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- Title
The Children's Psychosocial Rehabilitation Treatment Adherence Measure: Development and Initial Validation.
- Authors
Williams, Nathaniel J.; Oberst, Jennifer L.; Campbell, Drey V.; Lancaster, Lawanna
- Abstract
This paper reports on two studies designed to develop and validate a treatment adherence measure for Children's Psychosocial Rehabilitation (CPSR)-a home- and community-based treatment for youth with serious emotional disturbance. In Study 1, we derived CPSR treatment adherence and differentiation criteria from a treatment manual and evaluated their content validity via structured feedback from practitioners. In study 2 we assessed the reliability and validity of the resultant CPSR Treatment Adherence Measure (CTAM) in a clinical sample of youth receiving CPSR ( n = 11) or outpatient psychotherapy ( n = 20). Results from Study 1 revealed strong agreement among practitioners regarding the validity of the proposed adherence criteria (ICC = .82). Results from Study 2 indicated the CTAM had good internal consistency (parent- and supervisor report α's = .86 & .91) and high inter-rater reliability ( r = .87, P = .001) in this pilot sample. CTAM scores reliably distinguished between children receiving CPSR versus psychotherapy ( z = −3.16, P = .002) and between CPSR interventionists with reputations for high- ( n = 4) or low- ( n = 7) adherence to the model ( z = −2.47, P = .014). Findings indicate the CTAM is worthy of further development as a practice and research instrument.
- Subjects
ANALYSIS of variance; CHI-squared test; RESEARCH methodology; REHABILITATION of people with mental illness; PATIENT compliance; PROBABILITY theory; STATISTICS; SAMPLE size (Statistics); PILOT projects; INTER-observer reliability; RESEARCH methodology evaluation
- Publication
Community Mental Health Journal, 2011, Vol 47, Issue 3, p278
- ISSN
0010-3853
- Publication type
Report
- DOI
10.1007/s10597-010-9313-5