Treatment Integrity in Treatment Outcome Research

Treatment Integrity in Treatment Outcome Research
Author: Perepletchikova
Publisher: LAP Lambert Academic Publishing
Total Pages: 172
Release: 2009-08
Genre:
ISBN: 9783838303109
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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

Treatment Integrity in Treatment Outcome Research (2000--2004): Analysis of the Studies and Examination of the Associated Factors
Author: Francheska Perepletchikova
Publisher:
Total Pages: 232
Release: 2007
Genre:
ISBN: 9780549068785
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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

Treatment Integrity
Author: Lisa M. Hagermoser Sanetti
Publisher: American Psychological Association (APA)
Total Pages: 319
Release: 2013-11-01
Genre: Psychology
ISBN: 9781433815812
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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

Evidence-Based Outcome Research
Author: Arthur M. Nezu
Publisher: Oxford University Press
Total Pages: 513
Release: 2008
Genre: Medical
ISBN: 0195304632
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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

Handbook of Evidence-Based Interventions for Children and Adolescents
Author: Lea A. Theodore, PhD
Publisher: Springer Publishing Company
Total Pages: 536
Release: 2016-07-20
Genre: Psychology
ISBN: 0826127959
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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

Treatment Integrity
Author: Lisa M. Hagermoser Sanetti
Publisher:
Total Pages: 310
Release: 2014
Genre: Behavior modification
ISBN: 9781433815829
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Measuring Treatment Integrity

Measuring Treatment Integrity
Author: Merrill L. Meehan
Publisher:
Total Pages: 49
Release: 2000
Genre:
ISBN:
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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.

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

A Meta-analysis Investigating the Correlation Between Treatment Integrity and Youth Client Outcomes
Author: Ruben Gabriel Martinez
Publisher:
Total Pages: 129
Release: 2020
Genre: Child psychotherapy
ISBN:
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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

Mentalization-Based Group Therapy (MBT-G)

Mentalization-Based Group Therapy (MBT-G)
Author: Sigmund Karterud
Publisher: Oxford University Press
Total Pages: 368
Release: 2015-09-03
Genre: Psychology
ISBN: 0191068233
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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.

Managing Cancer and Living Meaningfully

Managing Cancer and Living Meaningfully
Author: Gary Rodin
Publisher: Oxford University Press
Total Pages: 265
Release: 2021-04-27
Genre: Medical
ISBN: 0190236442
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Managing Cancer and Living Meaningfully provides valuable insight into the experience of patients and families living with advanced cancer and describes a novel psychotherapeutic approach to help them live meaningfully, while also facing the threat of mortality. Managing Cancer and Living Meaningfully, also known by the acronym CALM, is a brief supportive-expressive intervention that can be delivered by a wide range of trained healthcare providers as part of cancer care or early palliative care. The authors provide an overview of the clinical experience and research that led to the development of CALM, a clear description of the intervention, and a manualized guide to aid in its delivery. Situated in the context of early palliative care, this text is destined to be become essential reading for healthcare professionals engaged in providing psychological support to patients and their families who face the practical and profound problems of advanced disease.