作者
Luana Marques, Sarah E Valentine, Debra Kaysen, Margaret-Anne Mackintosh, Louise E Dixon De Silva, Emily M Ahles, Soo Jeong Youn, Derri L Shtasel, Naomi M Simon, Shannon Wiltsey-Stirman
发表日期
2019/4
期刊
Journal of consulting and clinical psychology
卷号
87
期号
4
页码范围
357
出版商
American Psychological Association
简介
Objective
The purpose of this study is to examine associations between therapist adherence, competence, and modifications of an evidence-based protocol (EBP) delivered in routine clinical care and client outcomes. Method
Data were derived from a NIMH-funded implementation-effectiveness hybrid study of Cognitive Processing Therapy (CPT) for PTSD in a diverse community health center. Providers (n= 19) treated clients (n= 58) as part of their routine clinical care. Clients completed the PCL-S and PHQ-9 at baseline, after each CPT session, and posttreatment. CPT sessions were rated for treatment fidelity and therapist modifications. Results
Overall, therapist adherence was high, although it decreased across sessions suggesting potential drift. Therapist competence ratings varied widely. Therapists made on average 1.6 fidelity-consistent and 0.4 fidelity-inconsistent modifications per session. Results show that …学术搜索中的文章
L Marques, SE Valentine, D Kaysen, MA Mackintosh… - Journal of consulting and clinical psychology, 2019