The effects of manual-based training on treatment fidelity and outcome: A review of the literature on adult individual psychotherapy
The effects of manual-based training on treatment fidelity and outcome: A review of the literature on adult individual psychotherapy
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DOI：
10.1037/0033-3204.39.2.184
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发表时间：
2002-06-01
期刊：
影响因子：
2.5
通讯作者：
Binder, JL
中科院分区：
文献类型：
--
作者：
Miller, SJ;Binder, JL
作者研究了与心理治疗结果研究中使用治疗手册相关的培训问题。特别是，他们检查了方法论方面的考虑因素，例如手动培训的操作合理化、培训师效果、调解培训的治疗师变量、与实验设计相关的问题以及适当因变量的选择和定义。研究文献表明，基于手动的培训可以产生技术依从性。治疗能力的提高是在病例内部而不是病例之间看到的。研究人员无法在治疗保真度和患者结果之间建立牢固的联系。审查的结论是，对基于手册的治疗领域的培训研究的有限关注损害了心理治疗结果研究得出的结论，而心理治疗结果研究依赖手册来确保实验变量的统一交付。
The authors examine training issues related to the use of treatment manuals in psychotherapy outcome research. In particular, they examine methodological considerations such as the ope rationalization of manual-based training, trainer effects, therapist variables that mediate training, issues related to experimental design, and the choice and definition of appropriate dependent variables. The research literature indicates that manual-based training can produce technical adherence. Improvements in treatment competence were seen within, as opposed to across, cases. Researchers have been unable to draw strong links between treatment fidelity and patient outcomes. The review concludes that the limited focus on training studies in the manual-based treatment field compromises conclusions drawn from psychotherapy outcome research that relies on manuals to ensure a uniform delivery of the experimental variable.