Caregiver Engagement in Outpatient Treatment for Adolescents in Community Settings: Construct and Predictive Validity of Family Therapy Techniques
Caregiver engagement and participation in community-based outpatient treatment services for adolescents is generally poor, which is problematic given the integral role of caregivers prescribed by evidence-based treatments across orientations. The current study explores the psychometric and predictiv...
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Published in | Administration and policy in mental health and mental health services research Vol. 50; no. 4; pp. 685 - 697 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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01.07.2023
Springer Nature B.V |
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Abstract | Caregiver engagement and participation in community-based outpatient treatment services for adolescents is generally poor, which is problematic given the integral role of caregivers prescribed by evidence-based treatments across orientations. The current study explores the psychometric and predictive properties of a set of caregiver engagement techniques distilled from family therapy, used by community clinicians in routine care. It highlights relational engagement interventions and adds to growing work distilling core elements of family therapy. The study examined caregiver engagement techniques observed in 320 recorded sessions and outcome data from 152 cases treated by 45 therapists participating in one of three randomized trials investigating delivery of family therapy for adolescent behavior problems in community settings. Construct and predictive validity of caregiver engagement coding items were analyzed to understand the degree to which they cohered as a single factor and predicted outcomes in predictable ways. Results demonstrated item reliability and construct validity of a Caregiver Engagement Techniques factor. Greater use of these techniques was associated with decreased adolescent substance use. Unexpected results suggested greater use of techniques was associated with worsening internalizing symptoms and family cohesion per youth-report only. Post-hoc analyses revealed additional complexities in the association between engagement techniques and outcomes. Caregiver engagement practices tested in the current study represent a unified treatment factor that may contribute to positive therapeutic outcomes for adolescents in some clinical domains. Further research is needed to understand predictive effects. |
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AbstractList | Caregiver engagement and participation in community-based outpatient treatment services for adolescents is generally poor, which is problematic given the integral role of caregivers prescribed by evidence-based treatments across orientations. The current study explores the psychometric and predictive properties of a set of caregiver engagement techniques distilled from family therapy, used by community clinicians in routine care. It highlights relational engagement interventions and adds to growing work distilling core elements of family therapy. The study examined caregiver engagement techniques observed in 320 recorded sessions and outcome data from 152 cases treated by 45 therapists participating in one of three randomized trials investigating delivery of family therapy for adolescent behavior problems in community settings. Construct and predictive validity of caregiver engagement coding items were analyzed to understand the degree to which they cohered as a single factor and predicted outcomes in predictable ways. Results demonstrated item reliability and construct validity of a Caregiver Engagement Techniques factor. Greater use of these techniques was associated with decreased adolescent substance use. Unexpected results suggested greater use of techniques was associated with worsening internalizing symptoms and family cohesion per youth-report only. Post-hoc analyses revealed additional complexities in the association between engagement techniques and outcomes. Caregiver engagement practices tested in the current study represent a unified treatment factor that may contribute to positive therapeutic outcomes for adolescents in some clinical domains. Further research is needed to understand predictive effects. |
Author | Henderson, Craig E. Hogue, Aaron Porter, Nicole P. Bobek, Molly |
Author_xml | – sequence: 1 givenname: Nicole P. orcidid: 0000-0001-6149-9501 surname: Porter fullname: Porter, Nicole P. email: nporter2@partners.org organization: Family and Adolescent Clinical Technology and Science, Partnership to End Addiction, McLean Hospital and Department of Psychiatry, Harvard Medical School – sequence: 2 givenname: Aaron surname: Hogue fullname: Hogue, Aaron organization: Family and Adolescent Clinical Technology and Science, Partnership to End Addiction – sequence: 3 givenname: Molly surname: Bobek fullname: Bobek, Molly organization: Family and Adolescent Clinical Technology and Science, Partnership to End Addiction – sequence: 4 givenname: Craig E. surname: Henderson fullname: Henderson, Craig E. organization: Department of Psychology, Sam Houston State University |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37178423$$D View this record in MEDLINE/PubMed |
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Keywords | Caregiver engagement Family therapy Adolescent behavior problems |
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SubjectTerms | Adolescents Behavior problems Caregivers Child & adolescent psychiatry Clinical Psychology Clinical research Community Community health care Community involvement Evidence-based medicine Family cohesion Family counseling Family therapy Family work relationship Health Administration Health Informatics Internalization Medicine Medicine & Public Health Mental health care Original Article Outpatient care facilities Outpatient treatment Predictions Predictive validity Psychiatry Public Health Reliability Substance abuse Teenagers Therapists Treatment methods Validity |
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Title | Caregiver Engagement in Outpatient Treatment for Adolescents in Community Settings: Construct and Predictive Validity of Family Therapy Techniques |
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