Designing, Conducting, and Evaluating Therapy Process Research

McLeod, Bryce D.; Islam, Nadia Y.; Wheat, Emily

doi:10.1093/oxfordhb/9780199793549.013.0009

Cited by 22 publications

(16 citation statements)

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“…The positive effects of peer-to-peer social support among group participants in interventions has been shown before for populations exposed to different types of hardship (Kyrouz, Humphreys, & Loomis, 2002). Furthermore, in the current study, observers coded the occurrence of the therapist's behavior, but not the quality of this behavior and competence of the therapist, which could have influenced the intervention effectiveness (Cohen et al, 2006;McLeod et al, 2013). In future research, peer-to-peer interactions and the quality of the therapist's behavior could provide an expanded perspective on intervention components.…”

Section: Future Directionsmentioning

confidence: 84%

“…Identifying and testing intervention factors for their effects on intervention outcomes is important for optimizing interventions (McLeod, Islam, & Wheat, 2013) and identifying needs for professional training and quality control. In particular, trauma-focused treatment approaches may require that therapists have special 2 OVERBEEK ET AL.…”

Section: Effect Of Intervention Factors On Mediators and Child Outcomesmentioning

confidence: 99%

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Mediators and Treatment Factors in Intervention for Children Exposed to Interparental Violence

Overbeek

Schipper

Willemen

et al. 2015

Journal of Clinical Child & Adolescent Psychology

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Changes in children's emotion differentiation, coping skills, parenting stress, parental psychopathology, and parent-child interaction were explored as mediators of treatment factors in two selective preventive group interventions for children exposed to interparental violence (IPV) and their parents. One hundred thirty-four IPV-exposed children (ages 6-12 years, 52% boys) and their parents were randomized to an IPV-focused or common factors community-based group intervention and completed baseline, posttest, and follow-up assessments for posttraumatic stress (PTS). A multilevel model tested mediators that included children's ability to differentiate emotions and coping skills, parenting stress, parental psychopathology, and parent-child interactions. In both conditions, exposure to nonspecific factors, specific factors unrelated to IPV and trauma-specific intervention factors was coded from videotaped child and parent sessions. Improved parental mental health mediated the link between greater exposure to nonspecific treatment factors and decreases in PTS symptoms. In addition, an increase in emotion differentiation and a decrease in parenting stress were associated with a decrease in PTS symptoms. Greater exposure to trauma-specific factors in child sessions was associated with a small decrease in emotion differentiation, an increase in coping skills, and a decrease in PTS symptoms over time. Greater exposure to nonspecific treatment factors in child and parent sessions was associated with more positive parent-child interaction. Parental mental health appears to be an important mechanism of change that can be promoted through exposure to nonspecific factors in parent intervention. For children, the effect of greater exposure to trauma-specific factors in intervention is less clear and may not have clear benefits.

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Section: Future Directionsmentioning

confidence: 84%

Section: Effect Of Intervention Factors On Mediators and Child Outcomesmentioning

confidence: 99%

Mediators and Treatment Factors in Intervention for Children Exposed to Interparental Violence

Overbeek

Schipper

Willemen

et al. 2015

Journal of Clinical Child & Adolescent Psychology

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“…To understand how MI produces clinical benefit, there has been a significant increase in MI process research. “Therapy process research investigates what happens in therapy sessions and how these interactions influence outcomes” (McLeod, Islam, & Wheat, 2013; p.142). Early work showed that the confrontational methods of the therapist were associated with higher client resistance and lower client engagement in contrast to a client-centered approach to alcohol treatment (Miller, Benefield, & Tonigan, 1993).…”

Section: Introductionmentioning

confidence: 99%

A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change.

Magill¹,

Apodaca²,

Borsari³

et al. 2018

Journal of Consulting and Clinical Psychology

251

163

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Objective In the present meta-analysis, we test the technical and relational hypotheses of Motivational Interviewing (MI) efficacy. We also propose an a priori conditional process model where heterogeneity of technical path effect sizes should be explained by interpersonal/relational (i.e., empathy, MI Spirit) and intrapersonal (i.e., client treatment seeking status) moderators. Method A systematic review identified k = 58 reports, describing 36 primary studies and 40 effect sizes (N = 3025 participants). Statistical methods calculated the inverse variance-weighted pooled correlation coefficient for the therapist to client and the client to outcome paths across multiple target behaviors (i.e., alcohol use, other drug use, other behavior change). Results Therapist MI-consistent skills were correlated with more client change talk (r = .55, p < .001) as well as more sustain talk (r = .40, p < .001). MI-inconsistent skills were correlated with more sustain talk (r = .16, p < .001), but not change talk. When these indicators were combined into proportions, as recommended in the Motivational Interviewing Skill Code, the overall technical hypothesis was supported. Specifically, proportion MI consistency was related to higher proportion change talk (r = .11, p = .004) and higher proportion change talk was related to reductions in risk behavior at follow up (r = −.16, p < .001). When tested as two independent effects, client change talk was not significant, but sustain talk was positively associated with worse outcome (r = .19, p < .001). Finally, the relational hypothesis was not supported, but heterogeneity in technical hypothesis path effect sizes was partially explained by inter- and intra-personal moderators. Conclusions This meta-analysis provides additional support for the technical hypothesis of MI efficacy; future research on the relational hypothesis should occur in the field rather than in the context of clinical trials.

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“…community-based mental health clinics (Allen, Linnan, & Emmons, 2012;McLeod, Islam, & Wheat, 2013). In community clinics, a strong alliance is associated with more consistent client attendance (Garland, Haine-Schlagel, Accurso, Baker-Ericzen, & Brookman-Frazee, 2012;Shirk, Karver, & Brown, 2011) and high youth treatment satisfaction ratings Ormhaug, Shirk, & Wentzel-Larsen, 2015).…”

mentioning

confidence: 99%

“…The alliance, commonly defined as the quality of the client–therapist affective bond and the degree of collaboration between the client and therapist on therapeutic tasks (Elvins & Green, ), is an important quality indicator in community‐based mental health clinics (Allen, Linnan, & Emmons, ; McLeod, Islam, & Wheat, ). In community clinics, a strong alliance is associated with more consistent client attendance (Garland, Haine‐Schlagel, Accurso, Baker‐Ericzen, & Brookman‐Frazee, ; Shirk, Karver, & Brown, ) and high youth treatment satisfaction ratings Ormhaug, Shirk, & Wentzel‐Larsen, ).…”

mentioning

confidence: 99%

Motivation and treatment credibility predict alliance in cognitive behavioral treatment for youth with anxiety disorders in community clinics

et al. 2017

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Designing, Conducting, and Evaluating Therapy Process Research

Cited by 22 publications

References 0 publications

Mediators and Treatment Factors in Intervention for Children Exposed to Interparental Violence

Mediators and Treatment Factors in Intervention for Children Exposed to Interparental Violence

A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change.

Motivation and treatment credibility predict alliance in cognitive behavioral treatment for youth with anxiety disorders in community clinics

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