Therapist perception of treatment outcome: Evaluating treatment outcomes among youth with antisocial behavior problems.
Therapist perception of treatment outcome: Evaluating treatment outcomes among youth with antisocial behavior problems.
复制标题
治疗师对治疗结果的看法：评估有反社会行为问题的青少年的治疗结果。
DOI：
10.1037/a0038555
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发表时间：
2015
影响因子：
3.6
通讯作者：
Whitmore,ElizabethA
中科院分区：
文献类型：
--
作者：
Crandal,BrentR;Foster,SharonL;Chapman,JasonE;Cunningham,PhillippeB;Brennan,PatriciaA;Whitmore,ElizabethA
有效的治疗评估需要使用测量工具来产生可靠的分数，这些分数可用于对感兴趣的结果做出有效的决定。在经验支持的治疗 (EST) 背景下获得的治疗师评定的治疗结果评分可以为临床医生和研究人员提供易于访问且与现有仪器互补的数据。我们检查了治疗师对治疗结果的看法：青少年反社会行为（TPTO：YAB）分数的心理测量特性，该工具是为评估治疗师对参与 EST、多系统治疗 (MST) 的家庭对有反社会行为问题的青少年治疗成功的判断而开发的。数据来自 MST 的纵向研究。最初的 20 项 TPTO：YAB 由治疗中期的 111 个家庭和治疗结束时的 163 个家庭的治疗师完成。拉什模型维度分析为反映治疗结果的青少年和护理人员相关方面的两个维度提供了证据，尽管双因素分析表明这些维度反映了一个更普遍的结构。拉希分析还用于评估项目和评级量表特征并细化项目数量。这些分析表明，各个项目在不同时间段内的表现相似，并且评分在治疗中期和治疗后以类似的方式反映治疗结果。多水平和零阶分析为 TPTO：YAB 分数的有效性提供了证据。 TPTO：YAB 评分与治疗中针对的青少年和护理人员行为评分呈中度相关，增加了对其作为治疗结果测量工具的使用的支持。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）
Effective evaluation of treatment requires the use of measurement tools producing reliable scores that can be used to make valid decisions about the outcomes of interest. Therapist-rated treatment outcome scores that are obtained within the context of empirically supported treatments (ESTs) could provide clinicians and researchers with data that are easily accessible and complimentary to existing instrumentation. We examined the psychometric properties of scores from the Therapist Perception of Treatment Outcome: Youth Antisocial Behavior (TPTO: YAB), an instrument developed to assess therapist judgments of treatment success among families participating in an EST, Multisystemic Therapy (MST), for youth with antisocial behavior problems. Data were drawn from a longitudinal study of MST. The initial 20-item TPTO: YAB was completed by therapists of 111 families at midtreatment and 163 families at treatment termination. Rasch model dimensionality analyses provided evidence for 2 dimensions reflecting youth-and caregiver-related aspects of treatment outcome, although a bifactor analyses suggested that these dimensions reflected a single more general construct. Rasch analyses were also used to assess item and rating scale characteristics and refine the number of items. These analyses suggested items performed similarly across time and that scores reflect treatment outcome in similar ways at mid and posttreatment. Multilevel and zero-order analyses provided evidence for the validity of TPTO: YAB scores. TPTO: YAB scores were moderately correlated with scores of youth and caregiver behaviors targeted in treatment, adding support to its use as a treatment outcome measurement instrument.(PsycInfo Database Record (c) 2020 APA, all rights reserved)