Consistency with evidence-based treatments and perceived effectiveness of children's community-based care

Rachel Haine-Schlagel, Danielle L. Fettes, Antonio R. Garcia, Lauren Brookman-Frazee, Ann F. Garland

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

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.

Original languageEnglish
Pages (from-to)158-163
Number of pages6
JournalCommunity Mental Health Journal
Volume50
Issue number2
DOIs
StatePublished - Feb 2014

Bibliographical note

Funding Information:
Acknowledgments Preparation of this article was supported by the following NIMH grants: R01-MH66070; K23-MH080149; K23-MH077584. The authors thank Michael Hurlburt, Ph.D. for comments on an earlier draft of the manuscript, Scott Roesch, Ph.D. for assistance with data analysis, William Ganger, MA for assistance with data management, Deb Dupuis, MPH and Robin Taylor for project management, and the families and therapists who participated in this study.

Keywords

  • Childhood disruptive behavior problems
  • Common elements
  • Community-based care
  • Perceived effectiveness
  • Youth psychotherapy

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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