A systematic review of measures of therapeutic engagement in psychosocial and psychological treatment

Tetley, Amanda; Jinks, Mary; Huband, Nick; Howells, Kevin

doi:10.1002/jclp.20811

Cited by 86 publications

(79 citation statements)

References 76 publications

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“…Na segunda parte, cada sessão do modelo adaptado foi avaliada quanto aos indicadores categóricos "Estrutura" (i.e., as sessões seguiram a estrutura básica), "Objetivos" (i.e., após a realização de cada sessão foi possível perceber que os objetivos propostos foram alcançados) e "Tarefas de casa" (i.e., as tarefas de casa propostas foram realizadas pelo participante) por meio de três opções de resposta: Sim (quando o indicador esteve presente), Em parte (quando o indicador esteve parcialmente presente) e Não (quando o indicador não esteve presente). A escolha e operacionalização dos indicadores utilizados foi baseada em estudos prévios (Dobson & Dobson, 2010;Tetley, Jinks, Huband, & Howells, 2011), bem como na consulta a duas psicólogas experts em TCC com crianças e adolescentes.…”

Section: Instrumentosunclassified

Adaptação e avaliação de uma intervenção cognitivo-comportamental para meninos vítimas de violência sexual

Hohendorff¹,

Salvador-Silva²,

Andrade³

et al. 2014

Psicol. Reflex. Crit.

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ResumoObjetivou-se adaptar, aplicar e avaliar um modelo de intervenção cognitivo-comportamental para meninos vítimas de Violência Sexual (VS). Participaram três meninos com idades entre oito e 16 anos, vítimas de VS, que foram avaliados antes e após a intervenção com instrumentos psicológicos acerca de transtornos disruptivos, de humor e de ansiedade. A aplicação do modelo foi avaliada por juízes que analisaram os relatos das sessões terapêuticas por meio de seis indicadores. Os resultados indicaram variabilidade no número de sintomas de cada participante. A avaliação da aplicação revelou a adequação do modelo quanto a dois indicadores (Aliança Terapêutica e Autorrevelação), bem como reajustes necessários no modelo adaptado. Esses resultados se constituem como evidências iniciais sobre a ação psicoterapêutica do modelo adaptado. Palavras-chave: Violência sexual, meninos, terapia cognitivo-comportamental. AbstractThis work aimed to adapt, apply and assess a cognitive-behavioral intervention model for boys who have been victims of sexual violence (SV). Three boys between eight and 16 years old who had been victims of SV were evaluated through psychological instruments before and after the intervention in terms of humor, anxiety and disruptive symptoms. Three independent judges analyzed reports of therapeutic sessions in order to evaluate the application of the adapted model through six indicators. Results showed variability in the number of symptoms for each boy. The evaluation indicated adequacy of two indicators (Therapeutic Alliance and Self-Disclosure), but the need of some readjustments in the adapted model. These fi ndings provide initial proof about the effectiveness of the adapted therapeutic model.

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Section: Instrumentosunclassified

Adaptação e avaliação de uma intervenção cognitivo-comportamental para meninos vítimas de violência sexual

Hohendorff¹,

Salvador-Silva²,

Andrade³

et al. 2014

Psicol. Reflex. Crit.

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“…Two systematic reviews of measures on help seeking and treatment (Gulliver et al 2010) and treatment participation (Tetley et al 2011) are in the extant literature. Those reviews examine engagement as a universal construct, rather than as a culturally defined process.…”

Section: Methodsmentioning

confidence: 99%

“…For example, in their systematic review, Tetley et al (2011) identified 40 measures assessing clients' behavioral engagement in treatment including session attendance, completion of treatment (within identified timeframe), completion of homework, client contribution such as self-disclosure or completing session activities, working alliance with the therapist, and helpful behavior in group therapies.…”

Section: Current Conceptualization and Assessment Of Engagementmentioning

confidence: 99%

Conceptualizing Culturally Infused Engagement and Its Measurement for Ethnic Minority and Immigrant Children and Families

Yasui

Pottick

Chen

2017

Clin Child Fam Psychol Rev

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Despite the central role culture plays in racial and ethnic disparities in mental health among ethnic minority and immigrant children and families, existing measures of engagement in mental health services have failed to integrate culturally specific factors that shape these families' engagement with mental health services. To illustrate this gap, the authors systematically review 119 existing instruments that measure the multi-dimensional and developmental process of engagement for ethnic minority and immigrant children and families. The review is anchored in a new integrated conceptualization of engagement, the culturally infused engagement model. The review assesses culturally relevant cognitive, attitudinal, and behavioral mechanisms of engagement from the stages of problem recognition and help seeking to treatment participation that can help illuminate the gaps. Existing measures examined four central domains pertinent to the process of engagement for ethnic minority and immigrant children and families: (a) expressions of mental distress and illness, (b) causal explanations of mental distress and illness, (c) beliefs about mental distress and illness, and (d) beliefs and experiences of seeking help. The findings highlight the variety of tools that are used to measure behavioral and attitudinal dimensions of engagement, showing the limitations of their application for ethnic minority and immigrant children and families. The review proposes directions for promising research methodologies to help intervention scientists and clinicians improve engagement and service delivery and reduce disparities among ethnic minority and immigrant children and families at large, and recommends practical applications for training, program planning, and policymaking.

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“…In a systematic review of the engagement literature, Tetley, Jinks, Huband, and Howells (2011) noted that the concept of engagement is often construed as synonymous with client motivation, attitudes toward treatment, and the client's relationship with the therapist (the therapeutic alliance). In their view, engagement involves clients making an active and independent contribution to therapy.…”

Section: Therapeutic Engagementmentioning

confidence: 99%

“…They defined engagement as ''the extent to which the client actively participates in the treatment on offer'' (p. 928), and outlined six components of engagement: (1) attendance at sessions, (2) completion of treatment within the expected timeframe, (3) completion of expected homework betweensessions, (4) participating in the tasks of the therapy, (5) maintaining an appropriate therapeutic alliance with the therapist, and (6) being supportive towards other members of the group during group therapy. Client disengagement can lead to an ineffective use of services and poor treatment outcomes; it is for this reason that increasing client engagement has become a priority for mental health specialists (Tetley et al, 2011). Cunningham, Duffee, Huang, Steinke, and Naccarato (2009) noted that ratings by mental health care providers (MHCP) who are most familiar with the client's needs, abilities and motivation are the most commonly used measures of engagement.…”

Section: Therapeutic Engagementmentioning

confidence: 99%

Therapeutic Engagement of Adolescents with Emotional and Behavioral Disorders

DiCroce

Preyde

Flaherty³

et al. 2015

Child Adolesc Soc Work J

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Youth engagement is increasingly recognized as a preferred approach and often necessary step in the treatment of emotional and behavioral disorders. The purpose of this study was to explore the degree and quality of youth engagement in the therapeutic process, compare engagement scores between youth accessing residential and day treatment, and explore the association between engagement and interpersonal difficulties in a sample of youth with an emotional and/or behavior disorder in residential and day treatment programs based in Southern Ontario. Cross-sectional surveys of standardized measures were administered to youth and a separate survey to their Prime Workers. Relevant constructs included client engagement (as rated by youth and Prime Workers), and youth-rated behavioral screen, interpersonal problems and family functioning. Both Prime Workers and youth rated youth as moderately high in their level of engagement in therapy. Furthermore, Prime Worker and youth ratings did not significantly differ statistically, suggesting that youth may have actually engaged at a moderate level. Interpersonal problems were shown to be negatively associated with youth engagement, and family functioning approached significance for only youth in residential treatment. Assessing youth engagement during the treatment process as an intervention technique may highlight areas where greater clinical efforts are needed. Future considerations include testing methods of sharing and discussing results of an engagement measure within the context of a one-on-one clinical encounter with youth.

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A systematic review of measures of therapeutic engagement in psychosocial and psychological treatment

Cited by 86 publications

References 76 publications

Adaptação e avaliação de uma intervenção cognitivo-comportamental para meninos vítimas de violência sexual

Adaptação e avaliação de uma intervenção cognitivo-comportamental para meninos vítimas de violência sexual

Conceptualizing Culturally Infused Engagement and Its Measurement for Ethnic Minority and Immigrant Children and Families

Therapeutic Engagement of Adolescents with Emotional and Behavioral Disorders

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