title: Consistency with evidence-based treatments and perceived effectiveness of children's community-based care.
abstract: This study examined whether delivery of psychotherapeutic strategies consistent with common elements of evidence-based (EB) treatments for child disruptive behavior problems was associated with parents' report of treatment effectiveness. The intensity of delivery of practice elements consistent with EB treatments was coded from a random sample of 538 videotaped psychotherapy sessions with 157 children/families and 75 therapists from six community-based clinics. Multilevel regression analyses tested whether intensity of EB practice elements was associated with parents' report of treatment effectiveness after 4 months, controlling for intensity of other practice elements. Results indicate parents reported greater perceived treatment effectiveness when community-based treatment included more intensive delivery of practice elements consistent with EB treatments to children. These findings may reassure providers about the acceptability of EB practice elements and may motivate efforts to integrate EB practice elements more intensively into community-based care.
authors.affiliation: San Diego State University, 3020 Children's Way MC 5033, San Diego, CA, 92123, USA, rhaine@projects.sdsu.edu.
authors.forename: Rachel
authors.initials: R
authors.lastname: Haine-Schlagel
authors.forename: Danielle L
authors.initials: DL
authors.lastname: Fettes
authors.forename: Antonio R
authors.initials: AR
authors.lastname: Garcia
authors.forename: Lauren
authors.initials: L
authors.lastname: Brookman-Frazee
authors.forename: Ann F
authors.initials: AF
authors.lastname: Garland
mesh_terms: D000293:Adolescent; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D002140:California; D002648:Child; D002675:Child, Preschool; D003156:Community Mental Health Services; D003258:Consumer Behavior; D055317:Evidence-Based Practice; D005196:Family Therapy; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008484:Medicaid; D010043:Outcome and Process Assessment, Health Care; D011369:Professional-Patient Relations; D011613:Psychotherapy; D016896:Treatment Outcome; D014481:United States