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Graduate Theses, Dissertations, and Problem Reports

Theses/Dissertations

2019

Competence

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Examining The Impact Of Treatment Fidelity On Client Outcomes In A Statewide Implementation Of Parent-Child Interaction Therapy, Mira D H Snider Jan 2019

Examining The Impact Of Treatment Fidelity On Client Outcomes In A Statewide Implementation Of Parent-Child Interaction Therapy, Mira D H Snider

Graduate Theses, Dissertations, and Problem Reports

Clinician treatment fidelity, consisting of treatment adherence and clinician competence, is commonly assessed during the implementation of evidence-based treatments to ensure that clinicians are delivering care according to an intended service model. Although resources are often expended in fidelity measurement, associations between fidelity and client outcomes has not been well established in the psychotherapy literature. The relationship between clinician fidelity and treatment outcomes was investigated in a longitudinal sample of clinicians (n = 17) and parent-child dyads (n = 32) following a statewide implementation of Parent-Child Interaction Therapy. Observer-rated measures of adherence and coaching competence collected from early …


The Parent-Child Interaction Therapy Family Experiences And Feedback Study: A Follow-Up Examination Of Attrition In An Evidence-Based Treatment In Community Settings Statewide, Brittany K. Liebsack Jan 2019

The Parent-Child Interaction Therapy Family Experiences And Feedback Study: A Follow-Up Examination Of Attrition In An Evidence-Based Treatment In Community Settings Statewide, Brittany K. Liebsack

Graduate Theses, Dissertations, and Problem Reports

Attrition is a significant problem in child psychotherapy (De Haan, Boon, De Jong, Hoeve, & Vermeiren, 2013) and has serious implications (Barrett et al., 2008). Predictors of attrition include those at the client, therapist, and treatment levels. The current study investigated variables associated with attrition in Parent-Child Interaction Therapy (PCIT), an evidence-based parent training program for families with young children (ages 2.5- to 7-years-old) with disruptive behavior disorders. The sample of 67 caregivers were treated by 25 therapists from 19 different licensed psychiatric outpatient clinics across one state and were part of a larger study (RO1 MH09750; A Statewide Trial …