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Evaluating Motivational Enhancement Therapy Adherence and Competence among Spanish-Speaking Therapists.

Drug and Alcohol Dependence 2009;103(1-2):44-51. [doi: 10.1016/j.drugalcdep.2009.03.006]

Elizabeth J. Santa Ana, PhD (Connecticut VA Healthcare Center, NE Node), Kathleen M. Carroll, PhD (Yale University School of Medicine, NE Node), Luis M. Añez, EdS, PsyD (Yale University School of Medicine, NE Node), Manuel Paris, Jr., PsyD (Yale University School of Medicine, NE Node), Samuel A. Ball, PhD (Yale University School of Medicine, NE Node), Charla Nich (Yale University School of Medicine, NE Node), Tami L. Frankforter (Yale University School of Medicine, NE Node), Lourdes Suarez-Morales, PhD (University of Miami School of Medicine, FL Node), José Szapocznik, PhD (University of Miami School of Medicine, FL Node), Steve Martino, PhD (Yale University School of Medicine, NE Node).

Despite the fact that the number of Hispanic individuals in need of treatment for substance use problems is increasing internationally, no studies have investigated the extent to which therapists can provide empirically supported treatments to Spanish-speaking clients with adequate fidelity. In this report, the authors provide data on the psychometric properties of a therapist adherence/competence rating system adapted from a previous English language multisite randomized clinical trial of motivational enhancement therapy (CTN-0004) and used in an independent Spanish version of the trial (CTN-0021). Both studies were conducted within the National Drug Abuse Treatment Clinical Trials Network. Identical in most ways (other than language and relevant cultural adaptations) to the protocol conducted in English, the Spanish MET protocol examined the effectiveness of a three-session adaptation of MET used in Project MATCH compared to counseling-as-usual (CAU) in five US-based community treatment programs. Independent ratings of 325 sessions indicated the adherence/competence rating system had good to excellent interrater reliability and indicated strong support for an a priori defined fundamental MET skill factor. Support for an advanced MET skill factor was relatively weaker. The rating scale indicated significant differences in therapists' MET adherence and competence across conditions. These findings indicate that the rating system has promise for assessing the performance of therapists who deliver MET in Spanish and suggest that bilingual Spanish-speaking therapists from the community can be trained to implement MET with adequate fidelity and skill using an intensive multisite training and supervision model. (Article (Peer-Reviewed), PDF, English, 2009)

Keywords: Assessment | Behavior therapy | Bicultural Involvement Questionnaire (BIQ) | Clinical supervision | Community health services | Counselors | CTN platform/ancillary study | Hispanics and Latinos | Independent Tape Rating Scale (ITRS) | Minority groups | Motivational Enhancement Therapy (MET) | Psychometrics | Screening and assessment instruments | Drug and Alcohol Dependence (journal)

Document No: 354, PMID: 19394164, PMCID: PMC2692434

Submitted by CTN Dissemination Librarians, 4/27/2009.

AUTHORS SEARCH LINK
Añes, Luis M. search
Ball, Samuel A. search mail
Carroll, Kathleen M. search mail
Frankforter, Tami L. search mail
Martino, Steve search mail
Nich, Charla search mail
Paris, Manuel Jr. search
Santa Ana, Elizabeth J. search mail
Suarez-Morales, Lourdes search mail
Szapocznik, José search mail
PROTOCOLS
NIDA-CTN-0021 search www
PARTICIPATING NODES
Florida Node Alliance (Lead) search www
New England Consortium (formerly New England) (Lead) search www
Greater New York (formerly New York) search www
Rocky Mountain Regional search www
Southwest search www
Western States (formerly Oregon/Hawaii) search www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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