Pilot Trial of Online Measurement Training and Feedback in Family Therapy for Adolescent Behavior Problems.

Publisher: Routledge Country of Publication: England NLM ID: 101133858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-4424 (Electronic) Linking ISSN: 15374416 NLM ISO Abbreviation: J Clin Child Adolesc Psychol Subsets: MEDLINE

Publication: 2008- : London : Routledge
Original Publication: Mahwah, N.J. : Lawrence Erlbaum Associates, c2002-

Family Therapy* ; Adolescent Behavior*; Adolescent ; Humans ; Feedback ; Reproducibility of Results ; Pilot Projects

Objective: Pragmatic procedures for sustaining high-fidelity delivery of evidence-based interventions are needed to support implementation in usual care. This study tested an online therapist training system, featuring observational coder training and self-report fidelity feedback, to promote self-report acumen and routine use of family therapy (FT) techniques for adolescent behavior problems.
Method: Therapists (N = 84) from nine substance use and mental health treatment sites reported on 185 adolescent clients. Therapists submitted baseline data on FT technique use with clients, completed a workshop introducing the 32-week training system, and were randomly assigned by site to Core Training versus Core Training + Consultation. Core Training included a therapist coder training course (didactic instruction and mock session coding exercises in 13 FT techniques) and fidelity feedback procedures depicting therapist-report data on FT use. Consultation convened therapists and supervisors for one-hour monthly sessions with an external FT expert. During the 32 weeks of training, therapists submitted self-report data on FT use along with companion session audiotapes subsequently coded by observational raters.
Results: Therapist self-report reliability and accuracy both increased substantially during training. Observers reported no increase over time in FT use; therapists self-reported a decrease in FT use, likely an artifact of their improved self-report accuracy. Consultation did not enhance therapist self-report acumen or increase FT use.
Conclusions: Online training methods that improve therapist-report reliability and accuracy for FT use may confer important advantages for treatment planning and fidelity monitoring. More intensive and/or different training interventions appear needed to increase routine FT delivery.

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R34 DA044740 United States DA NIDA NIH HHS

ClinicalTrials.gov NCT03342872

Date Created: 20220406 Date Completed: 20240214 Latest Revision: 20241203

20250114

PMC9535038

10.1080/15374416.2022.2051529

35384750