“…The high correlation of adherence and competence is consistent with previous literature Dobson, Shaw, & Vallis, 1985;Feeley et al, 1999;Haddock et al, 2001;Hill, O'Grady, & Elkin, 1992;Schoenwald, Henggeler, Brondino, & Rowland, 2000;Shapiro & Startup, 1992;Svartberg, 1989Waltz et al, 1993. While Waltz et al suggested the dichotomy of adherence and competence over 13 years ago, subsequent investigations, including this study, have failed to find evidence for this distinction (Blackburn et al; Feeley et al; Haddock et al; Schoenwald et al).…”