A Pilot Test of the Functional Family Therapy Coding and Rating Scale

功能家庭治疗编码和评定量表的试点测试

• 批准号: 7314642
• 负责人: TIMOTHY J OZECHOWSKI
• 金额: $ 7.64万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-26 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7314642
• 关键词: Adolescent; Agreement; Archives; Behavior; Behavior Therapy; Behavioral; Boston; Clinical; Clinical Trials; Code; Communication; Communities; Data; Development; Effectiveness; Emotional; Exhibits; Family; Family psychotherapy; Health Benefit; Intervention; Judgment; Link; Manuals; Measures; Mediating; Methods; National Institute of Drug Abuse; Outcome Study; Participant; Phase; Pilot Projects; Prevalence; Principal Investigator; Problem behavior; Procedures; Process; Property; Public Health; Purpose; Randomized Clinical Trials; Range; Rate; Relapse; Research; Research Personnel; Sampling; Staging; Students; Techniques; Testing; Training; Transportation; Treatment outcome; United States; Validation; Videotape; adolescent drug abuse; adolescent drug use; base; design; insight; instrument; theories; therapy development; tool

DESCRIPTION (provided by applicant): The objective of this project is to conduct a pilot study of the Functional Family Therapy Coding and Rating Scale (FFT CARS). The FFT CARS is a theory-driven observational research tool for rating and coding the presence of manual-based therapist interventions and techniques in sessions of FFT. As a theory- and manual-based process research tool, the FFT CARS will facilitate direct empirical tests of fundamental hypotheses about clinical components, processes, and mechanisms associated with sustained treatment outcomes in FFT. To date, no such observational instrument exists that could accomplish these critical FFT process research objectives. Such research is urgently needed to provide empirical support for the ongoing refinement and manualization of FFT and its transportation to community-based treatment settings across the United States and abroad. The specific aims of the proposed pilot study are to: (a) train two novice graduate student clinicians to utilize the FFT CARS to code and rate a sample of recorded FFT sessions; (b) establish and demonstrate satisfactory interrater agreement and reliability for the FFT CARS through a range of analytic approaches; and (c) assess the validity of the FFT CARS by using a range of clinical indicators derived from the instrument to predict therapist-family alliance formation, and pre- to post-treatment changes in family communication and adolescent treatment outcomes. Achieving these aims would establish the FFT CARS as a credible and bona fide process research instrument. Subsequently, the FFT CARS may be used to rate and code the massive volume of archived FFT clinical videotapes that has accumulated over the course of numerous randomized clinical trials over the past decade. A wealth of assessment data exists pertaining to change in adolescent drug use and other aspects of emotional, behavioral, and family functioning for the adolescent participants in these clinical trials. Using the FFT CARS to study how therapist behavior during treatment is linked to sustained improvement, non- improvement, or relapse in FFT would provide valuable clinical insights to inform the refinement of FFT in ways that can enhance its effectiveness and transportability. Ultimately, transporting effective treatments into community-based clinical settings is indispensable for reducing the prevalence of adolescent drug abuse to a degree sufficient to produce public health benefits.

描述（由申请人提供）：该项目的目标是对功能家庭治疗编码和评定量表（FFT CARS）进行试点研究。 FFT CARS 是一种理论驱动的观察研究工具，用于对 FFT 治疗中基于手动的治疗师干预和技术的存在进行评级和编码。作为一种基于理论和手动的过程研究工具，FFT CARS 将促进对与 FFT 持续治疗结果相关的临床成分、过程和机制的基本假设进行直接实证检验。迄今为止，还没有这样的观测仪器可以实现这些关键的 FFT 过程研究目标。迫切需要此类研究为 FFT 的持续改进和手动化及其向美国和国外基于社区的治疗环境的传输提供实证支持。拟议试点研究的具体目标是： (a) 培训两名新手研究生临床医生利用 FFT CARS 对记录的 FFT 会话样本进行编码和评级； (b) 通过一系列分析方法建立并证明 FFT CARS 令人满意的交互者协议和可靠性； (c) 通过使用源自该仪器的一系列临床指标来评估 FFT CARS 的有效性，以预测治疗师-家庭联盟的形成，以及治疗前后家庭沟通和青少年治疗结果的变化。实现这些目标将使 FFT CARS 成为可靠且真正的过程研究工具。随后，FFT CARS 可用于对过去十年中大量随机临床试验过程中积累的大量存档的 FFT 临床录像带进行评级和编码。存在大量关于青少年吸毒变化以及这些临床试验中青少年参与者情绪、行为和家庭功能其他方面的评估数据。使用 FFT CARS 研究治疗期间治疗师的行为与 FFT 的持续改善、未改善或复发之间的关系，将提供有价值的临床见解，为 FFT 的改进提供信息，从而提高其有效性和可移植性。最终，将有效的治疗方法引入社区临床环境对于将青少年药物滥用的流行率降低到足以产生公共健康效益的程度是必不可少的。