Development and Initial Validation of a Client-Rated MET-CBT Adherence Measure

Wendy R. Ulaszek ； Hsiu-Ju Lin ； Linda K. Frisman ； Susan Sampl ； Susan Harrington Godley ； Karen L. Steinberg-Gallucci ； Jody L. Kamon ； Margaret O'Hagan-Lynch

《Substance Abuse: Research and Treatment》 2012期 (2012/12) Pp. 85-94

https://doi.org/10.4137/SART.S9896

並列摘要

Traditional mechanisms for rating adherence or fidelity are labor-intensive. We developed and validated a tool to rate adherence to Motivational Enhancement Therapy-Cognitive Behavioral Treatment (MET-CBT) through anonymous client surveys. The instrument was used to survey clients in 3 methadone programs over 2 waves. Explanatory and Confirmatory Factor Analyses were used to establish construct validity for both MET and CBT. Internal consistency based on Cronbach's alpha was within adequate range (α ＞ 0.70) for all but 2 of the subscales in one of the samples. Consensus between clients' ratings (r_(wg(j)) scores) were in the range of 0.6 and higher, indicating a moderate to strong degree of agreement among clients' ratings of the same counselor. These results suggest that client surveys could be used to measure adherence to MET-CBT for quality monitoring that is more objective than counselor self-report and less resource-intensive than supervisor review of taped sessions. However, additional work is needed to develop this scale.

並列關鍵字

MET-CBT ； fidelity ； implementation ； client ratings