Adherence Measurement in Treatments for Disruptive Behavior Disorders: Pursuing Clear Vision Through Varied Lenses
Article first published online: 19 DEC 2011
© 2011 American Psychological Association. Published by Wiley Periodicals, Inc., on behalf of the American Psychological Association
Clinical Psychology: Science and Practice
Volume 18, Issue 4, pages 331–341, December 2011
How to Cite
Schoenwald, S. K., Garland, A. F., Southam-Gerow, M. A., Chorpita, B. F. and Chapman, J. E. (2011), Adherence Measurement in Treatments for Disruptive Behavior Disorders: Pursuing Clear Vision Through Varied Lenses. Clinical Psychology: Science and Practice, 18: 331–341. doi: 10.1111/j.1468-2850.2011.01264.x
- Issue published online: 19 DEC 2011
- Article first published online: 19 DEC 2011
- Received September 18, 2011; accepted September 18, 2011.
- evidence-based treatment;
- fidelity measurement;
- treatment specification
[Clin Psychol Sci Prac 18: 331–341, 2011]
To extend the reach, transparency, and accountability for the implementation and outcomes of effective treatments in routine care, more clarity is needed about what happens in treatment. We attempt to (a) clarify terminology to describe and measure psychological treatment and (b) consider what treatment adherence instruments can tell us about what happens in treatment. We reviewed the content of 11 adherence instruments for 14 evidence-based treatments for disruptive behavior problems in youth identified in an ongoing review of adherence measurement methods used in psychosocial treatment studies from 1980 to 2008. Item number, content, and level of detail varied widely. Implications are considered for the definition of effective treatments and design and testing of strategies to measure and monitor their delivery.