Development and initial validation of a client-rated MET-CBT adherence measure

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Abstract

Traditional mechanisms for rating adherence or fidelity are labor-intensive. We developed and validated a tool to rate adherence to Motivational Enhancement Therapy-Cognitive Behavioral Treatment (MET-CBT) through anonymous client surveys. The instrument was used to survey clients in 3 methadone programs over 2 waves. Explanatory and Confirmatory Factor Analyses were used to establish construct validity for both MET and CBT. Internal consistency based on Cronbach's alpha was within adequate range (α > 0.70) for all but 2 of the subscales in one of the samples. Consensus between clients' ratings (rwg(j) scores) were in the range of 0.6 and higher, indicating a moderate to strong degree of agreement among clients' ratings of the same counselor. These results suggest that client surveys could be used to measure adherence to MET-CBT for quality monitoring that is more objective than counselor self-report and less resource-intensive than supervisor review of taped sessions. However, additional work is needed to develop this scale. © the author(s), publisher and licensee Libertas Academica Ltd.

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APA

Ulaszek, W. R., Lin, H. J., Frisman, L. K., Sampl, S., Godley, S. H., Steinberg-Gallucci, K. L., … O’Hagan-Lynch, M. (2012). Development and initial validation of a client-rated MET-CBT adherence measure. Substance Abuse: Research and Treatment. SAGE Publications Ltd. https://doi.org/10.4137/SART.S9896

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