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Assessing fidelity to evidence-based practices in usual care: The example of family therapy for adolescent behavior problems

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  • Hogue, Aaron
  • Dauber, Sarah

Abstract

This study describes a multimethod evaluation of treatment fidelity to the family therapy (FT) approach demonstrated by front-line therapists in a community behavioral health clinic that utilized FT as its routine standard of care. Study cases (N=50) were adolescents with conduct and/or substance use problems randomly assigned to routine family therapy (RFT) or to a treatment-as-usual clinic not aligned with the FT approach (TAU). Observational analyses showed that RFT therapists consistently achieved a level of adherence to core FT techniques comparable to the adherence benchmark established during an efficacy trial of a research-based FT. Analyses of therapist-report measures found that compared to TAU, RFT demonstrated strong adherence to FT and differentiation from three other evidence-based practices: cognitive-behavioral therapy, motivational interviewing, and drug counseling. Implications for rigorous fidelity assessments of evidence-based practices in usual care settings are discussed.

Suggested Citation

  • Hogue, Aaron & Dauber, Sarah, 2013. "Assessing fidelity to evidence-based practices in usual care: The example of family therapy for adolescent behavior problems," Evaluation and Program Planning, Elsevier, vol. 37(C), pages 21-30.
    • Handle: RePEc:eee:epplan:v:37:y:2013:i:c:p:21-30
    DOI: 10.1016/j.evalprogplan.2012.12.001
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    References listed on IDEAS

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    1. Green, Rex S., 1999. "The application of statistical process control to manage global client outcomes in behavioral healthcare," Evaluation and Program Planning, Elsevier, vol. 22(2), pages 199-210, May.
    2. V. Flack & A. Afifi & P. Lachenbruch & H. Schouten, 1988. "Sample size determinations for the two rater kappa statistic," Psychometrika, Springer;The Psychometric Society, vol. 53(3), pages 321-325, September.
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    Cited by:

    1. Julia H. Littell & Therese D. Pigott & Karianne H. Nilsen & Jennifer Roberts & Travis K. Labrum, 2023. "Functional Family Therapy for families of youth (age 11–18) with behaviour problems: A systematic review and meta‐analysis," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(3), September.

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