Evidence map›Paper›PMID 26881448›Full record

ArticleJournal of consulting and clinical psychology2016

The role of setting versus treatment type in alliance within youth therapy.

Bryce D McLeod, Amanda Jensen-Doss, Carrie B Tully, Michael A Southam-Gerow, John R Weisz, Philip C Kendall

Open access · hybridAbstract read
In one paragraph

Article in Journal of consulting and clinical psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.3field-weighted citation impact, top 9% of its field
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

6 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Implementing evidence-based treatment protocols: Flexibility within fidelity.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2018
    Article
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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

6 authors at 4 institutions in 1 country.

Bryce D McLeodDepartment of Psychology, Virginia Commonwealth University.
Amanda Jensen-DossDepartment of Psychology, University of Miami.
Carrie B TullyDepartment 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.
Virginia Commonwealth University · USHarvard University · USTemple University · USUniversity of Miami · US

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

objectiveDoes the strength of the youth-therapist alliance differ across treatment settings or treatment type? We examined these questions in the context of youth therapy.

methodEighty-nine youths (M age = 10.56, SD = 1.99; 63.70% Caucasian; 52.80% male) diagnosed with an anxiety disorder received (a) manual-based individual cognitive-behavioral therapy (ICBT) in a research setting, (b) manual-based ICBT in practice settings, or (c) nonmanualized usual care (UC) in practice settings. Coders, using the Therapy Process Observational Coding System-Alliance scale, rated 865 sessions. Youth completed the Therapeutic Alliance Scale for Children at posttreatment.

resultsYouth who received ICBT in a research setting had significantly higher observer-rated alliance than youth who received either therapy delivered in practice settings. In practice settings, youth who received ICBT had significantly stronger observer-rated alliance early in treatment than youth in UC, but this difference was not observed at the end of treatment. Similarly, youth-report alliance at posttreatment was significantly higher in ICBT in the research setting, and there was no difference between ICBT and UC delivered in practice settings. Alliance differences largely held when controlling for youth characteristics; however, differences early in treatment between the ICBT groups were no longer statistically significant when controlling for anxiety severity or primary anxiety diagnosis.

conclusionsOur findings suggest that (a) the alliance may be stronger in research settings, and (b) treatment manuals do not undermine alliance. Future research is required to help pinpoint whether other youth, therapist, or setting factors contribute to the lower alliance seen in practice settings.

Indexed as

Cognitive Behavioral TherapyPsychotherapy, GroupAdolescentAnxiety DisordersChildCooperative BehaviorFemaleHealth PersonnelHumansMale

Identifiers

PMID26881448
PMCPMC4837042
OpenAlexW2280096777

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.