Perepletchikova Francheska
Yale University School of Medicine, Department of Psychiatry.
Clin Psychol (New York). 2011 Jun;18(2):148-153. doi: 10.1111/j.1468-2850.2011.01246.x.
Treatment integrity, also known as treatment fidelity, is integral for empirical testing of intervention efficacy as it allows for unambiguous interpretations of the obtained results. Assuring treatment integrity is also important for dissemination of evidence-based practices and quality improvement of services. However, in the examination of the relationship between treatment integrity and treatment outcome it is important to consider that treatment integrity may be a proxy variable for other variables impacting therapeutic change (e.g., characteristics of intervention, clients, setting, and therapist). Considerations on examining the association between integrity and outcome are discussed. Further, recommendations on the level to which treatment integrity needs to be addressed in psychotherapy research and clinical practice are provided.
治疗完整性，也称为治疗保真度，对于干预效果的实证检验至关重要，因为它有助于对所获结果进行明确的解释。确保治疗完整性对于循证实践的推广和服务质量的提升也很重要。然而，在考察治疗完整性与治疗结果之间的关系时，重要的是要考虑到治疗完整性可能是影响治疗变化的其他变量（如干预措施、服务对象、环境和治疗师的特征）的一个替代变量。文中讨论了考察完整性与结果之间关联的注意事项。此外，还给出了关于在心理治疗研究和临床实践中需要关注治疗完整性程度的建议。
