The Influence of Parental Factors on Therapist Adherence in Multi-systemic Therapy |
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Authors: | Mesha L Ellis Bahr Weiss Susan Han Robert Gallop |
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Institution: | (1) Department of Community Health and Preventive Medicine, Morehouse School of Medicine, 1513 East Cleveland Avenue Ste. 250-B, Atlanta, GA, USA;(2) Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA;(3) Department of Mathematics and Applied Statistics, West Chester University of Pennsylvania, West Chester, PA, USA |
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Abstract: | Therapist treatment adherence has received a great deal of attention in recent years, in part because of its relation to treatment
outcomes. Although certain therapist behaviors have been found to be associated with treatment outcomes, little is known about
client factors impacting on therapists’ ability to adhere to treatment protocols. In this study, we evaluated effects of parental
beliefs, psychopathology, and interaction styles on therapists’ adherence to Multi-systemic Therapy (MST) principles. Eighty-two
parents participating in a clinical trial of MST completed baseline measures assessing psychopathology, family functioning,
and treatment expectations. Analyses indicated that parental perceptions of therapist adherence were established within the
first 4 weeks of treatment, and that parental psychopathology, motivation, expectations, and child rearing practices were
related to parental ratings of therapist adherence. Results were essentially unchanged when controlling for parental positive
response style. Clinical and research implications of the findings are discussed. |
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