Article ; Online: Using Adherence and Competence Measures Based on Practice Elements to Evaluate Treatment Fidelity for Two CBT Programs for Youth Anxiety.
2023 Volume 55, Issue 3, Page(s) 605–620
Abstract: ... the CBAY Competence Scale (CBAY-C), can assess the quantity (the degree to which prescribed therapeutic ... 796) from 55 youth participants (M age = 9.89 years, SD = 1.71; 46% female; 55% White) with primary ... training program), and (c) usual clinical care. Interrater reliability for the CBAY-A items was good across ...
| Abstract | Measures designed to assess the quantity and quality of practices found across treatment programs for specific youth emotional or behavioral problems may be a good fit for evaluating treatment fidelity in effectiveness and implementation research. Treatment fidelity measures must demonstrate certain reliability and validity characteristics to realize this potential. This study examines the extent to which two observational measures, the Cognitive-Behavioral Treatment for Anxiety in Youth Adherence Scale (CBAY-A) and the CBAY Competence Scale (CBAY-C), can assess the quantity (the degree to which prescribed therapeutic techniques are delivered as intended) or quality (the competence with which prescribed techniques are delivered) of practices found in two distinct treatment programs for youth anxiety. Treatment sessions (N = 796) from 55 youth participants (M age = 9.89 years, SD = 1.71; 46% female; 55% White) with primary anxiety problems who participated in an effectiveness study were independently coded by raters who coded quantity, quality, and the youth-clinician alliance. Youth received one of three treatments: (a) standard (i.e., cognitive-behavioral therapy program), (b) modular (i.e., a cognitive-behavioral and parent-training program), and (c) usual clinical care. Interrater reliability for the CBAY-A items was good across the standard and modular conditions but mixed for the CBAY-C items. Across the standard and modular conditions, the CBAY-A Model subscale scores demonstrated evidence of construct validity, but the CBAY-C Model subscale scores showed mixed evidence. The results provide preliminary evidence that the CBAY-A can be used across different treatment programs but raise concerns about the generalizability of the CBAY-C. |
|---|---|
| MeSH term(s) | Humans ; Cognitive Behavioral Therapy/methods ; Female ; Male ; Child ; Anxiety Disorders/therapy ; Reproducibility of Results ; Adolescent ; Anxiety/therapy ; Anxiety/psychology ; Patient Compliance/statistics & numerical data |
| Language | English |
| Publishing date | 2023-09-26 |
| Publishing country | England |
| Document type | Journal Article ; Research Support, N.I.H., Extramural |
| ZDB-ID | 211996-1 |
| ISSN | 1878-1888 ; 0005-7894 |
| ISSN (online) | 1878-1888 |
| ISSN | 0005-7894 |
| DOI | 10.1016/j.beth.2023.09.002 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.B 507: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.