Assessing fidelity in individual and family therapy for adolescent substance abuse

Aaron Hogue; Sarah Dauber; Priscilla Chinchilla; Adam Fried; Craig Henderson; Jaime Inclan; Robert H. Reiner; Howard A. Liddle

doi:10.1016/j.jsat.2007.09.002

Assessing fidelity in individual and family therapy for adolescent substance abuse

Aaron Hogue, Sarah Dauber, Priscilla Chinchilla, Adam Fried, Craig Henderson, Jaime Inclan, Robert H. Reiner, Howard A. Liddle

Public Health Sciences

Research output: Contribution to journal › Article

37 Scopus citations

Abstract

This study introduces an observational measure of fidelity in evidence-based practices for adolescent substance abuse treatment. The Therapist Behavior Rating Scale-Competence (TBRS-C) measures adherence and competence in individual cognitive-behavioral therapy and multidimensional family therapy for adolescent substance abuse. The TBRS-C assesses fidelity to the core therapeutic goals of each approach and also contains global ratings of therapist competence. Study participants were 136 clinically referred adolescents and their families observed in 437 treatment sessions. The TBRS-C demonstrated strong interrater reliability for goal-specific ratings of treatment adherence, and modest reliability for goal-specific and global ratings of therapist competence, evidence of construct validity, and discriminant validity with an observational measure of therapeutic alliance. The utility of the TBRS-C for evaluating treatment fidelity in field settings is discussed.

Original language	English (US)
Pages (from-to)	137-147
Number of pages	11
Journal	Journal of Substance Abuse Treatment
Volume	35
Issue number	2
DOIs	https://doi.org/10.1016/j.jsat.2007.09.002
State	Published - Sep 2008

Keywords

Adolescent substance use
Cognitive-behavioral therapy
Family therapy
Therapist competence
Treatment fidelity

ASJC Scopus subject areas

Psychiatry and Mental health
Neuroscience(all)

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Hogue, A., Dauber, S., Chinchilla, P., Fried, A., Henderson, C., Inclan, J., Reiner, R. H., & Liddle, H. A. (2008). Assessing fidelity in individual and family therapy for adolescent substance abuse. Journal of Substance Abuse Treatment, 35(2), 137-147. https://doi.org/10.1016/j.jsat.2007.09.002

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AU - Reiner, Robert H.

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