Testing the integrity of a psychotherapy protocol: assessment of adherence and competence
- PMID: 8370857
- DOI: 10.1037//0022-006x.61.4.620
Testing the integrity of a psychotherapy protocol: assessment of adherence and competence
Abstract
Manipulation checks should be used in psychotherapy trials to confirm that therapists followed the treatment manuals and performed the therapy competently. This article is a review of some strategies that have been used to document treatment integrity; also, their limitations are discussed here. Recommendations for improving these checks are presented. Specific guidelines are offered regarding when and how to assess both therapist adherence to treatment protocols and competence.
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