Barriers to Treatment Integrity Implementation Survey

Perepletchikova, Francheska; Hilt, Lori M.; Chereji, Elizabeth; Kazdin, Alan E.

doi:10.1037/t21534-000

Cited by 2 publications

(7 citation statements)

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“…Trained raters coded the final sample of articles using the Implementation of Treatment Integrity Procedures Scale (ITIPS; Perepletchikova, 2006a; Perepletchikova et al, 2007). The ITIPS is a 22-item rater-scored instrument that uses a 1 to 4 ordinal scale; higher numbers reflect higher rigor of treatment integrity procedure.…”

Section: Methodsmentioning

confidence: 99%

“…Each ITIPS item falls within one of four conceptual domains: (a) establishing (e.g., provide a detailed manual or protocol to study therapists), (b) assessing (e.g., assess treatment integrity via indirect [therapist or client report], direct [observational assessment], or both), (c) evaluating (e.g., training treatment integrity raters), and (d) procedures (e.g., different levels of treatment integrity such as by case or by session). The instrument and coding manual are available online (Perepletchikova, 2006b).…”

Section: Methodsmentioning

confidence: 99%

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Treatment integrity in psychotherapy research and implications for the delivery of quality mental health services.

Cox

Martinez

Southam‐Gerow

2019

Journal of Consulting and Clinical Psychology

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Objective: Treatment integrity, or the degree to which an intervention is delivered as intended, serves a crucial function as an independent variable check in treatment outcome research. Implementation science focuses on understanding and improving the processes (e.g., training, supervision, monitoring) that establish and support treatment integrity in community settings. This review assessed the adequacy of treatment integrity procedures (i.e., establishing, assessing, evaluating, and reporting integrity) implemented in treatment outcome research with the goals of updating the review by Perepletchikova, Treat, and Kazdin (2007) and connecting findings to implementation science goals. Method: Using the Implementation of Treatment Integrity Procedures Scale (Perepletchikova et al., 2007), 2 trained raters coded the treatment integrity procedures described by randomized controlled trials of psychosocial interventions published in 6 high-impact-factor journals from 2011 to 2015 (N ϭ 188 studies describing 270 treatments). Results: Compared with Perepletchikova et al., current findings indicate significant improvement, but the frequency of adequate treatment integrity implementation remains low (10.7%). Conclusions: Recommendations for future work include focus on conceptualization of treatment integrity, establishment of treatment integrity standards, and use of findings from implementation science to improve treatment integrity procedures. What is the public health significance of this article?This review found that the current state of treatment integrity in treatment outcome research has improved slightly in the past decade but remains largely inadequate. Inadequate treatment integrity undermines confidence in the findings from treatment outcome research, regardless of setting. Advances in implementation science may bolster treatment integrity procedures.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Treatment integrity in psychotherapy research and implications for the delivery of quality mental health services.

Cox

Martinez

Southam‐Gerow

2019

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

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“…Put into the language of treatment integrity research, therapy allegiance may influence outcomes by affecting treatment adherence and competence. Treatment adherence refers to the extent to which a therapist delivers a treatment as designed (Perepletchikova & Kazdin, 2005).…”

mentioning

confidence: 99%

“…Competence refers to the level of skill demonstrated by the therapist when delivering the technical elements of treatment (Perepletchikova & Kazdin, 2005). Both components capture a unique aspect of how a therapist delivers an intervention that together, and/or in isolation, are responsible for therapeutic change.…”

mentioning

confidence: 99%

“…Therapists who have extensive clinical experience may have adopted a particular work style that includes particular therapeutic interventions. In such cases, therapists may find it difficult to learn a new treatment if it does not match their work style and, as a result, tend to incorporate "proscribed" content into their therapy sessions when implementing the new treatment (Clarke, 1995;Margison et al, 2000;Perepletchikova & Kazdin, 2005). Although a therapist's allegiance to a treatment may influence treatment integrity, relatively few studies have investigated this possibility.…”

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confidence: 99%

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Understanding why therapy allegiance is linked to clinical outcomes.

McLeod

2009

Clinical Psychology: Science and Practice

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Researchers and practitioners have long debated the meaning and importance of the relation between therapy allegiance and clinical outcomes. Leykin and DeRubeis (2009) make a meaningful contribution to this discussion and their observations will help sharpen future discourse on the topic. This commentary builds upon their observations and argues that efforts to identify and understand the mechanisms underlying the relation between therapy allegiance and therapy outcome may inform the ongoing debate and benefit the field of psychological therapy. Two potential mechanisms-investigators (via training) and therapists (via attitudes and motivation)-are reviewed and the potential yield from such research underscored.

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Barriers to Treatment Integrity Implementation Survey

Cited by 2 publications

References 0 publications

Treatment integrity in psychotherapy research and implications for the delivery of quality mental health services.

Treatment integrity in psychotherapy research and implications for the delivery of quality mental health services.

Understanding why therapy allegiance is linked to clinical outcomes.

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