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Development and Initial Validation of a Client-Rated MET-CBT Adherence Measure.

Wendy R Ulaszek¹, Hsiu-Ju Lin, Linda K Frisman

¹University of Connecticut School of Social Work.

Substance Abuse : Research and Treatment

|August 31, 2012

Summary

This summary is machine-generated.

Client surveys offer a validated, less resource-intensive method for rating adherence to Motivational Enhancement Therapy-Cognitive Behavioral Treatment (MET-CBT). This approach provides objective quality monitoring compared to traditional methods.

Keywords:

MET-CBT client ratings fidelity implementation

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Area of Science:

Addiction treatment research
Psychotherapy fidelity assessment
Behavioral health quality improvement

Background:

Traditional methods for assessing treatment adherence and fidelity are often resource-intensive and time-consuming.
Accurate measurement of adherence to therapies like Motivational Enhancement Therapy-Cognitive Behavioral Treatment (MET-CBT) is crucial for quality assurance and treatment effectiveness.

Purpose of the Study:

To develop and validate a tool for rating adherence to MET-CBT using anonymous client surveys.
To assess the feasibility and psychometric properties of client-reported adherence measures.

Main Methods:

An instrument was developed to capture client perceptions of adherence to MET-CBT.
The tool was administered to clients across three methadone programs over two assessment waves.
Explanatory and Confirmatory Factor Analyses were employed to establish construct validity, and Cronbach's alpha was used to assess internal consistency.

Main Results:

The client survey demonstrated adequate internal consistency (Cronbach's alpha > 0.70) for most subscales.
Interrater reliability, indicated by r(wg(j)) scores, ranged from 0.6 upwards, suggesting moderate to strong agreement among clients rating the same counselor.
Factor analyses supported the construct validity of the MET and CBT components of the treatment.

Conclusions:

Anonymous client surveys represent a viable, objective, and less resource-intensive alternative to counselor self-reports or supervisor reviews for monitoring MET-CBT adherence.
This client-centered approach can enhance quality monitoring in addiction treatment programs.
Further research and scale refinement are recommended to optimize this measurement tool.