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The Treatment Acceptability/Adherence Scale: Moving Beyond the Assessment of Treatment Effectiveness
Abstract
It is becoming more broadly recognized that beyond effectiveness, the acceptability of interventions for anxiety disorders is an important consideration for evidence-based practice. Although advances in treatments for anxious psychopathologies have demonstrated that cognitive-behavioural interventions are more desirable than other types of psychotherapy or pharmacotherapy, there continue to be problems with adherence and dropout. It has been suggested that low treatment acceptability may be partially responsible for high dropout rates. Although a number of preliminary investigations in this domain have been conducted, further progress is hampered by the absence of a single self-report measure that assesses both acceptability and anticipated adherence. Therefore, the current paper aimed to test the psychometric properties of the newly developed Treatment Acceptability/Adherence Scale (TAAS). In two studies of brief cognitive-behavioural interventions, the TAAS was administered immediately following the therapy session. In Study 1 (N = 120 non-clinical undergraduates), the therapy included two variants of an exposure-based intervention for contamination fear. In Study 2 (N = 27 individuals with obsessive-compulsive disorder), the therapy was a cognitively based intervention evaluating a novel treatment technique for checking compulsions. Measures of convergent and divergent validity were included. Results demonstrated that the TAAS exhibited sound psychometric properties across the two samples. It is hoped that this measure will help clinicians to predict and intervene when a treatment is not acceptable and/or when the client anticipates poor adherence to it. Furthermore, the TAAS may aid researchers in continuing to improve upon effective interventions for anxiety and related disorders.
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“Low motivation for treatment and poor working alliance, which are factors common to all psychotherapies, have often been associated with a poorer treatment response [42,48,49,50,51].”
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Metadata
- Authors
- Milosevic, I., Levy, H. C., Alcolado, G. M., & Radomsky, A. S.
- Affiliations
- St. Joseph’s Healthcare Hamilton (CA)
- Concordia University (CA)
- Corresponding author
- Milosevic, Irena
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2015-06-19
- Volume
- 44
- Issue
- 6
- Pages
- 456-469
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W1518955003
- Cited by
- 107
- References
- 36
- Citations by year
- 2026: 16 · 2025: 13 · 2024: 20 · 2023: 8 · 2022: 8 · 2021: 16 · 2020: 7 · 2019: 10 · 2018: 5 · 2017: 3 · 2016: 1
- FWCI
- 4.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (119283)
- Natural Sciences and Engineering Research Council of Canada (249 833 2007)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- treatment acceptability, medication adherence, psychometric properties, self-report measures, anxiety disorders, obsessive-compulsive disorder, fear of contamination, exposure therapy, checking compulsions, cognitive-behavioural intervention, dropout, convergent and discriminant validity
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Implosive Therapy, Male, Middle Aged, Obsessive-Compulsive Disorder, Patient Acceptance of Health Care, Patient Compliance, Phobic Disorders, Psychometrics, Young Adult
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