Schoenwald Sonja K, Garland Ann F, Southam-Gerow Michael A, Chorpita Bruce F, Chapman Jason E
Medical University of South Carolina.
Clin Psychol (New York). 2011 Dec 1;18(4):331-341. doi: 10.1111/j.1468-2850.2011.01264.x. Epub 2011 Dec 19.
To extend the reach, transparency, and accountability for the implementation and outcomes of effective treatments in routine care, more clarity is needed about what happens in treatment. We attempt to (a) clarify terminology to describe and measure psychological treatment, and (b) consider what treatment adherence instruments can tell us about what happens in treatment. We reviewed the content of 11 adherence instruments for 14 evidence-based treatments for disruptive behavior problems in youth identified in an ongoing review of adherence measurement methods used in psychosocial treatment studies from 1980 - 2008. Item number, content, and level of detail varied widely. Implications are considered for the definition of effective treatments and design and testing of strategies to measure and monitor their delivery.
为了扩大常规护理中有效治疗实施情况及结果的覆盖范围、透明度和问责制,需要更清楚地了解治疗过程中发生了什么。我们试图:(a)澄清用于描述和衡量心理治疗的术语;(b)考虑治疗依从性工具能告诉我们治疗过程中发生了什么。我们回顾了1980年至2008年心理社会治疗研究中使用的依从性测量方法的一项正在进行的综述中确定的11种针对青少年破坏性行为问题的14种循证治疗的依从性工具的内容。项目数量、内容和详细程度差异很大。文中考虑了对有效治疗定义以及测量和监测其实施的策略的设计与测试的影响。