title: The Children's Psychosocial Rehabilitation Treatment Adherence Measure: development and initial validation.
abstract: This paper reports on two studies designed to develop and validate a treatment adherence measure for Children's Psychosocial Rehabilitation (CPSR)--a home- and community-based treatment for youth with serious emotional disturbance. In Study 1, we derived CPSR treatment adherence and differentiation criteria from a treatment manual and evaluated their content validity via structured feedback from practitioners. In study 2 we assessed the reliability and validity of the resultant CPSR Treatment Adherence Measure (CTAM) in a clinical sample of youth receiving CPSR (n = 11) or outpatient psychotherapy (n = 20). Results from Study 1 revealed strong agreement among practitioners regarding the validity of the proposed adherence criteria (ICC = .82). Results from Study 2 indicated the CTAM had good internal consistency (parent- and supervisor report α's = .86 & .91) and high inter-rater reliability (r = .87, P = .001) in this pilot sample. CTAM scores reliably distinguished between children receiving CPSR versus psychotherapy (z = -3.16, P = .002) and between CPSR interventionists with reputations for high- (n = 4) or low- (n = 7) adherence to the model (z = -2.47, P = .014). Findings indicate the CTAM is worthy of further development as a practice and research instrument.
authors.affiliation: CenterPointe, Inc., Nampa, ID 83686, USA. nwilliams@centerpointeinc.com
authors.forename: Nathaniel J
authors.initials: NJ
authors.lastname: Williams
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Oberst
authors.forename: Drey V
authors.initials: DV
authors.lastname: Campbell
authors.forename: Lawanna
authors.initials: L
authors.lastname: Lancaster
mesh_terms: D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000523:psychology / Q000628:therapy; D002648:Child; D002662:Child Health Services / Q000592:standards*; D003156:Community Mental Health Services / Q000458:organization & administration*; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011594:Psychometrics / Q000295:instrumentation*; D011613:Psychotherapy; D011785:Quality Assurance, Health Care; D012047:Rehabilitation Centers; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires / Q000592:standards*