Testing the Integrity of a Psychotherapy Protocol: Assessment of Adherence and Competence

Jennifer Waltz, Michael E. Addis, Kelly Koerner, Neil S. Jacobson

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)620-630
Number of pages11
JournalJournal of Consulting and Clinical Psychology
Volume61
Issue number4
DOIs
StatePublished - Aug 1993

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