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

  • Jennifer Waltz
  • , Michael E. Addis
  • , Kelly Koerner
  • , Neil S. Jacobson
  • University of Washington

Research output: Contribution to journalArticlepeer-review

712 Scopus citations

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

Funding

Funder number
R01MH043101

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

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