Treatment Fidelity and Outcome in CBT for Youth with Autism: The MEYA Fidelity Scale.
Treatment Fidelity and Outcome in CBT for Youth with Autism: The MEYA Fidelity Scale.
复制标题
自闭症青少年 CBT 的治疗保真度和结果：MEYA 保真度量表。
DOI：
10.1080/15374416.2022.2124515
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Rosenau,KashiaA
中科院分区：
文献类型：
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作者：
McLeod,BryceD;Wood,JeffreyJ;CecilioneHerbst,Jennifer;Dunn,Danielle;Kendall,PhilipC;Storch,EricA;Cho,AnChuen;Rosenau,KashiaA
ObjectiveAssessing treatment fidelity in effectiveness research is critical to interpreting study findings. This paper details the development and initial psychometric evaluation of the Modular Evidence-Based Practices for Youth with Autism Fidelity Scale (MEYA-FS) designed to support the assessment of cognitive-behavioral treatments for youth with autism in effectiveness research.MethodRecorded treatment sessions (N= 338) were randomly selected from 77 youth (Mage = 9.65 years,SD= 1.87; 50.67% White; 85.33% male) who received the Schema, Emotion, and Behavior-Focused Therapy for Children (SEBASTIEN) (n= 51) or Coping Cat (n= 24) program.ResultsThe MEYA-FS Adherence items displayed acceptable interrater reliability, but more than half of the MEYA-FS Competence items did not. The magnitude and pattern of correlations supported the score validity of the MEYA-FS Adherence and Competence items and subscales. However, some corresponding Adherence and Competence items displayed significant overlap. Scores on each Adherence subscale distinguished between the SEBASTIEN and Coping Cat programs, providing support for discriminant validity. Finally, higher Adherence and Competence subscales predicted significant improvements in youth clinical outcomes (adjustment problems in the school setting, social-communication difficulties, restrictive/repetitive behaviors, and externalizing problems), providing initial evidence for predictive validity.ConclusionsThe psychometric properties of the MEYA-FS make it appropriate for supporting efforts to evaluate cognitive-behavioral interventions for youth with autism in effectiveness and implementation research.
