Preliminary Evaluation of the Validity and Reliability of the Spanish Version of the Therapeutic Alliance with Clinician (TAC) Questionnaire

Bedregal, Luis E.; Paris, Manuel; Añez, Luis M.; Shahar, Golan; Davidson, Larry

doi:10.1007/s11205-005-7157-0

Cited by 8 publications

(8 citation statements)

References 34 publications

(27 reference statements)

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“…The Spanish version of the TAC (Bedregal et al, 2006) was evaluated with depressed individuals and achieved high internal consistency ( α = .96). TAC items include “How often are the goals of your work with [therapist] important to you?” Higher scores represent greater alliance.…”

Section: Methodsmentioning

confidence: 99%

The efficacy of behavioral activation treatment among depressed Spanish-speaking Latinos.

Collado¹,

Calderón²,

MacPherson³

et al. 2016

Journal of Consulting and Clinical Psychology

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Objective Major depressive disorder (MDD) is highly prevalent among U.S. Spanish-speaking Latinos, but the lack of empirically-supported treatments precludes this population’s access to quality mental health care. Method Following the promising results of an open-label trial of the Behavioral Activation Treatment for Depression (BATD) among Spanish-speaking Latinos, we conducted a randomized control trial (RCT; N = 46) that compared BATD to supportive counseling. Study outcomes included depression, BATD proposed mechanisms of change, and non-specific psychotherapy factors. Results Relative to supportive counseling, BATD led to greater decreases in depressive symptoms over time (p = 0.04) and greater MDD remission at the end of treatment (p = 0.01). Activity level (p = 0.01) and environmental reward (p = 0.05) showed greater increases over time among those who received BATD compared to supportive counseling. Treatment adherence, therapeutic alliance, and treatment satisfaction did not differ between the groups over time (ps > 0.17). The one-month follow-up suggested sustained clinical gains across therapies. Conclusions The current study adds to a growing treatment literature and provides support that BATD is efficacious in reducing depression and increasing activity level and environmental reward in the largest, yet historically underserved U.S. ethnic minority population. This trial sets the stage for a larger RCT that evaluates the transportability and generalizability of BATD in an effectiveness trial.

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Section: Methodsmentioning

confidence: 99%

The efficacy of behavioral activation treatment among depressed Spanish-speaking Latinos.

Collado¹,

Calderón²,

MacPherson³

et al. 2016

Journal of Consulting and Clinical Psychology

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“…Due to limited literacy, three participants requested that the questions be read to them at every session. Potential covariates included demographic information, mean scores of bi-weekly assessments of therapeutic alliance (Bedregal, Paris, Añez, Shahar, & Davidson, 2006)and baseline acculturative stress (Rodriguez et al, 2002) (please see Measures).…”

Section: Methodsmentioning

confidence: 99%

“…The Spanish version of the questionnaire (Bedregal, Paris, Jr., Añez, Shahar & Davidson, 2006) was evaluated with a sample predominantly comprised of depressed individuals and achieved high internal consistency ( α = .96). In our sample, internal consistency ranged from α ’s = .87 to .94.…”

Section: Methodsmentioning

confidence: 99%

Pilot of the Brief Behavioral Activation Treatment for Depression in Latinos With Limited English Proficiency: Preliminary Evaluation of Efficacy and Acceptability

Collado¹,

Castillo²,

Maero³

et al. 2014

Behavior Therapy

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Latinos with limited English proficiency (LEP) experience multiple barriers to accessing efficacious mental health treatments. Using a stage model of behavioral therapies research, this Stage 1b investigation evaluated the Brief Behavioral Activation Treatment for Depression (BATD), an intervention which may be well-equipped to address existing treatment barriers. A sample of 10 Latinos with LEP and depressive symptomatology participated in a 10-session,direct (i.e., literal) Spanish-language translation of BATD, with no other cultural modifications. Participants were assessed at each session for depressive symptomatology and for the proposed BATD mechanisms: activity engagement and environmental reward. One month after treatment, participants were reassessed and interviewed to elicit feedback about BATD. Hierarchical Linear Model analyses were used to measure BATD outcomes. Results showed depressive symptomatology decreased (p<.001), while both activation (p = .04) and environmental reward (p = .02) increased over the course of BATD. Increases in activation corresponded concurrently with decreases in depression (p = .01), while environmental reward preceded decreases in depressive symptomatology (all p’s≤ .04). Follow-up analyses revealed sustained clinical gains in depression and activation, and an increase in environmental reward at follow-up. Participant interviews conducted one month after treatment conclusion indicated that BATD is an acceptable treatment for our sample of interest. Despite the limitations inherent to a study restricted to sample of ten, preliminary outcomes of this Stage I research suggest that members of this otherwise underserved group showed improvements in depressive symptomatology and are willing to participate in and adhere to BATD. The study’s positive outcomes suggest that a Stage II randomized clinical trial is a logical next step.

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“…The Spanish version of the questionnaire [64] was evaluated with a sample predominantly comprised of depressed individuals and achieved high internal consistency ( α = 0.96) and an item component correlation of 0.70. The authors concluded that the measure has both clinical and research utility.…”

Section: Methodsmentioning

confidence: 99%

The efficacy of a behavioral activation intervention among depressed US Latinos with limited English language proficiency: study protocol for a randomized controlled trial

Collado

Long

MacPherson

et al. 2014

Trials

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BackgroundMajor depressive disorder is highly prevalent among Latinos with limited English language proficiency in the United States. Although major depressive disorder is highly treatable, barriers to depression treatment have historically prevented Latinos with limited English language proficiency from accessing effective interventions. The project seeks to evaluate the efficacy of behavioral activation treatment for depression, an empirically supported treatment for depression, as an intervention that may address some of the disparities surrounding the receipt of efficacious mental health care for this population.Methods/designFollowing a pilot study of behavioral activation treatment for depression with 10 participants which yielded very promising results, the current study is a randomized control trial testing behavioral activation treatment for depression versus a supportive counseling treatment for depression. We are in the process of recruiting 60 Latinos with limited English language proficiency meeting criteria for major depressive disorder according to the Diagnostic and Statistical Manual of Mental Disorders 4th and 5th Edition for participation in a single-center efficacy trial. Participants are randomized to receive 10 sessions of behavioral activation treatment for depression (n = 30) or 10 sessions of supportive counseling (n = 30). Assessments occur prior to each session and at 1 month after completing treatment. Intervention targets include depressive symptomatology and the proposed mechanisms of behavioral activation treatment for depression: activity level and environmental reward. We will also examine other factors related to treatment outcome such as treatment adherence, treatment satisfaction, and therapeutic alliance.DiscussionThis randomized controlled trial will allow us to determine the efficacy of behavioral activation treatment for depression in a fast-growing, yet highly underserved population in US mental health services. The study is also among the first to examine the effect of the proposed mechanisms of change of behavioral activation treatment for depression (that is, activity level and environmental reward) on depression over time. To our knowledge, this is the first randomized controlled trial to compare an empirical-supported treatment to a control supportive counseling condition in a sample of depressed, Spanish-speaking Latinos in the United States.Trial registrationClinical Trials Register: NCT01958840; registered 8 October 2013.

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Preliminary Evaluation of the Validity and Reliability of the Spanish Version of the Therapeutic Alliance with Clinician (TAC) Questionnaire

Abstract: behavioral health, community, Hispanic, relationship, therapeutic alliance,

Cited by 8 publications

References 34 publications

The efficacy of behavioral activation treatment among depressed Spanish-speaking Latinos.

The efficacy of behavioral activation treatment among depressed Spanish-speaking Latinos.

Pilot of the Brief Behavioral Activation Treatment for Depression in Latinos With Limited English Proficiency: Preliminary Evaluation of Efficacy and Acceptability

The efficacy of a behavioral activation intervention among depressed US Latinos with limited English language proficiency: study protocol for a randomized controlled trial

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