Systematic review and meta-analysis of literature were conducted examining the effectiveness of the National Institute for Child Health and Human Development Investigative Interview Protocol in improving the quality of child forensic interviews. Online databases were searched for journal articles published between the years 2000 and 2013. Measures of interview quality were the type of interviewer utterances and the amount of information provided by children. Five studies met criteria for inclusion in the meta-analysis. Weighted mean of the effect sizes was calculated for each outcome measure. Protocol interviews had more invitations (g = 1.60) and fewer option-posing (g = -.95) and suggestive prompts (g = -.63) than standard interviews. Children interviewed by the protocol provided more central details (g = .90) in response to invitations than controls. Meta-analyses of a subset of preschool children samples revealed that protocol interviews had more invitations (g = 1.46), fewer suggestive prompts (g = -.61), and fewer option-posing prompts (g = -1.05) than controls. Findings corroborate results from previous studies that suggested the benefits of the protocol on the interviewers' performance and on children's informativeness. However, protocol did not show the same performance with regard to preschool children.
Objective Our aim was to explore the feasibility, and efficacy of a Dialectical Behavior Therapy Skill Training Group (DBT‐ST) as an add‐on treatment for adult attention‐deficit/hyperactivity disorder (ADHD) in Latin America. Method Adults with ADHD (n = 31) with stable medication treatment for ADHD and residual symptoms (ASRS > 20) were randomly assigned to DBT‐ST (n = 16) or treatment as usual (TaU; n = 15) for 12 weeks. Feasibility was accessed by attendance and completion rates at 12 weeks. Efficacy outcomes were measured with the ASRS, and performed at 0, 6, 12, and 16 weeks. Results The DBT‐ST protocol had 81.25% completion rate, with a mean attendance of 87.25% of the sessions. No significant interactions between group and time were detected for outcome measures. Discussion The DBT‐ST was feasible as add‐on treatment for adult patients with ADHD in Latin America. Replicating previous findings, DBT‐ST has shown no significantly higher improvement in ADHD symptoms in comparison with TaU. Registered at the Clinical Trials database (NCT03326427).
A Integridade do Tratamento (IT) é um conceito que se refere à avaliação da competência e aderência a um tratamento ou intervenção. Aderência e competência podem ser definidas respectivamente como o quanto o terapeuta seguiu o protocolo ou abordagem teórica proposta e o quanto ele foi habilidoso no seu desempenho. Apesar da importância deste dado, a avaliação da IT ainda é frequentemente omitida nas publicações científicas. O objetivo deste artigo foi avaliar aderência e competência de terapeutas em uma intervenção de oito encontros para redução de estresse em universitários baseada na Terapia de Aceitação e Compromisso. Os encontros da intervenção foram gravados e os encontros selecionados para o estudo foram avaliados por três juízes experts em ACT. Para análise dos dados, foi utilizado o coeficiente Fleiss kappa e o teste de Friedman. Os resultados indicaram boa concordância entre os juízes. Os terapeutas mostraram uma ótima aderência ao programa (mínimo 77,8%) e bons níveis de competência (2,7 a 3 numa escala de 0 a 3). Em relação aos processos de flexibilidade psicológica, os níveis de aderência foram maiores para os processos enfocados em cada encontro. Sugere-se estudos futuros com amostras maiores que possibilitem diferentes análises para entender o fenômeno da IT.
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