Psychotherapy Research 2009;19(2):181-193. [doi:
Steve Martino, PhD (Connecticut VA Healthcare Center, Yale University, NE Node), Samuel A. Ball, PhD (Yale Community School of Medicine, NE Node) , Charla Nich (Connecticut VA Healthcare Center, Yale University, NE Node), Tami L. Frankforter (Connecticut VA Healthcare Center, Yale University, NE Node), Kathleen M. Carroll, PhD (Connecticut VA Healthcare Center, Yale University, NE Node).
This study examined the correspondence of treatment integrity ratings (adherence and competence) among community program therapists, supervisors, and observers for therapists who used motivational enhancement therapy (MET) within a National Treatment on Drug Abuse Clinical Trials Network protocol (CTN-0004, "MET to Improve Treatment Engagement and Outcome in Subjects Seeking Treatment for Substance Abuse"). The results suggested there was reasonable agreement between the three groups of raters about the presence or absence of several fundamental MET strategies. Moreover, relative to observers, therapists and supervisors were more positive in their evaluations of the therapists' MET adherence and competence. These findings underscore the need for objective monitoring of therapists' performance when using empirically supported treatments and for adequately training therapists and supervisors to evaluate their treatment implementation in community programs, and are consistent with observations that different perspectives on the therapeutic process are not interchangeable. (Article (Peer-Reviewed), PDF, English, 2009)
Behavior therapy |
Community health services |
Clinical supervision |
CTN platform/ancillary study |
Fidelity of implementation |
Motivational Enhancement Therapy (MET) |
Motivational interviewing (MI) |
Psychotherapy Research (journal)
Document No: 356, PMID: 19396649, PMCID: PMC278238
Submitted by CTN Dissemination Librarians, 4/29/2009.