 10.36 years, SD = 1.90; 86.3% White; 60.8% male, 39.2% female), met diagnostic criteria for a principal anxiety disorder and received cognitive-behavioral therapy. Treatment sessions (N = 463) were coded by independent coders using the TPOCS-A along with observational measures of treatment adherence and therapist competence. Youth and therapists also completed self-report alliance measures at the end of each session. Reliability estimates, ICC(2,2), at the item level indicated a mean interrater reliability of .68 (SD = .10) and a mean coder stability of .64 (SD = .11). An exploratory factor analysis identified a one-factor solution with five items. TPOCS-A scores evidenced convergent validity with the therapist- and adolescent-reports of alliance but did not converge with the child-report alliance measure. TPOCS-A scores evidenced discriminant validity when compared with scores on adherence and competence measures. The reliability and validity profile of the 9- and 5-item versions of the TPOCS-A were similar. Overall, findings support the reliability and validity of the TPOCS-A scores, but questions remain about how best to assess the alliance with children.
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影响因子：
3.6
作者：
Accurso, Erin C.;Garland, Ann F.
通讯作者：
Garland, Ann F.
影响因子：
7.6
作者：
Fjermestad, Krister W.;Lerner, Matthew D.;Haugland, Bente S. M.
通讯作者：
Haugland, Bente S. M.
影响因子：
5.9
作者：
Halfon, Sibel;Ozsoy, Deniz;Cavdar, Alev
通讯作者：
Cavdar, Alev
DOI：
10.1207/s15374424jccp3401_11
发表时间：
2005-03-01
影响因子：
4.2
作者：
Hawley, KM;Weisz, JR
通讯作者：
Weisz, JR
影响因子：
3.7
作者：
Boyer, Bianca;MacKay, Kelsey J.;van der Oord, Saskia
通讯作者：
van der Oord, Saskia