Assessing fidelity in individual and family therapy for adolescent substance abuse
Assessing fidelity in individual and family therapy for adolescent substance abuse
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DOI：
10.1016/j.jsat.2007.09.002
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发表时间：
2008-09-01
影响因子：
3.9
通讯作者：
Liddle, Howard A.
中科院分区：
文献类型：
--
作者：
Hogue, Aaron;Dauber, Sarah;Liddle, Howard A.
本研究介绍了一个观察性措施的保真度在循证实践中的青少年药物滥用治疗。治疗师行为评定量表-能力（TBRS-C）测量青少年物质滥用的个体认知行为治疗和多维家庭治疗的依从性和能力。TBRS-C评估每种方法对核心治疗目标的忠诚度，还包含治疗师能力的全球评级。研究参与者是136名临床转诊的青少年及其家人，观察了437次治疗。TBRS-C表现出较强的评价者间的治疗依从性的目标特异性评级的可靠性，和适度的治疗师能力的目标特异性和全球评级的可靠性，结构效度的证据，和判别效度与治疗联盟的观察措施。TBRS-C的实用程序进行了讨论，用于评估治疗保真度在现场设置。(C)2008年爱思唯尔公司All rights reserved.
This study introduces an observational measure of fidelity in evidence-based practices for adolescent substance abuse treatment. The Therapist Behavior Rating Scale-Competence (TBRS-C) measures adherence and competence in individual cognitive-behavioral therapy and multidimensional family therapy for adolescent substance abuse. The TBRS-C assesses fidelity to the core therapeutic goals of each approach and also contains global ratings of therapist competence. Study participants were 136 clinically referred adolescents and their families observed in 437 treatment sessions. The TBRS-C demonstrated strong interrater reliability for goal-specific ratings of treatment adherence, and modest reliability for goal-specific and global ratings of therapist competence, evidence of construct validity, and discriminant validity with an observational measure of therapeutic alliance. The utility of the TBRS-C for evaluating treatment fidelity in field settings is discussed. (C) 2008 Elsevier Inc. All rights reserved.