Evidence map›Paper›PMID 27664141›Full record

Trial reportAdministration and policy in mental health2017

Benchmarking Family Therapy for Adolescent Behavior Problems in Usual Care: Fidelity, Outcomes, and Therapist Performance Differences.

Aaron Hogue, Sarah Dauber, Craig E Henderson

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Administration and policy in mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, 2014-2017: Outcomes, Treatment Delivery, and Promising Horizons.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  2. Trial
  3. Training Community Therapists in Core Elements of CBT and Family Therapy for Adolescent Externalizing Problems.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  4. Article
  5. Article
  6. Article
  7. Core Elements of Family Therapy for Adolescent Behavioral Health Problems: Validity Generalization in Community Settings.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
    Article
  8. Evidence Base Update of Psychosocial Treatments for Adolescents with Disruptive Behavior.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
    Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Core Elements of Family Therapy for Adolescent Behavior Problems: Empirical Distillation of Three Manualized Treatments.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
  16. Article
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

3 authors at 2 institutions in 1 country.

Aaron HogueThe National Center on Addiction and Substance Abuse, 633 Third Avenue, 19th floor, New York, NY, 10017, USA. ahogue@centeronaddiction.org.
Sarah DauberThe National Center on Addiction and Substance Abuse, 633 Third Avenue, 19th floor, New York, NY, 10017, USA.
Craig E HendersonDepartment of Psychology, Sam Houston State University, Huntsville, USA.
National Center on Addiction and Substance Abuse at Columbia University · USSam Houston State University · US

Funding

Local Quality Assurance Tool for Family Therapy in Usual Care for Adolescent Substance UseR01DA037496 · NIDA · PARTNERSHIP TO END ADDICTION · PI HOGUE, AARON · 2015 to 2018
$1.6M
Evidence-Based Practices and Service Outcomes in Usual Care for ASAR01DA023945 · NIDA · PARTNERSHIP TO END ADDICTION · PI DAUBER, SARAH E., HOGUE, AARON · 2009 to 2011
$775k
NIDA NIH HHS R01 DA023945NIDA NIH HHS R01 DA037496
6 · The paper itself

Abstract

This study evaluated whether community therapists delivering family therapy for adolescent behavior problems in usual care achieved performance benchmarks established in controlled trials for treatment fidelity and outcomes, with particular focus on individual differences in therapist performance. The study contained N = 38 adolescents (50 % male; mean age 15 years) whose self-reported race/ethnicity was Hispanic (74 %), African American (11 %), multiracial (11 %), and other (4 %). Clients were treated by 13 therapists in one community mental health clinic that delivered family therapy as the routine standard of care. Therapists provided self-report data on adherence to core family therapy techniques; these scores were inflation-adjusted based on concordance with observer reports. Results showed that community therapists surpassed the fidelity benchmark for core family therapy techniques established by research therapists during a controlled trial. Regarding change in client functioning at 6-month follow-up, community therapists were equivalent to the benchmark for internalizing symptoms and superior for externalizing symptoms and delinquent acts. Community therapists also demonstrated a high degree of performance uniformity: Each one approximated the fidelity benchmark, and only two produced relatively weak outcomes on any of the client change indicators. Caveats for interpreting therapist performance data, given the small sample size, are described. Recommendations are made for developing therapist-report fidelity measures and utilizing statistical process control methods to diagnose therapist differences and enhance quality assurance procedures.

Indexed as

Adolescent BehaviorAdolescentBenchmarkingCommunity Mental Health ServicesFamily TherapyFemaleGuideline AdherenceHumansMaleMental DisordersPractice Guidelines as TopicQuality of Health CareRacial GroupsAdolescent behavior problemsBenchmarkingFamily therapyFidelityOutcomesTherapistUsual care

Identifiers

PMID27664141
PMCPMC5364075
OpenAlexW2522116807

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.