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 › peer-review

38 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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title = "Assessing fidelity in individual and family therapy for adolescent substance abuse",

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.",

keywords = "Adolescent substance use, Cognitive-behavioral therapy, Family therapy, Therapist competence, Treatment fidelity",

author = "Aaron Hogue and Sarah Dauber and Priscilla Chinchilla and Adam Fried and Craig Henderson and Jaime Inclan and Reiner, {Robert H.} and Liddle, {Howard A.}",

note = "Funding Information: Preparation of this article was supported by grants R01 DA14571 (principal investigator: A. Hogue) and P50 DA07697 (principal investigator: H. Liddle) from the National Institute on Drug Abuse. The authors are extremely grateful to both teams of TBRS-C coders: for MDFT, Laura Alvarez-Cienfuegos, Mary Ekwall, Maria Dolores Fatas, Karly Gilbert, Oscar Ocasio, Lisette Sanabria-Velasquez, and Miguel Vilaro-Colon from the Roberto Clemente Family Guidance Center, along with Priscilla Chinchilla; for CBT, Jayme Albin, Peter Berzins, Roland Carstedt, Sue Manin, Leslie Sadoff, and Robert Udewitz from Behavioral Associates, along with Adam Fried. The authors thank Leyla Stambaugh, Leslie Alkalay, and Crystall Matthews for research contributions to this study, and Gayle Dakof and Cindy Rowe for providing feedback on the manuscript. Copyright: Copyright 2008 Elsevier B.V., All rights reserved.",

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doi = "10.1016/j.jsat.2007.09.002",

language = "English (US)",

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AU - Fried, Adam

AU - Henderson, Craig

AU - Inclan, Jaime

AU - Reiner, Robert H.

AU - Liddle, Howard A.

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Assessing fidelity in individual and family therapy for adolescent substance abuse

Abstract

Keywords

ASJC Scopus subject areas

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