Cited by 284Psychotherapy Techniques and ApplicationsSubstance Abuse Treatment and OutcomesCounseling, Therapy, and Family Dynamics

The DOI matches its Crossref record; 67 of the 69 references it cites were found in a registry or an index.

Treatment adherence, competence, and outcome in individual and family therapy for adolescent behavior problems

Open access

Hogue, Aaron, Henderson, Craig E., Dauber, Sarah, Barajas, Priscilla C., Fried, Adam, Liddle, Howard A.·2008·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.76.4.544PMC PMC2843085

Open this paper in CoChat — free account

Abstract

This study examined the impact of treatment adherence and therapist competence on treatment outcome in a controlled trial of individual cognitive-behavioral therapy (CBT) and multidimensional family therapy (MDFT) for adolescent substance use and related behavior problems. Participants included 136 adolescents (62 CBT, 74 MDFT) assessed at intake, discharge, and 6-month follow-up. Observational ratings of adherence and competence were collected on early and later phases of treatment (192 CBT sessions, 245 MDFT sessions) by using a contextual measure of treatment fidelity. Adherence and competence effects were tested after controlling for therapeutic alliance. In CBT only, stronger adherence predicted greater declines in drug use (linear effect). In CBT and MDFT, (a) stronger adherence predicted greater reductions in externalizing behaviors (linear effect) and (b) intermediate levels of adherence predicted the largest declines in internalizing behaviors, with high and low adherence predicting smaller improvements (curvilinear effect). Therapist competence did not predict outcome and did not moderate adherence-outcome relations; however, competence findings are tentative due to relatively low interrater reliability for the competence ratings. Clinical and research implications for attending to both linear and curvilinear adherence effects in manualized treatments for behavior disorders are discussed.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1037/0022-006x.76.4.544

Cites

67 of 67 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,417
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,421 · cited 1×
“Cohens’ d effect size for this association (van Lier, Muthe´n, van der Sar, & Crijnen, 2004) was .44; according to Cohen (1988) , d .20 is a small effect, .50 is medium, and .80 large.”
Multiple regression: testing and interpreting interactions
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3352 · Cited by 36,647
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 24,532 · cited 4×
“Both the CBT and MDFT items demonstrated good-to-excellent interrater reliability for adherence but only fair-to-poor reliability for competence as measured by the intraclass correlation coefficient (ICC[1,2]; Shrout & Fleiss, 1979 ).”
Influential
Missing data: our view of the state of the art
Schafer, J. L., & Graham, J. W. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.2.147 · Cited by 11,638 · cited 2×
“Missing data were addressed with full information maximum likelihood estimation, which produces unbiased parameter estimates under the assumption that data are missing at random (Schafer & Graham, 2002).”
Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology.
Cicchetti, D. V. (1994) · Psychological Assessment · doi:10.1037/1040-3590.6.4.284 · Cited by 9,349
Analysis of Longitudinal Data
Everitt, B. S. (2001) · Psychology Press eBooks · doi:10.4324/9781410605542-11 · Cited by 6,877
Untitled work
(1991) · Cited by 3,844
Effects of psychotherapy for depression in children and adolescents: A meta-analysis
Weisz, J. R., McCarty, C. A., & Valeri, S. M. (2006) · Psychological Bulletin · doi:10.1037/0033-2909.132.1.132 · Cited by 942 · cited 1×
“For this subgroup, the featured elements of manualized treatments designed to target drug use and externalizing behaviors specifically may need to be moderated in favor of auxiliary interventions that directly target internalizing problems: changing unrealistic negative thoughts, interpersonal problem-solving skills,…”
Application of random-effects pattern-mixture models for missing data in longitudinal studies.
Hedeker, D., & Gibbons, R. D. (1997) · Psychological Methods · doi:10.1037/1082-989x.2.1.64 · Cited by 907 · cited 2×
“Another study limitation is that a full examination of treatment dropout effects on fidelity–outcome relations (see Hedeker & Gibbons, 1997) was beyond the scope of this study.”

Show all 69 references

Sorted by citations

Items 101–200 of 283

The relationship of therapeutic alliance and treatment delivery fidelity with treatment retention in a multisite trial of twelve-step facilitation.
CAMPBELL, B. K., Guydish, J. R., Le, T. L., Wells, E. A., & McCarty, D. W. (2014) · Psychology of Addictive Behaviors · doi:10.1037/adb0000008 · Cited by 27
“Some studies have only identified fidelity-outcome relationships after controlling for the effects of therapeutic alliance (Barber et al., 2006; Gibbons et al., 2010; Hogue et al., 2008).”
Background
Therapist adherence to family‐based treatment for adolescents with anorexia nervosa: A multi‐site exploratory study
Dimitropoulos, G., Lock, J., Agras, W. S., Brandt, H., Halmi, K. A., Jo, B., Kaye, W. H., Pinhas, L., Wilfley, D. E., & Woodside, D. B. (2019) · European Eating Disorders Review · doi:10.1002/erv.2695 · Cited by 27
“Competence encompasses how well therapists apply their skill in the provision of the treatment (Hogue et al., 2008), whereas adherence captures the degree to which a skill or technique matches what is recommended in the model.”
Background
Does treatment fidelity predict client outcomes in 12-step facilitation for stimulant abuse?
Guydish, J., Campbell, B. K., Manuel, J. K., Delucchi, K. L., Le, T., Peavy, K. M., & McCarty, D. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.10.020 · Cited by 26
“Competence–outcome relationships have been weaker, and ere not found for individual drug counseling (Barber et al., 2006), ognitive–behavioral therapy (Hogue et al., 2008), multidimenional family therapy (Hogue et al., 2008), or multi-component herapy (Gibbons et al., 2010).”
BackgroundResultInfluential
Resourcefulness Training for Grandmothers Raising Grandchildren
Zauszniewski, J. A., Musil, C. M., Burant, C. J., Standing, T. S., & Au, T.-Y. (2013) · Western Journal of Nursing Research · doi:10.1177/0193945913500725 · Cited by 26
“…intervention can be assessed by researchers, intervention providers (e.g., Horn, Dino, Hamilton, Noerachmanto, & Zhang, 2008), or observers (e.g., Hogue et al., 2008), fidelity assessments by intervention recipients are a cost-effective and underutilized method for evaluating intervention…”
Background
Development and Initial Psychometrics for a Therapist Competence Instrument for CBT for Youth Anxiety
McLeod, B. D., Southam‐Gerow, M. A., Rodríguez, A., Quinoy, A. M., Arnold, C. C., Kendall, P. C., & Weisz, J. R. (2016) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2016.1253018 · Cited by 26
“In contrast, using discrete items involves separate ratings for the core theory-driven interventions and delivery methods found in a treatment program (e.g., Carroll et al., 2000; Hogue et al., 2008a).”
BackgroundMethodResultInfluential
Therapist Self-Report of Evidence-Based Practices in Usual Care for Adolescent Behavior Problems: Factor and Construct Validity
Hogue, A., Dauber, S., & Henderson, C. E. (2014) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-012-0442-8 · Cited by 25
“The TBRS has demonstrated strong psychometric properties in studies of treatment adherence (Diamond et al. 2007; Hogue et al. 2008a, b; Hogue et al. 1998), therapist competence (Hogue et al. 2008a, b), and fidelity-outcome links (Hogue et al. 2004; Hogue et al. 2006; Hogue et al. 2008a, b) with…”
BackgroundInfluentialSelf-citation
Furthering Our Understanding of Therapist Knowledge and Attitudinal Measurement in Youth Community Mental Health
Okamura, K. H., Hee, P. J., Jackson, D., & Nakamura, B. J. (2018) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-018-0854-1 · Cited by 26
Treatment fidelity in psychosocial intervention for children and adolescents with comorbid problems.
McArthur, B., Riosa, P. B., & Preyde, M. (2012) · Child and Adolescent Mental Health · doi:10.1111/j.1475-3588.2011.00635.x · Cited by 33
Assessing fidelity to evidence-based practices in usual care: The example of family therapy for adolescent behavior problems
Hogue, A., & Dauber, S. (2013) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2012.12.001 · Cited by 23
Consultants’ Perceptions of School Counselors’ Ability to Implement an Empirically-Based Intervention for Adolescent Social Anxiety Disorder
Warner, C. M., Brice, C. S., Esseling, P. G., Stewart, C. E., Mufson, L. H., & Herzig, K. A. (2013) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-013-0498-0 · Cited by 24
Treatment of Childhood Obesity: A Systematic Review
Staniford, L. J., Breckon, J. D., & Copeland, R. J. (2011) · Journal of Child and Family Studies · doi:10.1007/s10826-011-9507-7 · Cited by 23
Effects of Multidimensional Family Therapy (MDFT) on Nonopioid Drug Abuse
Filges, T., Andersen, D., & Jørgensen, A. K. (2015) · Research on Social Work Practice · doi:10.1177/1049731515608241 · Cited by 26
“The study was conducted in the Northeast United States, at unspecified locations, and was published in four articles: Henderson, Dakof, Greenbaum, and Liddle (2010); A. Hogue, Dauber, Samuolis, and Liddle (2006); A. Hogue et al. (2008); Liddle et al. (2008).”
Background
New Roles for Family Therapists in the Courts: An Overview with a Focus on Custody Dispute Resolution
Emery, R. E., Rowen, J., & Dinescu, D. (2014) · Family Process · doi:10.1111/famp.12077 · Cited by 24
Therapeutic adherence and competence scales for Developmentally Adapted Cognitive Processing Therapy for adolescents with PTSD
Gutermann, J., Schreiber, F., Matulis, S., Stangier, U., Rosner, R., & Steil, R. (2015) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v6.26632 · Cited by 22
“Previous analyses have been limited to adherence to the treatment manual, which is associated with greater treatment effects pertaining to drug use, externalizing behavior, and family functioning in drug-abusing adolescents (Hogue et al., 2008; Robbins et al., 2011).”
Background
The first session is the one that counts: An exploratory study of therapeutic alliance
Olvera, F. J. D. R., Rodríguez-Mora, Á., Senín‐Calderón, C., & Testal, J. F. R. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1016963 · Cited by 28
“the specific technique is considered by a large number of psychologists to be essential and predictive of a positive therapeutic outcome (Hogue et al., 2008; Stamoulos et al., 2016; Norcross and Wampold, 2018).”
Method
Resourcefulness Training for Dementia Caregivers
Zauszniewski, J. A., Lekhak, N., Burant, C. J., Underwood, P. W., & Morris, D. L. (2016) · Western Journal of Nursing Research · doi:10.1177/0193945916655798 · Cited by 20
“It also leaves assessment of the intervention to researchers, intervention providers (e.g., Horn, Dino, Hamilton, Noerachmanto, & Zhang, 2008), or observers (e.g., Hogue et al., 2008).”
Background
A Special Educator’s Guide to Successfully Implementing Evidence-Based Practices
Torres, C., Farley, C. A., & Cook, B. G. (2014) · Teaching Exceptional Children · doi:10.1177/0040059914553209 · Cited by 19
Advancing the Scientific Foundation for Evidence-Based Practice in Clinical Child and Adolescent Psychology
Roberts, M. C., Blossom, J. B., Evans, S. C., Amaro, C. M., & Kanine, R. M. (2016) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2016.1152554 · Cited by 18
“A few measures of this construct, appropriate for use within CCAP, already exist (e.g., Chu & Kendall, 2009; Hogue et al., 2008); now the field just needs to use them!”
Method
Community Implementation of MI-Enhanced Behavior Therapy for Adolescent ADHD: Linking Fidelity to Effectiveness
Sibley, M. H., Bickman, L., Coxe, S. J., Graziano, P. A., & Martin, P. (2020) · Behavior Therapy · doi:10.1016/j.beth.2020.10.007 · Cited by 17
Investigating routine care non-pharmacological treatment for adolescents with ADHD
Sibley, M. H., Francisco, J. C. R., Rios-Davis, A., & Graziano, P. A. (2022) · Frontiers in Health Services · doi:10.3389/frhs.2022.929521 · Cited by 17
Bonds and bridges: perspectives of service-engaged young people on the value of relationships in addressing alcohol and other drug issues
Green, R., Mitchell, P. F., & Bruun, A. (2012) · Journal of Youth Studies · doi:10.1080/13676261.2012.718433 · Cited by 17
The Assessment of Treatment Integrity in a Cognitive Behavioral Telephone Intervention Study With Dementia Caregivers
Schinköthe, D., & Wilz, G. (2014) · Clinical Gerontologist · doi:10.1080/07317115.2014.886653 · Cited by 19
Core Elements of Family Therapy for Adolescent Behavioral Health Problems: Validity Generalization in Community Settings
Hogue, A., Bobek, M., Porter, N., Dauber, S. E., Southam‐Gerow, M. A., McLeod, B. D., & Henderson, C. E. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2021.1969939 · Cited by 17
“Yet it is also true that studies of manualized FTs for adolescent behavioral health problems often find that greater use of model-specific techniques predicts better outcomes on a variety of clinical indicators (e.g., Gillespie et al., 2017; Hogue et al., 2006, 2008; M. Robbins et al., 2011).”
From Treatment Models to Manuals: Maudsley Single- and Multi-Family Therapy for Adolescent Eating Disorders
Baudinet, J., Simic, M., & Eisler, I. (2021) · European Family Therapy Association series · doi:10.1007/978-3-030-73640-8_19 · Cited by 16
Treatment Fidelity in Brief Versus Standard-Length School-Based Interventions for Youth with Anxiety
Husabø, E. B., Haugland, B. S. M., McLeod, B. D., Baste, V., Haaland, V. Ø., Bjaastad, J. F., Hoffart, A., Raknes, S., Fjermestad, K. W., Rapee, R. M., et al. (2021) · School Mental Health · doi:10.1007/s12310-021-09458-2 · Cited by 16
Family therapy techniques and one-year clinical outcomes among adolescents in usual care for behavior problems.
Henderson, C. E., Hogue, A., & Dauber, S. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000376 · Cited by 15
“These results for nonmanualized, core FT techniques in usual care are consistent with studies of manualized FT models in controlled settings (Hogue et al., 2008; Robbins et al., 2011), in which stronger adherence to model-specific techniques predict improved outcomes in conduct problems and…”
The Parent Programme Implementation Checklist (PPIC): The Development and Testing of an Objective Measure of Skills and Fidelity for the Delivery of Parent Programmes
Bywater, T. J., Gridley, N., Berry, V., Blower, S. L., & Tobin, K. (2018) · Child Care in Practice · doi:10.1080/13575279.2017.1414031 · Cited by 15
“…several studies report positive and significant relationships between fidelity and outcomes (e.g. Eames et al., 2009, 2010; Forgatch, Patterson, & Gewirtz, 2013), whilst others report mixed or no significant findings (Breitenstein et al., 2010; Hogue et al., 2008; Malti, Ribeaud, & Eisner, 2011).”
Result
Effect of personalised citizen assistance for social participation (APIC) on older adults’ health and social participation: study protocol for a pragmatic multicentre randomised controlled trial (RCT)
Levasseur, M., Dubois, M., Filiatrault, J., Vasiliadis, H., Lacasse‐Bédard, J., Tourigny, A., Levert, M., Gabaude, C., Lefebvre, H., Berger, V., et al. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-018676 · Cited by 22
Treatment Fidelity Over the Last Decade in Psychosocial Clinical Trials Outcome Studies: A Systematic Review
Meadows, T. N. G. N. (2015) · African Journal of Psychiatry · doi:10.4172/psychiatry.1000258 · Cited by 15
Are the effects of cognitive behavior therapy for depression falling? Review and critique of the evidence.
Waltman, S. H., Creed, T. A., & Beck, A. T. (2016) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12152 · Cited by 14
Factors Associated with Teacher Delivery of a Classroom-Based Tier 2 Prevention Program
Sutherland, K. S., Conroy, M. A., McLeod, B. D., Algina, J. J., & Kunemund, R. L. (2017) · Prevention Science · doi:10.1007/s11121-017-0832-y · Cited by 16
“Moreover, inter-rater reliability tends to be lower for competence than adherence (e.g., Carroll et al. 2000; Hogue et al. 2008).”
Leadership and Instruction: Evidence-Based Practices in Special Education
Cook, B. G., & Smith, G. J. (2012) · Routledge eBooks · doi:10.4324/9780203837313-25 · Cited by 14
A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach
Smith, J. E., Gianini, L. M., Garner, B. R., Malek, K. L., & Godley, S. H. (2014) · Journal of Child & Adolescent Substance Abuse · doi:10.1080/1067828x.2012.729258 · Cited by 14
Modeling Treatment-Related Decision-Making Using Applied Behavioral Economics: Caregiver Perspectives in Temporally-Extended Behavioral Treatments
Gilroy, S. P., & Kaplan, B. A. (2020) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-020-00619-6 · Cited by 14
Predictors of Therapist Adherence and Emotional Bond in Multisystemic Therapy: Testing Ethnicity as a Moderator
Ryan, S. R., Cunningham, P. B., Foster, S. L., Brennan, P. A., Brock, R. L., & Whitmore, E. (2012) · Journal of Child and Family Studies · doi:10.1007/s10826-012-9638-5 · Cited by 15
“Taken together, it is possible that race\ethnicity and severity of problems may negatively impact therapist adherence and the quality of the therapistclient relationship, thus reducing the likelihood that families will stay in and benefit from EBTs.”
Influential
Systemic therapy in children and adolescents with mental disorders: a systematic review and meta-analysis
Seidel, D. H., Markes, M., Grouven, U., Messow, C., Sieben, W., Knelangen, M., Oelkers‐Ax, R., Grümer, S., Kölsch, H., Kromp, M., et al. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05556-y · Cited by 19
Daily Events for Clinical Couples: Examining Therapy Interventions, Positive Events, Arguments, and Exercise in the Beginning Stage of Therapy
Johnson, L. N., Mennenga, K. D., Oka, M., Tambling, R. B., Anderson, S. R., & Yorgason, J. B. (2017) · Family Process · doi:10.1111/famp.12301 · Cited by 13
An Experimental Study of Procedures to Enhance Ratings of Fidelity to an Evidence-Based Family Intervention
Smith, J. D., Dishion, T. J., Brown, K. L., Ramos, K., Knoble, N. B., Shaw, D. S., & Wilson, M. N. (2015) · Prevention Science · doi:10.1007/s11121-015-0589-0 · Cited by 13
“…there are only a handful of studies, the reliability of observationally rated adherence is typically higher (r≥.80 Brody et al. 2004; ICC=.64 to .79 Hogue et al. 2008; ≥ .79 Hogue et al. 2002) than observational ratings of competence (ICC=.15 to .48 Hogue et al. 2008; ICC=.32 to .81; Hogue et al.…”
Factors associated with the implementation of the Familias Unidas intervention in a type 3 translational trial
George, S. M. S., Huang, S., Vidot, D. C., Smith, J. D., Brown, C. H., & Prado, G. J. (2015) · Translational Behavioral Medicine · doi:10.1007/s13142-015-0344-x · Cited by 12
“Contrastingly, higher direct ratings of adherence, but not competence, have been associated with greater declines in adolescent substance use and parent-reported externalizing behaviors in individual and family therapy [17].”
Background
Implementation Feasibility and Hidden Costs of Statewide Scaling of Evidence-Based Therapies for Children and Adolescents
Hoagwood, K., Richards-Rachlin, S., Baier, M., Vilgorin, B., Horwitz, S. M., Narcisse, I., Diedrich, N., & Cleek, A. F. (2024) · Psychiatric Services · doi:10.1176/appi.ps.20230183 · Cited by 11
The Factor Structure of the Cognitive Therapy Rating Scale (CTRS) in a Sample of Community Mental Health Clinicians
Affrunti, N. W., & Creed, T. A. (2019) · Cognitive Therapy and Research · doi:10.1007/s10608-019-09998-7 · Cited by 13
A systematic review of measures of therapist competence in psychodynamic, interpersonal, and/or relational models
Barlow, I., & Brown, R. J. (2019) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12231 · Cited by 12
The Association Between Facilitator Competent Adherence and Outcomes in Parenting Programs: a Systematic Review and SWiM Analysis
Martin, M., Steele, B., Spreckelsen, T. F., Lachman, J. M., Gardner, F. E. M., & Shenderovich, Y. (2023) · Prevention Science · doi:10.1007/s11121-023-01515-3 · Cited by 14
“Of the nine studies examining competent adherence and parenting behaviors and skills, three found a positive association (S3, S4, S12), two found mixed associations based on the two types of analyses performed (S5) or in the types of parenting behaviors measured (S9), and four found no associations…”
BackgroundInfluential
Predictors and Outcomes of Sudden Gains and Sudden Regressions in Cognitive Behavioral Therapy for Youth Anxiety
Durland, P. H., Wyszynski, C. M., & Chu, B. C. (2018) · Behavior Therapy · doi:10.1016/j.beth.2018.01.006 · Cited by 13
Juvenile Justice Risk Factors and Functional Family Therapy Fidelity on Felony Recidivism
Turner, C. W., Robbins, M. S., Early, K. W., Blankenship, J. L., & Weaver, L. R. (2018) · Criminal Justice and Behavior · doi:10.1177/0093854818813184 · Cited by 11
“…relationship between model adherence and outcomes may be curvilinear, whereby “intermediate adherence, representing a balance between protocol integrity and clinically flexible deviation” results in better outcomes than “high (rigid) adherence or low (lax) adherence” (Hogue et al., 2008, p.545).”
BackgroundInfluential
The development of the Compassion Focused Therapy Therapist Competence Rating Scale
Horwood, V., Allan, S., Goss, K., & Gilbert, P. (2019) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12230 · Cited by 12
Role-Play Assessment of Therapist Adherence and Skill in Implementation of Trauma-Focused Cognitive-Behavioral Therapy
Marriott, B. R., Cho, E., Tugendrajch, S. K., Kliethermes, M. D., McMillen, J. C., Proctor, E. K., & Hawley, K. M. (2021) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-021-01169-9 · Cited by 16
Japan Unified Protocol Clinical Trial for Depressive and Anxiety Disorders (JUNP study): study protocol for a randomized controlled trial
Ito, M., Okumura, Y., Horikoshi, M., Kato, N., Oe, Y., Miyamae, M., Hirabayashi, N., Kanie, A., Nakagawa, A., & Ono, Y. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0779-8 · Cited by 14
“Past studies suggest that strict adherence to CBT protocols does not linearly predict the treatment outcome [52, 53].”
Background
The relationship between treatment integrity and outcome in group psychotherapy: A systematic review
Esposito, G., Maro, A. D., & Passeggia, R. (2024) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2952 · Cited by 10
When technology fails: Getting back to nature.
Hogue, A. (2010) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2009.01196.x · Cited by 10
“Recent studies of both adolescent (Hogue et al., 2008) and adult substance users (Barber et al.”
Background
The effects of treatment adherence and treatment-specific therapeutic competencies on outcome and goal attainment in telephone-based therapy with caregivers of people with dementia
Schinköthe, D., Altmann, U., & Wilz, G. (2014) · Aging & Mental Health · doi:10.1080/13607863.2014.971704 · Cited by 10
“Adherence outcome studies found that therapists’ adherence to cognitive techniques predicts outcome improvements (DeRubeis & Feeley, 1990; Feeley, DeRubeis, & Gelfand, 1999; Hogue et al., 2008; Shaw et al., 1999), while other studies did not (Ginzburg et al.”
BackgroundResultInfluential
Implementing evidence-based programmes in children’s services : Key issues for success
Wiggins, M., Austerberry, H., & Ward, H. (2012) · Cited by 10
Predictive validity of an observer-rated adherence protocol for multisystemic therapy with juvenile drug offenders
Gillespie, M. L., Huey, S. J., & Cunningham, P. B. (2017) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2017.01.001 · Cited by 12
“…importance of observational ratings has been considered by other investigators as well, with several studies finding significant associations between observer-rated treatment adherence and reductions in problem behavior for treatment-referred adolescents (Hogue et al., 2008; Robbins et al., 2011).”
Background
School-Based Treatment for Anxiety in Children and Adolescents: New Developments in Transportability and Dissemination
Fox, J. K., Herzig, K. A., Colognori, D. B., Stewart, C. E., & Warner, C. M. (2013) · Issues in clinical child psychology · doi:10.1007/978-1-4614-7624-5_26 · Cited by 10
Measurement training and feedback system for implementation of evidence-based treatment for adolescent externalizing problems: protocol for a randomized trial of pragmatic clinician training
Hogue, A., Bobek, M., MacLean, A., Porter, N., Jensen-Doss, A., & Henderson, C. E. (2019) · Trials · doi:10.1186/s13063-019-3783-8 · Cited by 9
Self-citation
How Flexible are Treatments for Youth Internalizing Disorders? Examining Modification Guidelines Included across Supported Treatments
Georgiadis, C., Bose, D., Wolenski, R. A., Javadi, N., Coxe, S. J., Pettit, J. W., & Comer, J. S. (2022) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2022.2109649 · Cited by 11
“The small empirical literature linking ad hoc treatment modifications and EBT treatment outcomes has found that there is not a perfect correlation between provider fidelity and positive treatment outcomes (e.g., Hogue et al., 2008; Wiltsey Stirman et al., 2017).”
Background
Determining what works in depression treatment: Translating research to relational practice using treatment guidelines.
Hollon, S. D., & Sexton, T. L. (2012) · Couple and Family Psychology Research and Practice · doi:10.1037/a0029901 · Cited by 10
The search for relevant outcome measures for cost-utility analysis of systemic family interventions in adolescents with substance use disorder and delinquent behavior: a systematic literature review
Schawo, S. J., Bouwmans, C. A. M., van der Schee, E., Hendriks, V. M., Brouwer, W. B. F., & Hakkaart, L. (2017) · Health and Quality of Life Outcomes · doi:10.1186/s12955-017-0722-9 · Cited by 9
Constructing a SHIFT adherence measure (SAM): the development of a family therapy integrity measure for the SHIFT trial
Masterson, C., Barker, C., Jackson, D., & Boston, P. (2016) · Journal of Family Therapy · doi:10.1111/1467-6427.12104 · Cited by 9
“While some studies, such as Hogue et al. (2008) have demonstrated some links between adherence and clinical outcomes, the meta-analytic review of Webb et al. (2010) failed to find convincing evidence of the link between integrity and outcome, which makes it an interesting area to explore.”
BackgroundResult
An Exploratory Study of a Training Team-Coordinated Approach to Implementation
Sterrett-Hong, E., Saldana, L., Burek, J., Schaper, H., Karam, E. A., Verbist, A. N., & Cameron, K. (2021) · Global Implementation Research and Applications · doi:10.1007/s43477-020-00003-y · Cited by 8
Therapist Adherence to Two Treatments for Adolescent Suicide Risk: Association to Outcomes and Role of Therapeutic Alliance
Ibrahim, M., Levy, S. A., Gallop, B., Ewing, E. S. K., Hogue, A., Chou, J. L., & Diamond, G. S. (2021) · Family Process · doi:10.1111/famp.12660 · Cited by 8
Treatment Integrity in Autism Spectrum Disorder Interventions
Livanis, A., Benvenuto, S., Mertturk, A., & Hanthorn, C. A. (2013) · Springer eBooks · doi:10.1007/978-1-4614-5301-7_2 · Cited by 8
“For example, Hogue et al. (2008) found that”
Background
Achieving adolescent adherence to treatment of major depression
Staton, D. (2010) · Adolescent Health Medicine and Therapeutics · doi:10.2147/ahmt.s8791 · Cited by 8
“Likelihood of achieving long-term remission of adolescent major depression and other adolescent illnesses is significantly enhanced by treatment adherence, 1,2,4,6,7 assuming correct diagnosis and efficacious treatment.”
Does Adherence to Relationship Education Curriculum Relate to Participants' Outcomes?
Owen, J., Antle, B. F., & Barbee, A. P. (2014) · Couple and Family Psychology Research and Practice · doi:10.1037/cfp0000018 · Cited by 9
Multidimensional Family Therapy (MDFT) for Young People in Treatment for Non-opioid Drug Abuse: A Systematic Review
Filges, T., Rasmussen, P. S., Andersen, D., & Jørgensen, A. K. (2015) · Campbell Systematic Reviews · doi:10.4073/csr.2015.8 · Cited by 14
Fidelity Failures in Brief Strategic Family Therapy for Adolescent Drug Abuse: A Clinical Analysis
Lebensohn‐Chialvo, F., Rohrbaugh, M. J., & Hasler, B. P. (2018) · Family Process · doi:10.1111/famp.12366 · Cited by 8
“On the other hand, results from several family therapy studies have been positive (Hogue et al., 2008; Huey, Henggeler, Brondino, & Pickrel, 2000), and in the NIDA trial we studied here, both adherence and overall fidelity ratings showed significant associations with outcome (Robbins, Feaster, Horigian, Puccinelli et…”
Psychological interventions: overview and critical issues for the field
Weisz, J. R., Ng, M. Y., & Lau, N. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch36 · Cited by 8
Scales for assessing therapeutic adherence and competence in dialectical behaviour therapy for PTSD: development and analysis of psychometric properties
Steil, R., Müller‐Engelmann, M., Stangier, U., Priebe, K., Fydrich, T., Weiß, J., & Dittmann, C. (2022) · European Journal of Psychotraumatology · doi:10.1080/20008198.2022.2055293 · Cited by 7
“…studies examining the relationship between competence, adherence and treatment outcome, which suggest that adherence and competence function differently in explaining different treatment outcomes: For example, Hogue et al. (2008) found that adherence but not competence predicted treatment outcome.”
Background
What is fidelity? A systematic review of provider fidelity and its associations with engagement and outcomes in parenting programs
Basha, S. A. J., Kim, J. J., Cai, Q., Kuckertz, M., & Gewirtz, A. H. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102531 · Cited by 8
An Exploratory Study into the Effectiveness of Fidelity Scales in the Delivery of Mindfulness-Based Cognitive Therapy
Prowse, P.-T., Meadows, G., & Enticott, J. C. (2015) · Mindfulness · doi:10.1007/s12671-015-0412-9 · Cited by 8
Adherence to treatment among adolescents in a psychiatric ward
Timlin, U., Riala, K., & Kyngäs, H. A. (2012) · Journal of Clinical Nursing · doi:10.1111/jocn.12024 · Cited by 7
A Theory-Informed Approach to Locally Managed Learning School Systems: Integrating Treatment Integrity and Youth Mental Health Outcome Data to Promote Youth Mental Health
McLeod, B. D., Cook, C. R., Sutherland, K. S., Lyon, A. R., Dopp, A. R., Broda, M., & Beidas, R. S. (2021) · School Mental Health · doi:10.1007/s12310-021-09413-1 · Cited by 7
Polygamy and mental health among Saudi middle schoolers: The role of family cohesion and father involvement
Merdad, N., Elbedour, S., Lau, J. Y. F., & Barker, E. D. (2022) · Family Relations · doi:10.1111/fare.12741 · Cited by 11
Therapist adherence to interpersonal vs. supportive therapy for social anxiety disorder
Sinai, D., Gur, M., & Lipsitz, J. D. (2012) · Psychotherapy Research · doi:10.1080/10503307.2012.658452 · Cited by 7
From Research to Practice: The International Implementation of Multidimensional Family Therapy
Rigter, H., Rowe, C., Gantner, A., Mos, K., Nielsen, P., Phan, O., Spapen, P., & Liddle, H. A. (2014) · Springer eBooks · doi:10.1007/978-88-470-5322-9_43 · Cited by 7
“MDFT treatment process and implementation studies (Hogue and Liddle 2009) support the model’s putative mechanisms of change (Henderson et al. 2009, 2010; Hogue et al. 2008; Diamond et al. 2006; Schmidt et al. 1996), and economic analyses indicate MDFT is less expensive than standard care (Zavala et al.”
MethodInfluential
Treatment Fidelity and Outcome in CBT for Youth with Autism: The MEYA Fidelity Scale
McLeod, B. D., Wood, J. J., Cecilione, J. L., Dunn, D., Kendall, P. C., Storch, E. A., Cho, A. C., & Rosenau, K. A. (2022) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2022.2124515 · Cited by 7
“Moreover, the magnitude and pattern of these correlations are consistent with previous research that has compared adherence, competence, and alliance scores (Carroll et al., 2000; Hogue et al., 2008; McLeod et al., 2018; Southam-Gerow et al., 2016).”
Influential
Fidelity to the ACT SMART Toolkit: an instrumental case study of implementation strategy fidelity
Tschida, J. E., & Drahota, A. (2023) · Implementation Science Communications · doi:10.1186/s43058-023-00434-2 · Cited by 6
Designing evidence‐based treatments for youth with multiple and complex needs: a modular practice elements approach
Mitchell, P. F. (2012) · Advances in Dual Diagnosis · doi:10.1108/17570971211253702 · Cited by 6
Effectiveness of Residential Treatment for Substance Abusing Youth: Benefits of the Pine River Institute Program
Mills, L., Pepler, D. J., & Cribbie, R. A. (2013) · Residential Treatment for Children & Youth · doi:10.1080/0886571x.2013.819273 · Cited by 6
The Development and Psychometric Evaluation of the Group Schema Therapy Rating Scale – Revised
Bastick, E., Bot, S., Verhagen, S. J. W., Zarbock, G., Farrell, J. M., Wilde, O. B.-D., Arntz, A. R., & Lee, C. W. (2018) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465817000741 · Cited by 6
“As widely noted in literature (e.g. Guydish et al., 2014; Hogue et al., 2008), better treatment ﬁdelity probably predicts better treatment outcome.”
Keeping the Faith While Keeping It Real: Practical, Empirical Approaches to Evaluating Treatment Fidelity
Kerns, S. E. U., Perrine, C. M., Sedlar, G. R., Peterson, R. S., & Monroe‐DeVita, M. (2021) · Global Implementation Research and Applications · doi:10.1007/s43477-021-00012-5 · Cited by 7
Critical Factors in the Successful Implementation of Evidence‐Based Parenting Programmes
Axford, N., Bywater, T. J., Blower, S. L., Berry, V., Baker, V., & Morpeth, L. (2017) · Wiley eBooks · doi:10.1002/9781118976111.ch21 · Cited by 7
Substance Use Disorders
Donohue, B. C., Tracy, K., & Sheidow, A. J. (2009) · Springer eBooks · doi:10.1007/978-0-387-09757-2_53 · Cited by 5
Therapeutic Alliance and Common Factors in Treatment
Halperin, D. M., Weitzman, M. L., & Otto, M. W. (2009) · Springer eBooks · doi:10.1007/978-1-4419-0612-0_4 · Cited by 5
“A recent study by Hogue et al. (2008) examined adolescents with behavioral problems receiving CBT, focusing on treatment adherence as a main effect.”
Background
Standardized treatment manuals: Does adherence matter?
Hauke, C., Gloster, A. T., Gerlach, A. L., Richter, J., Kircher, T. T. J., Fehm, L., Stoy, M., Lang�, T., Klotsche, J., Einsle, F., et al. (2014) · Sensoria A Journal of Mind Brain and Culture · doi:10.7790/sa.v0i0.362 · Cited by 5
IMPORTANCIA DE LA FIDELIDAD EN LA IMPLEMENTACIÒN DE PROGRAMAS ESCOLARES PARA PREVENIR EL CONSUMO DE DROGAS.
del Castillo, J. A. G., & Alfaro, I. R. (2011) · Cited by 5
Treatment Integrity in Interventions That Target the Executive Function
Livanis, A., Mertturk, A., Benvenuto, S., & Mulligan, C. A. (2013) · Springer eBooks · doi:10.1007/978-1-4614-8106-5_23 · Cited by 5
Exploring effective practice with vulnerable young people: what does practice wisdom reveal about the working alliance?
Dunne, J., & Parker, A. (2020) · Journal of Social Work Practice · doi:10.1080/02650533.2020.1764917 · Cited by 5
“though able to prove an effect value for alliances they do not explain how such an alliance leads to better outcomes (Campbell & Simmonds, 2011; Hogue et al., 2008).”
BackgroundInfluential
Examining the Relation Between Technical and Global Competence in Two Treatments for Youth Anxiety
Cecilione, J. L., McLeod, B. D., Southam‐Gerow, M. A., Weisz, J. R., & Chorpita, B. F. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.03.009 · Cited by 5
The Roles of Adherence and Usage Activity in Adolescents’ Intervention Gains During Brief Guided Online Acceptance and Commitment Therapy
Hämäläinen, T., Kaipainen, K., Keinonen, K., Lappalainen, P., Puolakanaho, A., Lappalainen, R., & Kiuru, N. H. (2022) · Journal of Cognitive Psychotherapy · doi:10.1891/jcp-2021-0038 · Cited by 5
LA ADICCIONOLOGÍA UNA ESPECIALIDAD MÉDICA Y SUBESPECIALIDAD DE LA PSIQUIATRÍA
Valladolid, M. N., Luna, F., & Carlos Cachay, C. (2019) · Revista de la Facultad de Medicina Humana · doi:10.25176/rfmh.v19.n2.2078 · Cited by 5
Examining the Role of Student Responsiveness in Treatment Effects of a Tier 2 Program Targeting Reductions in Problem Behavior
Sutherland, K. S., Granger, K. L., Conroy, M. A., McLeod, B. D., Broda, M., Vallarta, N., & Rosas, A. (2023) · Prevention Science · doi:10.1007/s11121-023-01537-x · Cited by 4
“, 2008) and while the ICC estimates of competence in the current study are consistent with previous studies (e.g., Barber et al., 1996; Hogue et al., 2008), findings should nonetheless be interpreted in consideration of this reliability score.”
Result
The implementation of prolonged exposure: Design of a multisite study evaluating the usefulness of workshop with and without consultation
Foa, E. B., McLean, C. P., Zandberg, L. J., Zang, Y., Asnaani, A., Benhamou, K., Rosenfield, D., Campbell, H., Francis, J., Hanson, B. S., et al. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.07.018 · Cited by 4
Evaluating Measures of Fidelity for Substance Abuse Group Treatment With Incarcerated Adolescents
Bassett, S. S., Stein, L. A. R., Rossi, J. S., & Martin, R. A. (2016) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2016.02.011 · Cited by 4
Limited Motivation, Patient-Therapist Mismatch, and the Therapeutic Alliance
Nadai, A. S. D., & Karver, M. S. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6458-7_17 · Cited by 4
Treatment Fears: Barriers to Young Psychotropic Substance Abusers Receiving Residential Drug Rehabilitation Treatment
Chung, Y. Y. H., & Shek, D. T. L. (2018) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-018-9884-x · Cited by 4
“These fears that develop gradually with accumulative effects may affect the service recipients to adhere to the treatment (Hogue et al. 2008; Sirey et al. 2017; Trujols et al. 2014).”
Background
Fidelity Assessment of the Treatnet family (TF): A family-based intervention for adolescents with substance use disorders and their families
Busse, A., Kashino, W., Suhartono, S., Narotama, N., Campello, G., Irwanto, I., Pelupessy, D. C., Piercy, F. P., & Essau, C. A. (2021) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2021.100363 · Cited by 3
“For example, over-adherence to the intervention protocol may indicate lack of flexibility to respond to client needs (Hogue et al., 2008).”
BackgroundMethodResultInfluential
Specific, common, and unintended factors in psychotherapy: Descriptive and correlational approaches to what creates change
McCarthy, K. S. (2009) · Scholarly Commons (University of Pennsylvania) · Cited by 3
Implementation fidelity of an evidence-centered maker education intervention in a virtual world for neurodiverse adolescents
Barrett, A. J., Ke, F., Zhang, N., & Sokolikj, Z. (2025) · Computers & Education X Reality · doi:10.1016/j.cexr.2025.100106 · Cited by 3
Assessing therapist and clinician competency in parent-infant psychotherapy: The REARING coding system (RCS) for the group attachment based intervention (GABI)
Armusewicz, K., Steele, M., Steele, H., & Murphy, A. (2022) · Research in Psychotherapy Psychopathology Process and Outcome · doi:10.4081/ripppo.2022.562 · Cited by 3

Authors: Hogue, A., Henderson, C. E., Dauber, S., Barajas, P. C., Fried, A., & Liddle, H. A.
Affiliations: National Center on Addiction and Substance Abuse at Columbia University (US)
Sam Houston State University (US)
University of Miami (US)
Corresponding author: Hogue, Aaron
ORCID: Hogue, Aaron
Henderson, Craig E.
Dauber, Sarah
Liddle, Howard A.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 2008-08
Volume: 76
Issue: 4
Pages: 544-555
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.76.4.544
PMC: PMC2843085
OpenAlex: W2155455205
Cited by: 284
References: 69
Citations by year: 2026: 3 · 2025: 17 · 2024: 13 · 2023: 7 · 2022: 12 · 2021: 24 · 2020: 8 · 2019: 18 · 2018: 18 · 2017: 16 · 2016: 13 · 2015: 20 · 2014: 25 · 2013: 29 · 2012: 30
FWCI: 11.53
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R01 DA14571; P50 DA07697)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
Keywords: medication adherence, therapist competence, treatment outcomes, adolescent substance use, adolescent behavior problems, cognitive behavioral therapy, multidimensional family therapy, intervention fidelity, therapeutic relationship, externalizing problems, internalizing problems
MeSH terms: Adolescent, Child Behavior Disorders, Family Therapy, Female, Follow-Up Studies, Humans, Internal-External Control, Male, Patient Compliance, Professional Competence, Professional-Patient Relations, Comorbidity, Cognitive Behavioral Therapy, Substance-Related Disorders

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Treatment adherence, competence, and outcome in individual and family therapy for adolescent behavior problems

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks