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 1 2008

Fingerprint

Keywords

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

ASJC Scopus subject areas

Psychiatry and Mental health
Neuroscience(all)

Cite this

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

@article{5dac2aa7af8e4f9fbf47274b723eead2,

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.}",

year = "2008",

month = sep,

day = "1",

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

language = "English (US)",

volume = "35",

pages = "137--147",

journal = "Journal of Substance Abuse Treatment",

issn = "0740-5472",

publisher = "Elsevier Inc.",

number = "2",

}

TY - JOUR

T1 - Assessing fidelity in individual and family therapy for adolescent substance abuse

AU - Hogue, Aaron

AU - Dauber, Sarah

AU - Chinchilla, Priscilla

AU - Fried, Adam

AU - Henderson, Craig

AU - Inclan, Jaime

AU - Reiner, Robert H.

AU - Liddle, Howard A.

PY - 2008/9/1

Y1 - 2008/9/1

N2 - 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.

AB - 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.

KW - Adolescent substance use

KW - Cognitive-behavioral therapy

KW - Family therapy

KW - Therapist competence

KW - Treatment fidelity

UR - http://www.scopus.com/inward/record.url?scp=47549105971&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=47549105971&partnerID=8YFLogxK

U2 - 10.1016/j.jsat.2007.09.002

DO - 10.1016/j.jsat.2007.09.002

M3 - Article

C2 - 17997268

AN - SCOPUS:47549105971

VL - 35

SP - 137

EP - 147

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

IS - 2

ER -

Access to Document

10.1016/j.jsat.2007.09.002