Therapeutic adherence and competence scales for Developmentally Adapted Cognitive Processing Therapy for adolescents with PTSD

European Journal of Psychotraumatology
Jana GutermannRegina Steil

Abstract

Background : The assessment of therapeutic adherence and competence is often neglected in psychotherapy research, particularly in children and adolescents; however, both variables are crucial for the interpretation of treatment effects. Objective : Our aim was to develop, adapt, and pilot two scales to assess therapeutic adherence and competence in a recent innovative program, Developmentally Adapted Cognitive Processing Therapy (D-CPT), for adolescents suffering from posttraumatic stress disorder (PTSD) after childhood abuse. Method : Two independent raters assessed 30 randomly selected sessions involving 12 D-CPT patients (age 13-20 years, M age=16.75, 91.67% female) treated by 11 therapists within the pilot phase of a multicenter study. Results : Three experts confirmed the relevance and appropriateness of each item. All items and total scores for adherence (intraclass correlation coefficients [ICC]=0.76-1.00) and competence (ICC=0.78-0.98) yielded good to excellent inter-rater reliability. Cronbach's alpha was 0.59 for the adherence scale and 0.96 for the competence scale. Conclusions : The scales reliably assess adherence and competence in D-CPT for adolescent PTSD patients. The ratings can be helpful in the interpretation...Continue Reading

References

Sep 16, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Albert J BellgUNKNOWN Treatment Fidelity Workgroup of the NIH Behavior Change Consortium
Jun 29, 2005·Journal of Consulting and Clinical Psychology·Torrey A Creed, Philip C Kendall
Jun 22, 2007·Journal of the American Academy of Child and Adolescent Psychiatry·Judith A CohenVirginia Staron
Oct 24, 2007·Journal of Traumatic Stress·Jacques P BarberCharles Marmar
Apr 1, 2013·Professional Psychology, Research and Practice·Jennifer L PodellJohn C Piacentini

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Citations

Feb 22, 2017·Behavioural and Cognitive Psychotherapy·Clara DittmannRegina Steil
Jul 19, 2017·Scandinavian Journal of Psychology·Espen J FolmoGeir A F Pedersen
Feb 5, 2019·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Madeleine FogartyStephen Theiler

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Methods Mentioned

BETA
Cognitive Behaviour Therapy
Cognitive

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