title: Development of a clinician report measure to assess psychotherapy for depression in usual care settings.
abstract: Although mental health policy initiatives have called for quality improvement in depression care, practical tools to describe the quality of psychotherapy for depression are not available. We developed a clinician-report measure of adherence to three types of psychotherapy for depression-cognitive behavioral therapy, interpersonal therapy, and psychodynamic therapy. A total of 727 clinicians from a large, national managed behavioral health care organization responded to a mail survey. The measure demonstrated good psychometric properties, including appropriate item-scale correlations, internal consistency reliability, and a three-factor structure. Our results suggest that this questionnaire may be a promising approach to describing psychotherapy for depression in usual care.
authors.affiliation: RAND Corporation, Santa Monica, CA 90407-2138, USA. hepner@rand.org
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Hepner
authors.forename: Francisca
authors.initials: F
authors.lastname: Azocar
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Greenwood
authors.forename: Jeanne
authors.initials: J
authors.lastname: Miranda
authors.forename: M Audrey
authors.initials: MA
authors.lastname: Burnam
mesh_terms: D000368:Aged; D003156:Community Mental Health Services / Q000458:organization & administration*; D003863:Depression / Q000628:therapy*; D005260:Female; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D017064:Process Assessment, Health Care; D011594:Psychometrics; D011613:Psychotherapy / Q000379:methods*; D011787:Quality of Health Care / Q000458:organization & administration; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires