Evidence map›Paper›PMID 25346995›Full record

ArticlePsychological assessment2015

Measuring treatment differentiation for implementation research: the Therapy Process Observational Coding System for Child Psychotherapy Revised Strategies scale.

Bryce D McLeod, Meghan M Smith, Michael A Southam-Gerow, John R Weisz, Philip C Kendall

Abstract read
In one paragraph

Article in Psychological assessment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. The Content of Usual Clinical Care for Youth with Primary Anxiety Problems.Administration and policy in mental health · 2025
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  5. Treatment Fidelity and Outcome in CBT for Youth with Autism: The MEYA Fidelity Scale.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bryce D McLeodDepartment of Psychology, Virginia Commonwealth University.
Meghan M SmithDepartment of Psychology, Virginia Commonwealth University.
Michael A Southam-GerowDepartment of Psychology, Virginia Commonwealth University.
John R WeiszDepartment of Psychology, Harvard University.
Philip C KendallDepartment of Psychology, Temple University.

Funding

Development and Validation of Child Therapy Integrity MeasuresR01MH086529 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI MCLEOD, BRYCE DOUGLAS, SOUTHAM-GEROW, MICHAEL A · 2010 to 2014
$1.7M
NIMH NIH HHS R01 MH086529
6 · The paper itself

Abstract

Observational measures to assess implementation integrity (the extent to which components of an evidence-based treatment are delivered as intended) are needed. The authors evaluated the reliability of the scores and the validity of the score interpretations for the Therapy Process Observational Coding System for Child Psychotherapy-Revised Strategies scale (TPOCS-RS; McLeod, 2010) and assessed the potential of the TPOCS-RS to assess treatment differentiation, a component of implementation integrity. The TPOCS-RS includes 5 theory-based subscales (Cognitive, Behavioral, Psychodynamic, Client-Centered, and Family). Using the TPOCS-RS, coders independently rated 954 sessions conducted with 89 children (M age = 10.56, SD = 2.00; age 7-15 years; 65.20% White) diagnosed with a primary anxiety disorder who received different treatments (manual-based vs. nonmanualized) across settings (research vs. practice). Coders produced reliable ratings at the item level (M intraclass correlation coefficient = .76, SD = .18). Analyses support the construct validity of the Cognitive and Behavioral subscale scores and, to a lesser extent, the Psychodynamic, Family, and Client-Centered subscale scores. Correlations among the TPOCS-RS subscale scores and between the TPOCS-RS subscale scores and observational ratings of the alliance and client involvement were moderate suggesting independence of the subscale scores. Moreover, the TPOCS-RS showed promise for assessing implementation integrity as the TPOCS-RS subscale scores, as hypothesized, discriminated between manual-guided treatment delivered across research and practice settings and nonmanualized usual care. The findings support the potential of the TPOCS-RS Cognitive and Behavioral subscales to assess treatment differentiation in implementation research. Results for the remaining subscales are promising, although further research is needed.

Indexed as

AdolescentAnxiety DisordersChildFemaleHealth Services ResearchHumansMaleOutcome and Process Assessment, Health CarePsychotherapy

Identifiers

PMID25346995
PMCPMC4355313

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Registered trials

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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.