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Citation |
Ibrahim M, Levy S, Gallop B, Krauthamer Ewing S, Hogue A, Chou J, Diamond G. Fam. Process 2021; ePub(ePub): ePub. |
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Copyright |
(Copyright © 2021, Family Process Institute, Publisher John Wiley and Sons) |
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DOI |
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PMID |
unavailable |
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Abstract |
In psychotherapy research, adherence refers to the extent to which therapists deliver a treatment as intended. This study examined whether therapist adherence to two different manualized treatments was associated with improved client outcomes and whether the association was moderated by therapeutic alliance. The study sample included 320 video recordings of therapy sessions from 118 cases in a randomized controlled trial (RCT) comparing attachment-based family therapy (ABFT) with family-enhanced nondirective supportive therapy (FE-NST). Recordings were selected from early, middle, and late stages of treatment. The adherence measure consisted of 24 items representing essential therapist interventions from both treatments. Trained raters coded tapes from both therapies. Adolescent self-report of alliance was measured at session 4. Adherence to ABFT was associated with a significant increase in family cohesion at mid-treatment but not at posttreatment. Adherence to FE-NST was significantly associated with an increase in suicide ideation posttreatment. Using therapeutic alliance as a moderator, adherence to ABFT was significantly associated with a reduction in suicide ideation, family conflict, and higher client satisfaction posttreatment. Alliance did not positively affect the association of FE-NST adherence to outcomes. Language: en |
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Keywords |
Adolescents; Adherence; adhesión; adolescentes; alianza terapéutica; Common Factors; factores comunes; intervenciones estandarizadas; Manualized Interventions; terapia familiar; 共同因素; 坚持执行; 家庭治疗; 手册指导式干预; 治疗联盟; 青少年 |