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Clinical Trial
. 2017 Jan:72:126-133.
doi: 10.1016/j.jsat.2015.11.010. Epub 2015 Nov 26.

Predictive Validity of Addiction Treatment Clinicians' Post-Training Contingency Management Skills for Subsequent Clinical Outcomes

Bryan Hartzler, Blair Beadnell, Dennis Donovan
Clinical Trial

Predictive Validity of Addiction Treatment Clinicians' Post-Training Contingency Management Skills for Subsequent Clinical Outcomes

Bryan Hartzler et al. J Subst Abuse Treat. 2017 Jan.

Abstract

In the context of a contingency management (CM) implementation/effectiveness hybrid trial, the post-training implementation domains of direct-care clinicians (N=19) were examined in relation to a targeted clinical outcome of subsequently CM-exposed clients. Clinicians' CM skillfulness, a behavioral measure of their capability to skillfully deliver the intended CM intervention, was found to be a robust and specific predictor of their subsequent client outcomes. Analyses also revealed CM skillfulness to: (1) fully mediate an association between a general therapeutic effectiveness and client outcome, (2) partially mediate an association of in-training exposure to CM and client outcome, and (3) be composed of six component clinical practice behaviors that each contributed meaningfully to this behavior fidelity index. Study findings offer preliminary evidence of the predictive validity of post-training CM skillfulness for subsequent client outcomes, and inform suggestions for the design and delivery of skills-focused CM training curricula for the addiction treatment workforce.

Keywords: Clinical outcomes; Contingency management; Dissemination and implementation; Therapy training.

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Mediational Model.
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References

    1. Aletraris L, Shelton JS, Roman Pm. Counselor attitudes toward contingency management for substance use disorder: Effectiveness, acceptability, and endorsement of incentives for treatment attendance and abstinence. Journal of Substance Abuse Treatment in press. - PMC - PubMed
    1. Baer JS, Wells EA, Rosengren DB, Hartzler B, Beadnell B, Dunn C. Context and tailored training in technology transfer: Evaluating motivational interviewing training for community counselors. Journal of Substance Abuse Treatment. 2009;37(2):191–202. - PMC - PubMed
    1. Barber JP, Luborsky L, Gallop R, Crits-Cristoph P, Frank A, Weiss RD, Siqueland L. Therapeutic alliance as a predictor of outcome and retention in the National Institute on Drug Abuse Collaborative Cocaine Treatment Study. Journal of Consulting and Clinical Psychology. 2001;69:119–124. - PubMed
    1. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology. 1986;51:1173–1182. - PubMed
    1. Beidas RS, Cross W, Dorsey S. Show me, don’t tell me: Behavioral rehearsal as a training and analogue fidelity tool. Cognitive and Behavioral Practice. 2014;21(1):1–11. - PMC - PubMed

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