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

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

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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

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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.

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Additional file 1 of Systemic therapy in children and adolescents with mental disorders: a systematic review and meta-analysis
Seidel, D. H., Markes, M., Grouven, U., Messow, C.-M., Sieben, W., Knelangen, M., Oelkers-Ax, R., Grümer, S., Kölsch, H., Kromp, M., et al. (2024) · Figshare · doi:10.6084/m9.figshare.25223497
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Additional file 3 of Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
Paolino, M., Antelo, V. S., Cuberli, M., Curotto, M., Pera, A. L., Binder, F., Mazzadi, J. D., Firmenich, B., & Arrossi, S. (2024) · Figshare · doi:10.6084/m9.figshare.26561075
Additional file 2 of Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
Paolino, M., Antelo, V. S., Cuberli, M., Curotto, M., Pera, A. L., Binder, F., Mazzadi, J. D., Firmenich, B., & Arrossi, S. (2024) · Figshare · doi:10.6084/m9.figshare.26561072
Additional file 4 of Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
Paolino, M., Antelo, V. S., Cuberli, M., Curotto, M., Pera, A. L., Binder, F., Mazzadi, J. D., Firmenich, B., & Arrossi, S. (2024) · Figshare · doi:10.6084/m9.figshare.26561078
Additional file 1 of Assessing the implementation fidelity of HPV self-collection offered by community health workers during home visits (the EMA strategy): a case study in a low-middle-resource setting in Argentina
Paolino, M., Antelo, V. S., Cuberli, M., Curotto, M., Pera, A. L., Binder, F., Mazzadi, J. D., Firmenich, B., & Arrossi, S. (2024) · Figshare · doi:10.6084/m9.figshare.26561069
Photo coding: a pragmatic approach to measuring intervention fidelity in a pharmacy system re-design
Resendiz, S. M., Mai, S., Gilson, A. M., Stone, J. A., Hoffins, E. L., Chladek, J. S., Watterson, T. L., Moore, K. G., & Chui, M. A. (2025) · Implementation Science Communications · doi:10.1186/s43058-025-00849-z
“Adherence describes whether the intervention has been implemented according to guidelines [8, 16].”
The evidence of a family-based treatment for adults who use psychotropic drugs in community setting
Luo, T., & Law, Y. W. (2026) · Social Work in Health Care · doi:10.1080/00981389.2026.2641427
“Intervention effectiveness may depend heavily on the quality of participation, including in-session engagement, adherence to home practice, and the depth of family involvement (Hogue et al., 2008).”
Attachement des jeunes adultes antérieurement placés en famille d’accueil : contribution de leurs parcours de placement ainsi que de leur perception du soutien des parents d'accueil : validité psychométrique d’une version française de la mesure de qualité d’attachement adulte MAQ-Fr
Sarheel, M. (2018) · theses.fr (ABES) · doi:10.70675/1253c4c8z8285z4a0ez819cz35b2e23d57e4
The Role of Program Implementation Quality in Family-Focused Substance-Use Prevention for Youth with Multiple Risks: PROSPER Project
Hur, Y. S., Chilenski, S. M., O’Neill, P., Jones, D. E., Spoth, R. L., Feinberg, M. E., & Crowley, D. M. (2026) · Prevention Science · doi:10.1007/s11121-026-01929-9
“Although there are instances of facilitation quality not impacting youth outcomes, particularly in treatment settings (Hogue et al., 2008; Southam-Gerow et al., 2021), much of the research points to positive associations between facilitation quality and improved participant outcomes in school-based…”
Multidimensional Family Therapy (MDFT) for Young People in Treatment for Non-opioid Drug Abuse: An Updated Systematic Review
Filges, T., Kildemoes, M. W., & Bengtsen, E. (2026) · Campbell Systematic Reviews · doi:10.1177/18911803261488804
“…locations, and was published in four articles: Henderson et al. (2010), in the Journal of Consulting and Clinical Psychology; Hogue et al. (2006), in the Journal of Family Psychology; Hogue et al. (2008), in the Journal of Consulting and Clinical Psychology and Liddle et al. (2008), in Addiction.”
Therapist Adherence to Cognitive Behavioral Therapy for Anxious Youth Across a Case
Cox, J. R. (2015) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/n02g-vy05
“…2000), others have found only limited supports (e.g., Sterling-Turner, Watson, & Moore, 2002; Jones, Wickstrom, & Friman, 1997), nonlinear trends (e.g., Hogue et al., 2008), or no support at all (e.g., Weisman et al., 2002; Bein et al., 2000) (see Perepletchikova & Kazdin, 2005 for a brief review).”
Background
Characterizing the Implementation of CBT for Youth Anxiety
Smith, M. M. (2013) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/tw4q-1j67
“…proscribed interventions actually predicted better client outcomes than a lower amount of proscribed interventions, future researchers could consider making appropriate adaptations to the CBT program itself, to better align with contextual characteristics of practice settings (Hogue et al., 2008).”
Background

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

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

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