The current review evaluates the use
of treatment fidelity strategies in evidence - based parent training programs for treating externalizing disorders.
We expected that
higher treatment fidelity scores of the therapists would be associated with larger improvements on outcome measures and higher rates of treatment completion.
Working alliance and
treatment fidelity as predictors of externalizing problem behaviors in Parent Management Training.
Treatment fidelity predicted reductions in parent - reported externalizing behavior, whereas working alliance was related to less change in problem behavior.
The team participates in weekly consultation with an expert on the intervention, quarterly booster training, ongoing organizational assistance, and quality assurance support through the monitoring
of treatment fidelity / adherence.
The purpose of this study was to investigate the effectiveness of the mindfulness - based cognitive therapy - assessment scale (MBCT - AS) tool to measure
treatment fidelity in the delivery of mindfulness - based cognitive therapy (MBCT) in an Australian setting.
Sixty - five articles reporting outcome trials of evidence - based parent training programs met inclusion criteria and were coded
for treatment fidelity strategies.
After program start - up, training continues through weekly telephone consultation for each team of clinicians aimed at
monitoring treatment fidelity and adherence to the treatment model, and through quarterly on - site booster trainings (1 1/2 days each).
Measures utilized
include Treatment Fidelity Checklist (TFC), the Preschool Age Psychiatric Assessment (PAPA), the Adverse Events Checklist (AEC), and the Adaptability Checklist — Child (ACC).
Critical features of MST include: (a) integration of empirically based treatment approaches to address a comprehensive range of risk factors across family, peer, school, and community contexts; (b) promotion of behavior change in the youth's natural environment, with the overriding goal of empowering caregivers; and (c) rigorous quality assurance mechanisms that focus on achieving outcomes through
maintaining treatment fidelity and developing strategies to overcome barriers to behavior change.
First, the fact that there was variability in the poses offered to the students on a weekly basis... might appear to be a serious limitation regarding
treatment fidelity from the perspective of Western experimental medicine.
The availability of psychotherapy may have led to substitution of psychotherapy for medication, and emphasizing combined psychotherapy and medication might have led to improved outcomes.21 Our effectiveness design, which encouraged but did not
require treatment fidelity or adherence, likely weakened intervention effects.
This programme coherently combines behavioural principles with sympathetic support and other features shown in the literature to enhance effectiveness.24 Implementation was by personable, committed staff given adequate training and regular supervision to
promote treatment fidelity.25 Such parenting programmes are only just beginning to become available in the United Kingdom.
William J. Ryan, Richard P. Conti & George M. Simon (2013) Presupposition Compatibility
Facilitates Treatment Fidelity in Therapists Learning Structural Family Therapy, The American Journal of Family Therapy, 41:5, 403 - 414, DOI: 10.1080 / 01926187.2012.727673.
Analysis of parent, adolescent, and therapist reports of MST treatment adherence (as measured by the MST Treatment Adherence Measure) indicated that outcomes were substantially better in cases where
MST treatment fidelity was high.Limitations include possible lack of therapists» adherence to the MST treatment protocol and limited generaliability due to ethnicity and gender of participants.
Summary: (To include comparison groups, outcomes, measures, notable limitations) The study
investigated treatment fidelity and working alliance in the Parent Management Training — Oregon Model (PMTO) utilizing longitudinal data from the National Institute on Drug Abuse study (Forgatch & deGarmo, 2011; Ogden & Hagen, 2008), and investigated how these relate to children's externalizing problem behaviors, as reported by parents and teachers.
In light of an increasing emphasis on effectiveness and dissemination trials, the
broader treatment fidelity framework as applied in this review focuses needed attention on areas often overlooked in fidelity practices, such as training providers and generalization of treatment skills.
Group CBT for Externalizing Disorders in Urban Schools: Effect of Training Strategy
on Treatment Fidelity and Child Outcomes.
This suggests that
high treatment fidelity during PMTO therapist training is particularly important for the long - term effects of PMTO.
For treatment fidelity, a parent coach's frequency and level of «In the Moment» commenting is monitored and tracked each week in addition to a qualitative review.
After start - up, training continues through weekly telephone MST - CAN consultation for each team of MST - CAN clinicians aimed at
monitoring treatment fidelity and adherence to the MST - CAN treatment model, and through quarterly on - site booster trainings (1 1/2 days each).
Multisystemic therapy with violent and chronic juvenile offenders and their families: The role
of treatment fidelity in successful dissemination.
The training procedures are valid and reliable and indicate a high level of treatment fidelity
Assessment of treatment process and
treatment fidelity is crucial to knowing what is being provided in an intervention.
GH was responsible for monitoring and assessing
treatment fidelity.