Martino Steve, Ball Samuel, Nich Charla, Frankforter Tami L, Carroll Kathleen M
Department of Psychiatry, Yale University School ofMedicine, VA Connecticut Healthcare System, 950 Campbell Avenue (151-D),West Haven, CT 06516, USA.
Psychother Res. 2009 Mar;19(2):181-93. doi: 10.1080/10503300802688460.
This study examined the correspondence of treatment integrity ratings (adherence and competence) among community program therapists, supervisors, and observers for therapists who used motivational enhancement therapy (MET) within a National Institute on Drug Abuse Clinical Trials Network protocol. The results suggested there was reasonable agreement between the three groups of raters about the presence or absence of several fundamental MET strategies. Moreover, relative to observers, therapists and supervisors were more positive in their evaluations of the therapists' MET adherence and competence. These findings underscore the need for objective monitoring of therapists' performance when using empirically supported treatments and for adequately training therapists and supervisors to evaluate their treatment implementation in community programs, and are consistent with observations that different perspectives on the therapeutic process are not interchangeable.
本研究考察了在国立药物滥用研究所临床试验网络协议下使用动机增强疗法（MET）的治疗师，其社区项目治疗师、督导和观察者之间治疗完整性评分（依从性和胜任力）的一致性。结果表明，三组评分者在几种基本MET策略是否存在方面达成了合理的共识。此外，相对于观察者，治疗师和督导对治疗师的MET依从性和胜任力评价更为积极。这些发现强调了在使用循证治疗时对治疗师表现进行客观监测的必要性，以及对治疗师和督导进行充分培训，以评估他们在社区项目中的治疗实施情况，并且与不同视角在治疗过程中不可互换的观察结果一致。
