Titre : | Assessing fidelity to evidence-based practices in usual care: The example of family therapy for adolescent behavior problems (2013) |
Auteurs : | A. HOGUE ; S. DAUBER |
Type de document : | Article : Périodique |
Dans : | Evaluation and Program Planning (Vol.37, April 2013) |
Article en page(s) : | 21-30 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés DONNEE PROBANTE ; THERAPIE FAMILIALE ; ADOLESCENT ; EVALUATION ; TRAITEMENTThésaurus géographique ETATS-UNIS |
Résumé : |
This study describes a multimethod evaluation of treatment fidelity to the family therapy (FT) approach demonstrated by front-line therapists in a community behavioral health clinic that utilized FT as its routine standard of care. Study cases (N = 50) were adolescents with conduct and/or substance use problems randomly assigned to routine family therapy (RFT) or to a treatment-as-usual clinic not aligned with the FT approach (TAU). Observational analyses showed that RFT therapists consistently achieved a level of adherence to core FT techniques comparable to the adherence benchmark established during an efficacy trial of a research-based FT. Analyses of therapist-report measures found that compared to TAU. RFT demonstrated strong adherence to FT and differentiation from three other evidence-based practices: cognitive-behavioral therapy, motivational interviewing, and drug counseling. Implications for rigorous fidelity assessments of evidence-based practices in usual care settings are discussed. (C) 2012 Elsevier Ltd. All rights reserved.
HIGHLIGHTS: • Fidelity evaluations of evidence-based practices in usual care (UC) are needed. • Family therapy (FT) is a research-proven approach for adolescent behavior problems. • This evaluation design used observational benchmarking and therapist self-report. • UC family therapists demonstrated FT fidelity levels comparable to research therapists. • UC family therapists reported greater allegiance and use of FT than other approaches. |
Domaine : | Plusieurs produits / Several products |
Affiliation : | National Center on Addiction and Substance Abuse at Columbia University, USA |
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