Assessment of treatment integrity in psychotherapy research.

Perepletchikova, Francheska

doi:10.1037/14275-008

Cited by 5 publications

(8 citation statements)

References 65 publications

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“…The percentage of treatment sessions that should be reviewed to ascertain treatment integrity and inform on a study's internal validity has not been established. However, the 12% independently reviewed in the current study is lower than that recommended by Perepletchikova (). Approximately two‐thirds of the parents had a college or graduate degree.…”

Section: Discussioncontrasting

confidence: 64%

Parent training for preschool ADHD: a randomized controlled trial of specialized and generic programs

Abikoff

Thompson

Laver-Bradbury³

et al. 2014

Child Psychology Psychiatry

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Background The ‘New Forest Parenting Package’ (NFPP), an 8-week home-based intervention for parents of preschoolers with ADHD, fosters constructive parenting to target ADHD-related dysfunctions in attention and impulse control.Although NFPP has improved parent and laboratory measures of ADHD in community samples of children with ADHD-like problems, its efficacy in a clinical sample, and relative to an active treatment comparator, is unknown. The aims are to evaluate the short and long-term efficacy and generalization effects of NFPP compared to an established clinic-based parenting intervention for treating noncompliant behavior (‘Helping the Noncompliant Child’ [HNC]) in young children with ADHD. Methods A randomized controlled trial with three parallel arms was the design for this study. 164 3-4-year-olds, 73.8% male, meeting DSM-IV ADHD diagnostic criteria were randomized to NFPP (N = 67), HNC (N = 63), or wait-list control (WL, N = 34). All participants were assessed at post-treatment. NFPP and HNC participants were assessed at follow-up in the next school year. Primary outcomes were ADHD ratings by teachers blind to and uninvolved in treatment, and by parents. Secondary ADHD outcomes included clinician assessments, and laboratory measures of on-task behavior and delay of gratification. Other outcomes included parent and teacher ratings of oppositional behavior, and parenting measures. (Trial name: Home-Based Parent Training in ADHD Preschoolers; Registry: ClinicalTrials.gov Identifier: NCT01320098; URL: http://www/clinicaltrials.gov/ct2/show/NCT01320098). Results In both treatment groups, children's ADHD and ODD behaviors, as well as aspects of parenting, were rated improved by parents at the end of treatment compared to controls. Most of these gains in the children's behavior and in some parenting practices were sustained at follow-up. However, these parent-reported improvements were not corroborated by teacher ratings or objective observations. NFPP was not significantly better, and on a few outcomes significantly less effective, than HNC. Conclusions The results do not support the claim that NFPP addresses putative dysfunctions underlying ADHD, bringing about generalized change in ADHD, and its underpinning self-regulatory processes. The findings support documented difficulties in achieving generalization across non-targeted settings, and the importance of using blinded measures to provide meaningful assessments of treatment effects.

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Section: Discussioncontrasting

confidence: 64%

Parent training for preschool ADHD: a randomized controlled trial of specialized and generic programs

Abikoff

Thompson

Laver-Bradbury³

et al. 2014

Child Psychology Psychiatry

View full text Add to dashboard Cite

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“…We used a modified version of the Implementation of Treatment Integrity Procedures Scale (ITIPS) (Perepletchikova et al, 2007). The ITIPS originally consists of 22 items, covering the domains of establishment, assessment, evaluation, and reporting of treatment integrity in outcome studies (Perepletchikova, 2006). Each item is rated on a 4-point scale.…”

Section: Methodsmentioning

confidence: 99%

“…A manual is general when it is written at a high level of abstraction. A manual is specific when it is detailed and explicit, and treatment components are operationally defined (Perepletchikova, 2006).…”

Section: Aspects Of Treatment Integritymentioning

confidence: 99%

“…Direct procedures include opportunities for practice and role-play. Including these opportunities is said to make it less likely that therapists deviate from the treatment protocol (Perepletchikova, 2006). To assure the consistency and accuracy of the implementation of the treatment, therapists should be supervised.…”

Section: Aspects Of Treatment Integritymentioning

confidence: 99%

“…2Indirect methods refer to: therapists’ self-reports of procedures and activities implemented during sessions, debriefing subjects (by interview or questionnaire) on what was done by a therapist, and collection of permanent products (e.g., planning notes, homework assignments) (Perepletchikova, 2006). …”

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confidence: 99%

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Implementation of Treatment Integrity Procedures

Goense

Boendermaker

Yperen

et al. 2014

Zeitschrift für Psychologie

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This systematic review evaluates the implementation of treatment integrity procedures in outcome studies of youth interventions targeting behavioral problems. The Implementation of Treatment Integrity Procedures Scale (ITIPS), developed by Perepletchikova, Treat, and Kazdin (2007) , was adapted (ITIPS-A) and used to evaluate 32 outcome studies of evidence-based interventions for youths with externalizing behavioral problems. Integrity measures were found to be still rare in these studies. Of the studies that took integrity into account, 80% approached adequacy in implementing procedures for treatment integrity. The ITIPS-A is recommended as an instrument to guide development of integrity instruments and the implementation of treatment integrity procedures in youth care.

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Interaction-focused music therapy with cancer-affected children and their significant others: a randomized controlled feasibility study with subsequent intervention (INMUT)

Boyde,

Berger,

Längler

et al. 2024

Pilot Feasibility Stud

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Background Paediatric oncology/haematology patients and their families are confronted with a life-threatening situation for which music therapy can be a cross-linguistic field of action. The creative act of making music together offers the possibility to strengthen competences and make conflicts tangible. Besides its complementing of evidence-based biomedical care, there is little research on the feasibility and efficacy of interactive music therapy including the diagnosed child and their significant others. Methods We conducted an assessor blind, prospective, multicentric feasibility randomized controlled trial (RCT) with subsequent intervention. Including overall 52 child-significant other dyads, INMUT investigates interaction-focused music therapy with cancer-affected children and their significant others (INMUT-KB; n = 21) compared to music therapy only with the child (MUT-K; n = 21) and a wait-list group (WLG; n = 10). The measurement points include the screening for a cancer diagnosis, psychometric baseline (pre-T1), initial assessment (T1/T2), music therapy sessions (T3–T9), final assessment (T10), final psychometric evaluation (post-T10), and 3-month follow-up (cat-T11). Feasibility and acceptability of the (1) research methodology, (2) intervention and (3) estimation of effect sizes will be assessed using qualitative and quantitative data. The proposed primary outcome includes the parent–child interaction (APCI), and the proposed secondary outcomes refer to subjective goal achievement (GAS), quality of life (KINDL), system-related functional level (EXIS), psychosocial stress (BAS), psychosomatic complaints (SCL-9k), and resources (WIRF). We plan to investigate the efficacy of INMUT-KB and MUT-K post-intervention (post-T10) within the RCT design and at 3-month follow-up (cat-T11). Discussion This study will provide insights into the feasibility of INMUT and the final sample needed for a confirmatory RCT. We will reflect on successfully implemented study procedures and, if necessary, provide recommendations for changes considering the design, procedures, measures, and statistical analyses. The discussion will conclude with an evaluation whether a confirmatory RCT is worth the investment of future resources, including the calculated number of child-significant other dyads needed based on the efficacy trends derived from this feasibility study. Trial registration ClinicalTrials.gov: NCT05534282; date of registration: June 23, 2022.

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Assessment of treatment integrity in psychotherapy research.

Cited by 5 publications

References 65 publications

Parent training for preschool ADHD: a randomized controlled trial of specialized and generic programs

Parent training for preschool ADHD: a randomized controlled trial of specialized and generic programs

Implementation of Treatment Integrity Procedures

Interaction-focused music therapy with cancer-affected children and their significant others: a randomized controlled feasibility study with subsequent intervention (INMUT)

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