Holth Per, Torsheim Torbjørn, Sheidow Ashli J, Ogden Terje, Henggeler Scott W
Norwegian Center of Child Behavioral Development and Akershus University College.
J Child Adolesc Subst Abuse. 2011 Jan 1;20(4):289-313. doi: 10.1080/1067828X.2011.581974.
This study was a crosscultural replication of a study that investigated therapist adherence to behavioral interventions as a result of an intensive quality assurance system which was integrated into Multisystemic Therapy. Thirty-three therapists and eight supervisors participated in the study and were block randomized to either an Intensive Quality Assurance or a Workshop Only condition. Twenty-one of these therapists treated 41 cannabis-abusing adolescents and their families. Therapist adherence and youth drug screens were collected during a five-month baseline period prior to the workshop on contingency management and during 12 months post workshop. The results replicated the previous finding that therapist adherence to the cognitive-behavioral interventions, but not to contingency management, showed a strong positive difference in trend in favor of the intensive quality assurance condition. While the clinical impact of such quality assurance may be delayed and remains to be demonstrated, cannabis abstinence increased as a function of time in therapy, and was more likely with stronger therapy adherence to contingency management, but did not differ across quality assurance interventions.
本研究是一项跨文化重复研究，该研究调查了治疗师因融入多系统治疗的强化质量保证系统而对行为干预的依从性。33名治疗师和8名督导参与了该研究，并被整群随机分为强化质量保证组或仅参加工作坊组。其中21名治疗师治疗了41名滥用大麻的青少年及其家庭。在关于应急管理的工作坊之前的五个月基线期以及工作坊后的12个月内，收集了治疗师的依从性和青少年药物筛查结果。结果重复了之前的发现，即治疗师对认知行为干预的依从性（而非对应急管理的依从性）在趋势上显示出有利于强化质量保证组的强烈正向差异。虽然这种质量保证的临床影响可能会延迟且仍有待证明，但大麻戒断率随治疗时间而增加，并且在更严格遵守应急管理治疗的情况下更有可能实现，但在质量保证干预措施之间没有差异。
