Assessing fidelity to evidence-based practices in usual care: The example of family therapy for adolescent behavior problems

Hogue, Aaron; Dauber, Sarah

doi:10.1016/j.evalprogplan.2012.12.001

Cited by 21 publications

(21 citation statements)

References 47 publications

(72 reference statements)

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“…In a separate study (Hogue and Dauber 2013) we utilized benchmarking analyses to compare FT fidelity scores for sessions held at the RFT site to fidelity scores from an efficacy trial of an empirically supported treatment for ABPs, multidimensional family therapy (MDFT). We randomly selected 15 archived RFT sessions that were videotaped on site prior to the start of the current study.…”

Section: Methodsmentioning

confidence: 99%

Validity of Therapist Self-Report Ratings of Fidelity to Evidence-Based Practices for Adolescent Behavior Problems: Correspondence between Therapists and Observers

Hogue

Dauber

Lichvar

et al. 2014

Adm Policy Ment Health

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109

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Developing therapist-report fidelity tools to support quality delivery of evidence-based practices in usual care is a top priority for implementation science. This study tested the reliability and accuracy of two groups of community therapists who reported on their use of family therapy (FT) and motivational interviewing/cognitive-behavioral therapy (MI/CBT) interventions during routine treatment of inner-city adolescents with conduct and substance use problems. Study cases (n = 45) were randomized into two conditions: (a) Routine Family Therapy (RFT), consisting of a single site that featured family therapy as its standard of care for behavioral treatment; or (b) Treatment As Usual (TAU), consisting of five sites that featured non-family approaches. Therapists and trained observational raters provided FT and MI/CBT adherence ratings on 157 sessions (104 RFT, 53 TAU). Overall therapist reliability was adequate for averaged FT ratings (ICC = .66) but almost non-existent for MI/CBT (ICC = .06); moreover, both RFT and TAU therapists were more reliable in reporting on FT than on MI/CBT. Both groups of therapists overestimated the extent to which they implemented FT and MI/CBT interventions. Results offer support for the feasibility of using existing therapist-report methods to anchor quality assurance procedures for FT interventions in real-world settings, though not for MI/CBT.

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Section: Methodsmentioning

confidence: 99%

Validity of Therapist Self-Report Ratings of Fidelity to Evidence-Based Practices for Adolescent Behavior Problems: Correspondence between Therapists and Observers

Hogue

Dauber

Lichvar

et al. 2014

Adm Policy Ment Health

Self Cite

109

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“…In a separate study (AUTHOR, 2013b) we utilized observational benchmarking analyses to compare FT fidelity scores for sessions previously held at the UC-FT site to fidelity scores from an efficacy trial of MDFT. We randomly selected 15 archived UC-FT treatment sessions videotaped on site prior to the start of the current study by a previous cohort of therapists.…”

Section: Methodsmentioning

confidence: 99%

Randomized Trial of Family Therapy Versus Nonfamily Treatment for Adolescent Behavior Problems in Usual Care

Hogue

Dauber

Henderson

et al. 2014

Journal of Clinical Child & Adolescent Psychology

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Objective A major focus of implementation science is discovering whether evidence-based approaches can be delivered with fidelity and potency in routine practice. This randomized trial compared usual care family therapy (UC-FT), implemented without a treatment manual or extramural support as the standard-of-care approach in a community clinic, to non-family treatment (UC-Other) for adolescent conduct and substance use disorders. Method The study recruited 205 adolescents (mean age 15.7 years; 52% male; 59% Hispanic American, 21% African American) from a community referral network, enrolling 63% for primary mental health problems and 37% for primary substance use problems. Clients were randomly assigned to either the UC-FT site or one of five UC-Other sites. Implementation data confirmed that UC-FT showed adherence to the family therapy approach and differentiation from UC-Other. Follow-ups were completed at 3, 6, and 12 months post-baseline. Results There was no between-group difference in treatment attendance. Both conditions demonstrated improvements in externalizing, internalizing, and delinquency symptoms. However, UC-FT produced greater reductions in youth-reported externalizing and internalizing among the whole sample, in delinquency among substance-using youth, and in alcohol and drug use among substance-using youth. The degree to which UC-FT outperformed UC-Other was consistent with effect sizes from controlled trials of manualized family therapy models. Conclusions Non-manualized family therapy can be effective for adolescent behavior problems within diverse populations in usual care, and it may be superior to non-family alternatives.

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“…This process is referred to as testing the fidelity of the model or theory. As discussed by Hogue and Dauber (2013) fidelity consists of three related components: adherence, which is the quantity or extent to which interventions are delivered; competence, which is the quality or skill of delivery; and differentiation, which is the degree to which comparative intervention approaches differ from one another in practice based on a guiding theory and prescribed services and supports.…”

Section: Contributions Of a Theory Of Quality Of Lifementioning

confidence: 99%

How Organizations Can Enhance the Quality of Life of Their Clients and Assess Their Results: The Concept of QOL Enhancement

Reinders¹,

Schalock²

2014

American Journal on Intellectual and Developmental Disabilities

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This article presents the framework of a dynamic approach to quality of life (QOL) enhancement based on the conceptualization and measurement of individual-referenced quality of life. Sections of the article summarize the premises of QOL enhancement, provide the rationale for a dynamic approach to QOL enhancement, discuss six components of QOL enhancement, and discuss the parameters of an emerging theory of quality of life and the contributions such a theory would make to service delivery, policy development, and QOL-related research.

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Assessing fidelity to evidence-based practices in usual care: The example of family therapy for adolescent behavior problems

Cited by 21 publications

References 47 publications

Validity of Therapist Self-Report Ratings of Fidelity to Evidence-Based Practices for Adolescent Behavior Problems: Correspondence between Therapists and Observers

Validity of Therapist Self-Report Ratings of Fidelity to Evidence-Based Practices for Adolescent Behavior Problems: Correspondence between Therapists and Observers

Randomized Trial of Family Therapy Versus Nonfamily Treatment for Adolescent Behavior Problems in Usual Care

How Organizations Can Enhance the Quality of Life of Their Clients and Assess Their Results: The Concept of QOL Enhancement

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