Treatment Fidelity

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Corine De Ruiter - One of the best experts on this subject based on the ideXlab platform.

  • Treatment Fidelity during Therapist Initial Training is related to Subsequent Effectiveness of Parent Management Training—Oregon Model
    Journal of Child and Family Studies, 2017
    Co-Authors: Jill Thijssen, Gonnie Albrecht, Peter Muris, Corine De Ruiter
    Abstract:

    The present study examined the association between Treatment Fidelity during therapist initial training and subsequent Treatment outcome of Parent Management Training - Oregon model (PMTO) in The Netherlands. Clinically referred children (N = 86) aged 4 to 11 years and their parents received PMTO and were assessed at four time points: at baseline, and after 6, 12, and 18 months. Difference scores between baseline and follow-up assessments of externalizing behavior problems, parenting practices, and parental psychopathology and parents' overall ratings of working alliance, were correlated with Treatment Fidelity scores measured prior to the intervention. Furthermore, differences in therapists' Fidelity scores between Treatment completers and drop-outs were examined. Results showed that higher Fidelity scores of PMTO therapists during initial training were associated with larger improvements in externalizing behavior, parenting practices, and parental psychopathology, especially after 18 months. In addition, parents who completed the Treatment had a significantly more adherent therapist than families who dropped out. However, the correlations between Treatment Fidelity and working alliance were non-significant. These findings indicate that therapists' high adherence to the PMTO Treatment principles during initial training decreases the chance of Treatment drop-out and positively affects the longterm effectiveness of PMTO.

  • Treatment Fidelity during therapist initial training is related to subsequent effectiveness of parent management training oregon model
    Journal of Child and Family Studies, 2017
    Co-Authors: Jill Thijssen, Gonnie Albrecht, Peter Muris, Corine De Ruiter
    Abstract:

    The present study examined the association between Treatment Fidelity during therapist initial training and subsequent Treatment outcome of Parent Management Training - Oregon model (PMTO) in The Netherlands. Clinically referred children (N = 86) aged 4 to 11 years and their parents received PMTO and were assessed at four time points: at baseline, and after 6, 12, and 18 months. Difference scores between baseline and follow-up assessments of externalizing behavior problems, parenting practices, and parental psychopathology and parents' overall ratings of working alliance, were correlated with Treatment Fidelity scores measured prior to the intervention. Furthermore, differences in therapists' Fidelity scores between Treatment completers and drop-outs were examined. Results showed that higher Fidelity scores of PMTO therapists during initial training were associated with larger improvements in externalizing behavior, parenting practices, and parental psychopathology, especially after 18 months. In addition, parents who completed the Treatment had a significantly more adherent therapist than families who dropped out. However, the correlations between Treatment Fidelity and working alliance were non-significant. These findings indicate that therapists' high adherence to the PMTO Treatment principles during initial training decreases the chance of Treatment drop-out and positively affects the longterm effectiveness of PMTO.

Jill Thijssen - One of the best experts on this subject based on the ideXlab platform.

  • Treatment Fidelity during Therapist Initial Training is related to Subsequent Effectiveness of Parent Management Training—Oregon Model
    Journal of Child and Family Studies, 2017
    Co-Authors: Jill Thijssen, Gonnie Albrecht, Peter Muris, Corine De Ruiter
    Abstract:

    The present study examined the association between Treatment Fidelity during therapist initial training and subsequent Treatment outcome of Parent Management Training - Oregon model (PMTO) in The Netherlands. Clinically referred children (N = 86) aged 4 to 11 years and their parents received PMTO and were assessed at four time points: at baseline, and after 6, 12, and 18 months. Difference scores between baseline and follow-up assessments of externalizing behavior problems, parenting practices, and parental psychopathology and parents' overall ratings of working alliance, were correlated with Treatment Fidelity scores measured prior to the intervention. Furthermore, differences in therapists' Fidelity scores between Treatment completers and drop-outs were examined. Results showed that higher Fidelity scores of PMTO therapists during initial training were associated with larger improvements in externalizing behavior, parenting practices, and parental psychopathology, especially after 18 months. In addition, parents who completed the Treatment had a significantly more adherent therapist than families who dropped out. However, the correlations between Treatment Fidelity and working alliance were non-significant. These findings indicate that therapists' high adherence to the PMTO Treatment principles during initial training decreases the chance of Treatment drop-out and positively affects the longterm effectiveness of PMTO.

  • Treatment Fidelity during therapist initial training is related to subsequent effectiveness of parent management training oregon model
    Journal of Child and Family Studies, 2017
    Co-Authors: Jill Thijssen, Gonnie Albrecht, Peter Muris, Corine De Ruiter
    Abstract:

    The present study examined the association between Treatment Fidelity during therapist initial training and subsequent Treatment outcome of Parent Management Training - Oregon model (PMTO) in The Netherlands. Clinically referred children (N = 86) aged 4 to 11 years and their parents received PMTO and were assessed at four time points: at baseline, and after 6, 12, and 18 months. Difference scores between baseline and follow-up assessments of externalizing behavior problems, parenting practices, and parental psychopathology and parents' overall ratings of working alliance, were correlated with Treatment Fidelity scores measured prior to the intervention. Furthermore, differences in therapists' Fidelity scores between Treatment completers and drop-outs were examined. Results showed that higher Fidelity scores of PMTO therapists during initial training were associated with larger improvements in externalizing behavior, parenting practices, and parental psychopathology, especially after 18 months. In addition, parents who completed the Treatment had a significantly more adherent therapist than families who dropped out. However, the correlations between Treatment Fidelity and working alliance were non-significant. These findings indicate that therapists' high adherence to the PMTO Treatment principles during initial training decreases the chance of Treatment drop-out and positively affects the longterm effectiveness of PMTO.

David P. French - One of the best experts on this subject based on the ideXlab platform.

  • translating a walking intervention for health professional delivery within primary care a mixed methods Treatment Fidelity assessment
    British Journal of Health Psychology, 2020
    Co-Authors: Stefanie Williams, Jennifer Mcsharry, Claire Taylor, Jeremy Dale, Susan Michie, David P. French
    Abstract:

    OBJECTIVES Existing Fidelity studies of physical activity interventions are limited in methodological quality and rigour, particularly those delivered by health care providers in clinical settings. The present study aimed to enhance and assess the Fidelity of a walking intervention delivered by health care providers within general practice in line with the NIH Behavior Change Consortium Treatment Fidelity framework. DESIGN Two practice nurses and six health care assistants delivered a theory-based walking intervention to 63 patients in their own practices. A cross-sectional mixed-methods study assessed Fidelity related to Treatment delivery and Treatment receipt, from the perspectives of health care providers and patients. METHODS All providers received training and demonstrated delivery competence prior to the trial. Delivery of intervention content was coded from audio-recordings using a standardized checklist. Qualitative interviews with 12 patients were conducted to assess patient perspectives of Treatment receipt and analysed using framework analysis. RESULTS Overall, 78% of intervention components were delivered as per the protocol (range 36-91%), with greater Fidelity for components requiring active engagement from patients (e.g., completion of worksheets). The qualitative data highlighted differences in patients' comprehension of specific intervention components. Understanding of, and engagement with, motivational components aimed at improving self-efficacy was poorer than for volitional planning components. CONCLUSIONS High levels of Fidelity of delivery were demonstrated. However, patient-, provider-, and component-level factors impacted on Treatment delivery and receipt. We recommend that methods for the enhancement and assessment of Treatment Fidelity are consistently implemented to enhance the rigour of physical activity intervention research. Statement of contribution What is already known on this subject? Physical activity interventions delivered within primary care by health professionals have so far demonstrated limited impact on behaviour change initiation and maintenance. Treatment Fidelity enhancement and assessment strategies can support the successful translation of behaviour change interventions into real-life settings. Few studies have examined Treatment Fidelity within the context of physical activity interventions, particularly within clinical settings, and existing Fidelity studies are limited by methodological quality and rigour. What does this study add? High levels of Fidelity were found for a physical activity intervention delivered in primary care. Patient-, provider-, and component-level factors may impact on Treatment delivery and receipt. The implementation of best practice Fidelity recommendations can support near-optimal Fidelity.

  • Translating a walking intervention for health professional delivery within primary care: A mixed‐methods Treatment Fidelity assessment
    British journal of health psychology, 2019
    Co-Authors: Stefanie Williams, Jennifer Mcsharry, Claire Taylor, Jeremy Dale, Susan Michie, David P. French
    Abstract:

    OBJECTIVES Existing Fidelity studies of physical activity interventions are limited in methodological quality and rigour, particularly those delivered by health care providers in clinical settings. The present study aimed to enhance and assess the Fidelity of a walking intervention delivered by health care providers within general practice in line with the NIH Behavior Change Consortium Treatment Fidelity framework. DESIGN Two practice nurses and six health care assistants delivered a theory-based walking intervention to 63 patients in their own practices. A cross-sectional mixed-methods study assessed Fidelity related to Treatment delivery and Treatment receipt, from the perspectives of health care providers and patients. METHODS All providers received training and demonstrated delivery competence prior to the trial. Delivery of intervention content was coded from audio-recordings using a standardized checklist. Qualitative interviews with 12 patients were conducted to assess patient perspectives of Treatment receipt and analysed using framework analysis. RESULTS Overall, 78% of intervention components were delivered as per the protocol (range 36-91%), with greater Fidelity for components requiring active engagement from patients (e.g., completion of worksheets). The qualitative data highlighted differences in patients' comprehension of specific intervention components. Understanding of, and engagement with, motivational components aimed at improving self-efficacy was poorer than for volitional planning components. CONCLUSIONS High levels of Fidelity of delivery were demonstrated. However, patient-, provider-, and component-level factors impacted on Treatment delivery and receipt. We recommend that methods for the enhancement and assessment of Treatment Fidelity are consistently implemented to enhance the rigour of physical activity intervention research. Statement of contribution What is already known on this subject? Physical activity interventions delivered within primary care by health professionals have so far demonstrated limited impact on behaviour change initiation and maintenance. Treatment Fidelity enhancement and assessment strategies can support the successful translation of behaviour change interventions into real-life settings. Few studies have examined Treatment Fidelity within the context of physical activity interventions, particularly within clinical settings, and existing Fidelity studies are limited by methodological quality and rigour. What does this study add? High levels of Fidelity were found for a physical activity intervention delivered in primary care. Patient-, provider-, and component-level factors may impact on Treatment delivery and receipt. The implementation of best practice Fidelity recommendations can support near-optimal Fidelity.

Peter Muris - One of the best experts on this subject based on the ideXlab platform.

  • Treatment Fidelity during Therapist Initial Training is related to Subsequent Effectiveness of Parent Management Training—Oregon Model
    Journal of Child and Family Studies, 2017
    Co-Authors: Jill Thijssen, Gonnie Albrecht, Peter Muris, Corine De Ruiter
    Abstract:

    The present study examined the association between Treatment Fidelity during therapist initial training and subsequent Treatment outcome of Parent Management Training - Oregon model (PMTO) in The Netherlands. Clinically referred children (N = 86) aged 4 to 11 years and their parents received PMTO and were assessed at four time points: at baseline, and after 6, 12, and 18 months. Difference scores between baseline and follow-up assessments of externalizing behavior problems, parenting practices, and parental psychopathology and parents' overall ratings of working alliance, were correlated with Treatment Fidelity scores measured prior to the intervention. Furthermore, differences in therapists' Fidelity scores between Treatment completers and drop-outs were examined. Results showed that higher Fidelity scores of PMTO therapists during initial training were associated with larger improvements in externalizing behavior, parenting practices, and parental psychopathology, especially after 18 months. In addition, parents who completed the Treatment had a significantly more adherent therapist than families who dropped out. However, the correlations between Treatment Fidelity and working alliance were non-significant. These findings indicate that therapists' high adherence to the PMTO Treatment principles during initial training decreases the chance of Treatment drop-out and positively affects the longterm effectiveness of PMTO.

  • Treatment Fidelity during therapist initial training is related to subsequent effectiveness of parent management training oregon model
    Journal of Child and Family Studies, 2017
    Co-Authors: Jill Thijssen, Gonnie Albrecht, Peter Muris, Corine De Ruiter
    Abstract:

    The present study examined the association between Treatment Fidelity during therapist initial training and subsequent Treatment outcome of Parent Management Training - Oregon model (PMTO) in The Netherlands. Clinically referred children (N = 86) aged 4 to 11 years and their parents received PMTO and were assessed at four time points: at baseline, and after 6, 12, and 18 months. Difference scores between baseline and follow-up assessments of externalizing behavior problems, parenting practices, and parental psychopathology and parents' overall ratings of working alliance, were correlated with Treatment Fidelity scores measured prior to the intervention. Furthermore, differences in therapists' Fidelity scores between Treatment completers and drop-outs were examined. Results showed that higher Fidelity scores of PMTO therapists during initial training were associated with larger improvements in externalizing behavior, parenting practices, and parental psychopathology, especially after 18 months. In addition, parents who completed the Treatment had a significantly more adherent therapist than families who dropped out. However, the correlations between Treatment Fidelity and working alliance were non-significant. These findings indicate that therapists' high adherence to the PMTO Treatment principles during initial training decreases the chance of Treatment drop-out and positively affects the longterm effectiveness of PMTO.

Gonnie Albrecht - One of the best experts on this subject based on the ideXlab platform.

  • Treatment Fidelity during Therapist Initial Training is related to Subsequent Effectiveness of Parent Management Training—Oregon Model
    Journal of Child and Family Studies, 2017
    Co-Authors: Jill Thijssen, Gonnie Albrecht, Peter Muris, Corine De Ruiter
    Abstract:

    The present study examined the association between Treatment Fidelity during therapist initial training and subsequent Treatment outcome of Parent Management Training - Oregon model (PMTO) in The Netherlands. Clinically referred children (N = 86) aged 4 to 11 years and their parents received PMTO and were assessed at four time points: at baseline, and after 6, 12, and 18 months. Difference scores between baseline and follow-up assessments of externalizing behavior problems, parenting practices, and parental psychopathology and parents' overall ratings of working alliance, were correlated with Treatment Fidelity scores measured prior to the intervention. Furthermore, differences in therapists' Fidelity scores between Treatment completers and drop-outs were examined. Results showed that higher Fidelity scores of PMTO therapists during initial training were associated with larger improvements in externalizing behavior, parenting practices, and parental psychopathology, especially after 18 months. In addition, parents who completed the Treatment had a significantly more adherent therapist than families who dropped out. However, the correlations between Treatment Fidelity and working alliance were non-significant. These findings indicate that therapists' high adherence to the PMTO Treatment principles during initial training decreases the chance of Treatment drop-out and positively affects the longterm effectiveness of PMTO.

  • Treatment Fidelity during therapist initial training is related to subsequent effectiveness of parent management training oregon model
    Journal of Child and Family Studies, 2017
    Co-Authors: Jill Thijssen, Gonnie Albrecht, Peter Muris, Corine De Ruiter
    Abstract:

    The present study examined the association between Treatment Fidelity during therapist initial training and subsequent Treatment outcome of Parent Management Training - Oregon model (PMTO) in The Netherlands. Clinically referred children (N = 86) aged 4 to 11 years and their parents received PMTO and were assessed at four time points: at baseline, and after 6, 12, and 18 months. Difference scores between baseline and follow-up assessments of externalizing behavior problems, parenting practices, and parental psychopathology and parents' overall ratings of working alliance, were correlated with Treatment Fidelity scores measured prior to the intervention. Furthermore, differences in therapists' Fidelity scores between Treatment completers and drop-outs were examined. Results showed that higher Fidelity scores of PMTO therapists during initial training were associated with larger improvements in externalizing behavior, parenting practices, and parental psychopathology, especially after 18 months. In addition, parents who completed the Treatment had a significantly more adherent therapist than families who dropped out. However, the correlations between Treatment Fidelity and working alliance were non-significant. These findings indicate that therapists' high adherence to the PMTO Treatment principles during initial training decreases the chance of Treatment drop-out and positively affects the longterm effectiveness of PMTO.