Treatment Integrity in Treatment Outcome Research


Book Description

Treatment integrity refers to the degree to which an intervention is implemented as intended. This book examines the adequacy of treatment integrity procedures in randomized controlled trials of psychosocial interventions and evaluates the associated factors. Results indicate that investigations that systematically implement treatment integrity procedures are virtually lacking in the literature. Skill-building treatments (e.g., cognitive-behavioral) as compared to non skill-building interventions (e.g., psychodynamic) were implemented with higher attention to integrity. Treatment integrity was addressed to a greater degree when interventions were evaluated using a treatment manual. Implications of the obtained results for psychotherapy research and practice, recommendations for improving how integrity is addressed, as well as guidelines on treatment integrity procedures are discussed. Further, this book includes a measure for assessing the adequacy of treatment integrity procedures and a rater manual.




Treatment Integrity in Treatment Outcome Research (2000--2004): Analysis of the Studies and Examination of the Associated Factors


Book Description

Treatment integrity refers to the degree to which an intervention is implemented as intended. This study evaluates the adequacy of treatment integrity procedures implemented in psychotherapy research (including establishing, assessing, evaluating and reporting integrity, treatment adherence and therapist competence), and the associated factors. Randomized controlled trials published in the five most influential psychological and psychiatric journals were reviewed and coded for treatment integrity implementation. Results indicate that investigations that systematically implement treatment integrity procedures are virtually lacking in the literature. Treatment integrity was adequately addressed for only 3% of the evaluated treatments. Two predictors of integrity implementation were journal of publication and treatment approach. Treatment integrity was addressed to a greater degree in studies published in the Journal of Consulting and Clinical Psychology and the Archives of General Psychiatry as compared to the Journal of Clinical Psychiatry, the American Journal of Psychiatry and the British Journal of Psychiatry. Skill-building treatments (e.g., cognitive-behavioral) as compared to non skill-building interventions (e.g., psychodynamic, non-directive counseling) were implemented with higher attention to integrity procedures. The use of a treatment manual statistically accounted for the relationship between treatment integrity and treatment approach. Treatment integrity was addressed to a greater degree when interventions were tested using a treatment manual, while a treatment manual was more likely to be employed with skill-building approaches, as compared to non skill-building interventions. Recommendations for future research include examination of possible predictors and barriers to the treatment integrity implementation, and evaluation of whether inadequate attention to integrity is related to the uniform efficacy of psychotherapies. Possible implications of the obtained results for psychotherapy research and practice, as well as recommendations for improving how integrity is addressed, are discussed.




Treatment Integrity


Book Description

Treatment integrity is the extent to which an intervention is implemented as its originators intended. The book presents the latest thinking on how treatment integrity contributes to evidence-based practice in educational, community, and healthcare settings. Authoritative and up to date, this volume is a much-needed resource for all professionals supervising, providing, or evaluating intervention services, including researchers and practitioners in clinical, counseling, and school psychology; child and adolescent psychiatry; social work; communication disorders; special and general education; program evaluation; and educational leadership.




Evidence-Based Outcome Research


Book Description

This edited volume provides both conceptual and practical information for conducting and evaluating evidence-based outcome studies. It encompasses psychotherapy research for traditional mental health disorders (eg. depression, anxiety), as well as psychosocial-based treatments provided to medical patient populations to have impact either on the disease process itself (pain, cardiovascular risk) or to improve the quality of life of such individuals. This is a hands-on book, whose major emphasis is on the practical nuts-and-bolts implementation of psychosocial-based RCTs from conception to completion.




Handbook of Evidence-Based Interventions for Children and Adolescents


Book Description

A step-by-step resource for treating more than 40 prevalent issues with proven strategies This comprehensive handbook for evidence-based mental health and learning interventions with children and adolescents is distinguished by its explicit yet concise guidance on implementation in practice. With a compendium of proven strategies for resolving more than 40 of the most pressing and prevalent issues facing young people, the book provides immediate guidance and uniform step-by-step instructions for resolving issues ranging from psychopathological disorders to academic problems. Busy academics, practitioners, and trainees in schools and outpatient clinical settings will find this resource to be an invaluable desktop reference for facilitating well-informed decision-making. Unlike other volumes that ignore or merely reference the evidence base of various interventions, this book focuses on providing immediate, empirically supported guidance for putting these strategies into direct practice. Issues covered include crisis interventions and response, social and emotional issues, academic/learning issues, psychopathological disorders, neuropsychological disorders, and the behavioral management of childhood health issues. Each chapter follows a consistent format including a brief description of the problem and associated characteristics, etiology and contributing factors, and three evidence-based, step-by-step sets of instructions for implementation. Additionally, each chapter provides several websites offering further information about the topic. Featuring contributions from leading scholars and practitioners on each issue covered, this book will be a valuable resource for child clinical and school psychologists, counselors, social workers, and therapists as well as other health and mental health professionals whose primary practice is with children and adolescents. Key Features: Demonstrates step-by-step, evidence-based interventions for more than 40 common childhood issues Provides treatment procedures that can be immediately put into practice Covers a wide range of mental health and academic/learning issues for children and adolescents Relevance for both school-based and clinically-based practice Includes contributions by noted experts in the field




Treatment Integrity


Book Description




Measuring Treatment Integrity


Book Description

The issue of treatment fidelity has been a concern in the field of evaluation research. Nearly three decades ago, Cook and Campbell (1975) outlined four types of validity that may influence treatment outcomes. Defining these validity measures has since prompted researchers to closely examine potential threats within the context of program evaluation. Related to Cook and Campbell's concept of construct validity, Sechrest and associates (1979) identified two complications that could further impact evaluation research. These complications involve the strength and integrity of treatment, and their associated implications on construct validity. The purpose of this study was to assess the delivery, receipt, and adherence of the CRI treatment implemented in the four Kanawha County schools. In creating a model for assessing treatment implementation, Lichstein, Riedel, and Grieve (1994) posit that there are three components in their model. Delivery assessment inspects how the treatment was delivered and the factors that enhanced or hindered delivery of the treatment. Receipt assessment examines whether the intended audience was able to understand the information that was provided to them. Adherence assessment examines whether the clients? receipt of the treatment will effect them; enactment looks at whether clients adhere to the directives and change behaviors. This study was designed to provide a viable test of the evaluation of an educational intervention employing a set of multiple components and multiple methods. These various components and methods for assessing the integrity of the intervention were suggested by Lichstein, Riedel, and Grove.




Mentalization-Based Group Therapy (MBT-G)


Book Description

Mentalization-based treatment (MBT) has gained international acclaim as an efficient treatment for patients with borderline personality disorder. The approach is also helpful for other personality disorders and conditions that are difficult to treat, e.g. addiction and eating disorders. MBT consists of a psychoeducational, an individual, and a group therapy component. This is the first comprehensive manual for mentalization-based group therapy. The author has developed the manual in close cooperation with Anthony Bateman and a team of group analysts. It covers all the aspects of MBT which are necessary to produce an informed and qualified group therapist. The book covers the theory behind mentalization and borderline personality disorder (especially its evolutionary roots), the structure of MBT and a discussion of previous experiences with group psychotherapy for borderline patients. The core of the book explains the main principles of MBT-G and provides a powerful means for ensuring that therapists adhere to these principles in a qualified way. The last part contains a full transcript from a real MBT group composed of borderline patients. As the first book dedicated to Group MBT, this book is a valuable and unique addition to the Mentalization literature.




A Meta-analysis Investigating the Correlation Between Treatment Integrity and Youth Client Outcomes


Book Description

Objective: The relation between treatment integrity and youth client outcomes in psychosocial treatment research has implications for therapist training, study design, and study interpretation. Despite work done in this area, this relation remains unclear. The aim of the current study was to meta-analyze and describe characteristics of investigations of integrity and outcome in youth. Method and Analytic Plan: A total of N = 30 studies were identified. Conceptual and methodological factors were coded. Pearson's r represented the magnitude of the integrity-outcome correlation. Robust variance estimation was used to account for dependency of within-study effect sizes. Two models were run with identical methods, Model 1 did not impute/estimate effect sizes and Model 2 imputed/estimated missing effect sizes. Each model was built iteratively, including an unconditional model and moderator model. Tests of heterogeneity, publication bias, and sensitivity analyses were conducted. Results: The mean integrity-outcome effect size in Model 1 and Model 2 were negative and statistically significant (r = -.11, p




Issues in Psychotherapy Research


Book Description

Psychotherapy research is undoubtedly one of the most puzzling, diverse, com plex, controversial, and multidimensional areas tackled by clinical psycholo gists, psychiatrists, and psychiatric social workers. The numerous theoretical, methodological, and clinical-research issues dealt with by workers in the field have increased exponentially in the past three decades. To do full justice to the area, monographs in each of the specific subareas would be warranted. In this volume, we, as editors, have endeavored to present the student and interested professional and practitioner with an understanding of the most salient issues and trends confronted by the psychotherapy researcher. In order to accomplish this task, we asked our colleagues, who are experts in their respective areas, to share their current thinking with us and with you, the read ers. Thus, many theoretical viewpoints are represented, with none having a monopoly over the others. This is as it should be, given the data collected by clinical researchers at this time. We have also attempted to capture the excite ment that has permeated the field in the past 30 years or so.