Development and Initial Validation of a Client-Rated MET-CBT Adherence Measure.

Filed under: Methadone Treatment

Subst Abuse. 2012; 6: 85-94
Ulaszek WR, Lin HJ, Frisman LK, Sampl S, Godley SH, Steinberg-Gallucci KL, Kamon JL, O’Hagan-Lynch M

Traditional mechanisms for rating adherence or fidelity are labor-intensive. We developed and validated a tool to rate adherence to Motivational Enhancement Therapy-Cognitive Behavioral Treatment (MET-CBT) through anonymous client surveys. The instrument was used to survey clients in 3 methadone programs over 2 waves. Explanatory and Confirmatory Factor Analyses were used to establish construct validity for both MET and CBT. Internal consistency based on Cronbach’s alpha was within adequate range (? > 0.70) for all but 2 of the subscales in one of the samples. Consensus between clients’ ratings (r(wg(j)) scores) were in the range of 0.6 and higher, indicating a moderate to strong degree of agreement among clients’ ratings of the same counselor. These results suggest that client surveys could be used to measure adherence to MET-CBT for quality monitoring that is more objective than counselor self-report and less resource-intensive than supervisor review of taped sessions. However, additional work is needed to develop this scale.
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Better game plan needed for addiction treatment

Filed under: Methadone Treatment

Her 29-year-old son got clean eight years ago, but only after being treated for addiction 14 or 15 times. Marti Hottenstein understands the never ending battle against a chronic disease in which everyone blames the patient. Her son, 24, died of a …
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