Trial reportThe American journal of drug and alcohol abuse2013
Therapist predictors of treatment delivery fidelity in a community-based trial of 12-step facilitation.
Trial report in The American journal of drug and alcohol abuse, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed.
- Trial
- Exploring the Association between Individual-Level Attributes and Fidelity to a Vocational Rehabilitation Intervention within a Randomised Controlled Trial.International journal of environmental research and public health · 2023Trial
- Inconsistent Counselor Fidelity in Delivering an Evidence-Based Adherence Intervention During a PrEP Trial.AIDS and behavior · 2022Trial
- Trial
- The relationship of therapeutic alliance and treatment delivery fidelity with treatment retention in a multisite trial of twelve-step facilitation.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2015Trial
- Adherence and competence in two manual-guided therapies for co-occurring substance use and posttraumatic stress disorders: clinician factors and patient outcomes.The American journal of drug and alcohol abuse · 2015Trial
- Therapist Delivery of Evidence Based Practice (EBP) Strategies in a System-Driven Implementation of Multiple EBPs for Children.Administration and policy in mental health · 2026Article
- Latent Profile Analysis of Distinct Patterns of Treatment and Assessment Practices among Youth Mental Health Providers.Administration and policy in mental health · 2026Article
- Intrinsic Motivation and Institutional Limitations: Key Implementation Determinants of Psychological First Aid Training.Community mental health journal · 2024Article
- Mechanisms of change for a family intervention in Kenya: An Integrated Clinical and Implementation Mapping approach.Behaviour research and therapy · 2022Article
- Article
- Relationship between clinician-level attributes and implementation outcomes from the Pathways to Comorbidity Care training program.BMC medical education · 2022Article
- Health At Every Size intervention® under real-world conditions: the rights and wrongs of program implementation.Health psychology and behavioral medicine · 2022Article
- An equivalence analysis of provider education in youth mental health care.Health services research · 2021Article
- Concordance between Community Supervisor and Provider Ratings of Fidelity: Examination of Multi-Level Predictors and Outcomes.Journal of child and family studies · 2021Article
- Measuring fidelity to delivery of a new smoking cessation intervention integrated into routine tuberculosis care in Pakistan and Bangladesh: Contextual differences and opportunities.Tobacco induced diseases · 2021Article
- Provider Readiness and Adaptations of Competency Drivers During Scale-Up of the Family Check-Up.The journal of primary prevention · 2019Article
- Novel Methods for Screening: Contributions from Attachment and Biobehavioral Catch-up.Prevention science : the official journal of the Society for Prevention Research · 2018Article
- Fidelity monitoring across the seven studies in the Consortium of Hospitals Advancing Research on Tobacco (CHART).Tobacco induced diseases · 2015Article
- Provider self-efficacy in delivering evidence-based psychosocial interventions: A scoping review.Implementation research and practiceArticle
Corrections and comments
- Commented on by
Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
aimsTherapist characteristics may be associated with variation in consistency, quality and effectiveness of treatment delivery. We examined associations between treatment fidelity and therapist education, experience, treatment orientation and perceived skills in a randomized, multi-site trial of Twelve Step Facilitation (TSF).
methodsRaters scored audio-recorded, TSF sessions (n = 966; 97% of TSF sessions) from 32 community-based, trained therapists for adherence, competence, empathy and global session performance.
resultsTherapists with graduate degrees had significantly higher adherence and global performance fidelity ratings. Therapists reporting more positive attitudes toward 12-Step groups had lower adherence ratings. Being in recovery was associated with lower fidelity in univariate tests, but higher adherence in multivariate analysis. Fidelity was higher for therapists reporting self-efficacy in basic counseling skills and lower for self-efficacy in addiction-specific counseling skills. Fidelity was also superior in group relative to individual TSF sessions.
conclusionsResults have implications for therapist selection, training and supervision in community-based, effectiveness trials and community implementation of evidence-based treatments. To obtain high fidelity and improve outcomes, it may be preferable to choose masters level therapists who are open to learning new treatments and have good, general counseling skills.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.