ArticleJournal of consulting and clinical psychology2021
Are therapist adherence and competence related to clinical outcomes in cognitive-behavioral treatment for youth anxiety?
Article in Journal of consulting and clinical psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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
15 citing papers in PubMed.
- Adherence, Competence, and Alliance as Predictors of Long-term Outcomes of Cognitive Behavioral Therapy for Youth Anxiety Disorders.Research on child and adolescent psychopathology · 2023Trial
- 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
- A Randomized Trial to Identify Accurate Measurement Methods for Adherence to Cognitive-Behavioral Therapy.Behavior therapy · 2022Trial
- Performance of a Supervisor Observational Coding System and an Audit and Feedback Intervention.Administration and policy in mental health · 2022Trial
- The Role of Program Implementation Quality in Family-Focused Substance-Use Prevention for Youth with Multiple Risks: PROSPER Project.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Inhibitory control-related neural pathways of early adversity to internalizing problems in preadolescence.Journal of affective disorders · 2026Article
- Characterizing Fidelity Monitoring Practices in Community Behavioral Health Care.The journal of behavioral health services & research · 2026Article
- The Youth-Focused Cognitive and Behavioral Therapy Adherence Measure: A Multi-Informant, Transdiagnostic, Trans-Manual, Adherence Monitoring Tool.Administration and policy in mental health · 2025Article
- Clinical Experiences Using Family Based Treatment for Eating Disorders.The International journal of eating disorders · 2025Article
- A comparison of scalable routine clinical materials and observer ratings to assess CBT fidelity.Behaviour research and therapy · 2025Observational
- Integrating cognitive behavioral therapy into music therapy methods using a flexibility within fidelity framework.Frontiers in psychiatry · 2025Article
- Responding to Key Process Markers as a Focus of Psychotherapy Training and Practice.Clinical psychology in Europe · 2024Article
- Matters of Fidelity: School Provider Adherence and Competence in a Clustered Study of Adaptive Implementation Strategies.Evidence-based practice in child and adolescent mental health · 2024Article
- Adapting CBT for youth anxiety: Flexibility, within fidelity, in different settings.Frontiers in psychiatry · 2023Review
- The temporal relationships between therapist adherence and patient outcomes in dialectical behavior therapy.Journal of consulting and clinical psychology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
introductionStudies have found that psychological treatments produce positive clinical outcomes for many problems experienced by youth. However, there is limited research on whether therapist adherence and competence in delivering these treatments are related to differential clinical outcomes.
methodWe examined the relationship of therapist adherence and competence to clinical outcomes in a sample of 51 youth aged 7-14 years (M age = 10.36, SD = 1.90; 86.3% white; 60.8% male) treated for anxiety disorders with a manualized individual cognitive-behavioral therapy. Adherence and competence were measured via coding of recorded treatment session content and outcomes were measured by caregiver and youth report across multiple timepoints. We used two-level mixed-effects regression models to test the degree to which adherence and competence predicted differential youth clinical outcomes.
resultsAcross multiple caregiver- and child-reported symptom and diagnostic outcomes, we found no statistically significant relationship between adherence or competence and clinical outcomes. DISCUSSION: Although there was variability in both treatment integrity and clinical outcome, neither adherence to nor competence in youth anxiety treatment was related to clinical outcomes for youth with anxiety disorders treated with individual cognitive-behavioral treatment (CBT) in a research clinic-based efficacy trial. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Indexed as
Identifiers
What OpenQuestion holds
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.