Development of Treatment Adherence Measures for Multi-Family Psychoeducational Psychotherapy (MF-PEP) for Children with Autism Spectrum Disorders

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Title: Development of Treatment Adherence Measures for Multi-Family Psychoeducational Psychotherapy (MF-PEP) for Children with Autism Spectrum Disorders
Creators: Benninger, Tara
Advisor: Fristad, Mary; Hauser, Jessica
Issue Date: 2012-12
Abstract: Significant efforts have been made in recent years to bridge the gap between research and practice. As empirically-supported treatments (using evidence to inform practice) become the preferred choice of treatment in clinical settings, additional research is necessary to refine aspects of the development, implementation and interpretation of such interventions. Monitoring treatment fidelity, specifically, adherence to the treatment protocol, within these interventions will provide researchers with additional information about the treatment’s utility and effectiveness. The present study describes the development and psychometric properties of the Therapist Adherence Checklist, a measure used to assess treatment adherence in Multi-Family Psychoeducational Psychotherapy (MF-PEP) for Autism Spectrum Disorders (ASD), an intervention designed for children aged 8-12 with an ASD and their families. Two groups of MF-PEP each consisting of nine weekly sessions, were evaluated. Adherence measures specific to each session’s topics and goals were developed. Three trained research assistants observed each session and completed the described measure. Tests of reliability were run to examine internal consistency as well as inter-rater reliability. Analyses of reliability demonstrated questionable-acceptable (α= .48-.78) internal consistency and a wide range of very low to moderate intraclass correlation coefficients (3, 1) =.22-.79 for inter-rater reliability. These results demonstrated that raters varied in agreement throughout sessions of MF-PEP, implying the measures may be unclear or raters may need additional training to increase reliability. Varied levels of internal consistency also indicated that revisions may be needed in order to ensure that the measures are consistently measuring therapist adherence. Measures with inconsistent reliability need additional revisions and research in order to be used to monitor treatment fidelity. This will enable comprehensive evaluations of empirically supported treatments, contributing to their effective and efficient use in clinical settings in order to create better client outcomes.
Embargo: No embargo
Series/Report no.: The Ohio State University. Department of Psychology Honors Theses; 2012
Keywords: adherence
Autism Spectrum Disorders
evidence-based treatment
Description: 3rd Place for College of Arts & Sciences, Denman Undergraduate Research Forum
Undergraduate Research Award
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