Validation of a Scale for Rating the Delivery of Psycho-Social Treatments for Alcohol Dependence and Misuse: The UKATT Process Rating Scale (PRS)

Tober, Gillian; Clyne, Wendy; Finnegan, Olwyn; Farrin, Amanda; Russell, Ian

doi:10.1093/alcalc/agn064

Cited by 30 publications

(60 citation statements)

References 22 publications

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“…Chapter 6 Fidelity process rating T reatment fidelity plays a crucial role in considering the inferences drawn from effectiveness studies. 66 It provides a means of evaluating whether or not therapists delivered the interventions as described in the session protocols and demonstrates that interventions were distinguishable from one another. 96 In other words, it reports on the internal validity of the study.…”

Section: Discussionmentioning

confidence: 99%

“…The Process Rating Scale (PRS) was adapted from the validated UKATT PRS 66 and contains items that were used to rate structure, content and style of the delivery of the minimal and the step 1 interventions (Appendix 10).…”

Section: Process Rating Scalementioning

confidence: 99%

“…The AESOPS PRS (Appendix 10) was adapted from the validated UKATT PRS 66 and was designed to rate the delivery of all three trial interventions, namely the minimal intervention, the 20 minutes of BCC (step 1) and MET (step 2). Content and style items from the validated UKATT PRS, including those that rated the delivery of MET, were used as the basis for adapting the scale.…”

Section: Development Of the Rating Scalementioning

confidence: 99%

“…66 General guidelines were issued for the process of rating, such as rating practice/research nurse behaviours, distinguishing between frequency and quality scores, and avoiding sources of rater bias. Item definitions with guidelines for making higher or lower ratings were provided.…”

Section: The Rating Manualmentioning

confidence: 99%

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AESOPS: a randomised controlled trial of the clinical effectiveness and cost-effectiveness of opportunistic screening and stepped care interventions for older hazardous alcohol users in primary care

Watson

Crosby²,

Dale³

et al. 2013

Health Technol Assess

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Section: Discussionmentioning

confidence: 99%

Section: Process Rating Scalementioning

confidence: 99%

Section: Development Of the Rating Scalementioning

confidence: 99%

Section: The Rating Manualmentioning

confidence: 99%

See 2 more Smart Citations

AESOPS: a randomised controlled trial of the clinical effectiveness and cost-effectiveness of opportunistic screening and stepped care interventions for older hazardous alcohol users in primary care

Watson

Crosby²,

Dale³

et al. 2013

Health Technol Assess

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“…Assessment of fidelity and adherence to the protocol was conducted by rating the frequency of use and quality of behaviour change techniques using an adaption of the fidelity assessment scale developed as part of the UKATT trial. 95 This was carried out on all available Y-SBNT recordings. In addition, the intention had been to assess 10-20% of the TAU sessions to identify the components of TAU.…”

Section: Measurement and Verification Of The Primary Outcomementioning

confidence: 99%

Youth social behaviour and network therapy (Y-SBNT): adaptation of a family and social network intervention for young people who misuse alcohol and drugs – a randomised controlled feasibility trial

Watson

Toner

Day

et al. 2017

Health Technol Assess

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BackgroundFamily interventions appear to be effective at treating young people’s substance misuse. However, implementation of family approaches in UK services is low. This study aimed to demonstrate the feasibility of recruiting young people to an intervention based on an adaptation of adult social behaviour and network therapy. It also sought to involve young people with experience of using substance misuse services in the research process.ObjectivesTo demonstrate the feasibility of recruiting young people to family and social network therapy and to explore ways in which young people with experience of using substance misuse services could be involved in a study of this nature.DesignA pragmatic, two-armed, randomised controlled open feasibility trial.SettingTwo UK-based treatment services for young people with substance use problems, with recruitment taking place from May to November 2014.ParticipantsYoung people aged 12–18 years, newly referred and accepted for structured interventions for drug and/or alcohol problems.InterventionsA remote, web-based computer randomisation system allocated young people to adapted youth social behaviour and network therapy (Y-SBNT) or treatment as usual (TAU). Y-SBNT participants were intended to receive up to six 50-minute sessions over a maximum of 12 weeks. TAU participants continued to receive usual care delivered by their service.Main outcome measuresFeasibility was measured by recruitment rates, retention in treatment and follow-up completion rates. The main clinical outcome was the proportion of days on which the main problem substance was used in the preceding 90-day period as captured by the Timeline Follow-Back interview at 3 and 12 months.ResultsIn total, 53 young people were randomised (Y-SBNT,n = 26; TAU,n = 27) against a target of 60 (88.3%). Forty-two young people attended at least one treatment session [Y-SBNT 22/26 (84.6%); TAU 20/27 (74.1%)]; follow-up rates were 77.4% at month 3 and 73.6% at month 12. Data for nine young people were missing at both months 3 and 12, so the main clinical outcome analysis was based on 24 young people (92.3%) in the Y-SBNT group and 20 young people (74.1%) in the TAU group. At month 12, the average proportion of days that the main problem substance was used in the preceding 90 days was higher in the Y-SBNT group than in the TAU group (0.54 vs. 0.41; adjusted mean difference 0.13, 95% confidence interval –0.12 to 0.39;p = 0.30). No adverse events were reported. Seventeen young people with experience of substance misuse services were actively involved throughout the study. They informed key elements of the intervention and research process, ensuring that the intervention was acceptable and relevant to our target groups; contributing to the design of key trial documents, ideas for a new model of public involvement and this report. Two parents were also involved.ConclusionsThe adapted intervention could be delivered in young people’s services, and qualitative interviews found that Y-SBNT was acceptable to young people, family members and staff. Engagement of family and network members proved difficult within the intervention and research aspects. The study proved the feasibility of this work in routine services but outcome measurement based on narrow substance use variables may be limited and may fail to capture other important changes in wider areas of functioning for young people. Validation of the EuroQol-5 Dimensions for young people aged 12–18 years should be considered and flexible models for involvement of young people in research are required to achieve inclusive representation throughout all aspects of the research process. Although recommendation of a full trial of the Y-SBNT intervention compared with TAU is not supported, this study can inform future intervention development and UK research within routine addiction services.Trial registrationCurrent Controlled Trials ISRCTN93446265.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 21, No. 15. See the NIHR Journals Library website for further project information.

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Motivational Interviewing and Behaviour Change in Addiction Treatment

Tober¹

2014

Textbook of Addiction Treatment: International Perspectives

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Validation of a Scale for Rating the Delivery of Psycho-Social Treatments for Alcohol Dependence and Misuse: The UKATT Process Rating Scale (PRS)

Abstract: The UKATT PRS is a valid and reliable method of rating the frequency and quality of therapeutic style and content in the delivery of two psycho-social treatments of alcohol use and dependence.

Cited by 30 publications

References 22 publications

AESOPS: a randomised controlled trial of the clinical effectiveness and cost-effectiveness of opportunistic screening and stepped care interventions for older hazardous alcohol users in primary care

AESOPS: a randomised controlled trial of the clinical effectiveness and cost-effectiveness of opportunistic screening and stepped care interventions for older hazardous alcohol users in primary care

Youth social behaviour and network therapy (Y-SBNT): adaptation of a family and social network intervention for young people who misuse alcohol and drugs – a randomised controlled feasibility trial

Motivational Interviewing and Behaviour Change in Addiction Treatment

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