Core Elements of Family Therapy for Adolescent Behavioral Health Problems: Validity Generalization in Community Settings.
Core Elements of Family Therapy for Adolescent Behavioral Health Problems: Validity Generalization in Community Settings.
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DOI：
10.1080/15374416.2021.1969939
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发表时间：
2023-07-04
期刊：
影响因子：
--
通讯作者：
Henderson CE
中科院分区：
文献类型：
--
作者：
Hogue A;Bobek M;Porter N;Dauber S;Southam-Gerow MA;McLeod BD;Henderson CE
家庭治疗青少年心理健康和药物使用问题的核心要素最初是从专家临床医生进行的高保真会议中提炼出来的，当社区治疗师在常规环境中提供时，对其有效性进行了一般性测试。这项研究从参与以下三个治疗池之一的161例患者的录音中抽样：功能性家庭治疗实施试验(98次/50例/22名治疗师)，多系统治疗适应试验(115次/59例/2名治疗师)，以及日常护理中非手动家庭治疗的自然主义试验(107次/52例/21名治疗师)。青少年中60%为男性，40%为女性，平均年龄为15.4岁；49%为拉丁裔，27%为非拉丁裔白人，15%为非裔美国人，3%为其他种族/族裔，6%为种族/族裔不详。为每个病例随机选择会话录音(n=320)，并对21种离散的家庭治疗技术进行编码。收集一年临床结果的存档数据。验证性因素分析复制了原始蒸馏研究的因素结构，保留了由所有21种技术组成的所有四个临床连贯治疗模块：交互变化(ICC=.77，Cronbach‘sα=.81)；关系重组(ICC=.75，α=.81)；青少年参与(ICC=.72，α=.78)；关系强调(ICC=.76，α=.80)。探索性分析发现，更多地使用核心技术可以预测一个治疗池中症状的改善。从青少年行为健康问题的手工治疗中提炼出的家庭治疗的核心技术显示出强有力的证据表明有效性的推广，以及在社区环境中与客户结果联系的初步证据。
The core elements of family therapy for adolescent mental health and substance use problems, originally distilled from high-fidelity sessions conducted by expert clinicians, were tested for validity generalization when delivered by community therapists in routine settings. The study sampled recorded sessions from 161 cases participating in one of three treatment pools: implementation trial of Functional Family Therapy (98 sessions/50 cases/22 therapists), adaptation trial of Multisystemic Therapy (115 sessions/59 cases/2 therapists), and naturalistic trial of non-manualized family therapy in usual care (107 sessions/52 cases/21 therapists). Adolescents were identified as 60% male and 40% female with an average age of 15.4 years; 49% were Latinx, 27% White Non-Latinx, 15% African American, 3% another race/ethnicity, 6% race/ethnicity unknown. Session recordings (n = 320) were randomly selected for each case and coded for 21 discrete family therapy techniques. Archived data of one-year clinical outcomes were gathered. Confirmatory factor analyses replicated the factor structure from the original distillation study, retaining all four clinically coherent treatment modules comprised of all 21 techniques: Interactional Change (ICC = .77, Cronbach’s α = .81); Relational Reframe (ICC = .75, α = .81); Adolescent Engagement (ICC = .72, α = .78); Relational Emphasis (ICC = .76, α = .80). Exploratory analyses found that greater use of core techniques predicted symptom improvements in one treatment pool. Core techniques of family therapy distilled from manualized treatments for adolescent behavioral health problems showed strong evidence of validity generalization, and initial evidence of links to client outcomes, in community settings.
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DOI：
10.1007/s10488-016-0769-7
发表时间：
2017-09
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Hogue A;Dauber S;Henderson CE
通讯作者：
Henderson CE
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