Defense Date

2015

Document Type

Dissertation

Degree Name

Doctor of Philosophy

Department

Psychology

First Advisor

Michael A. Southam-Gerow

Abstract

Treatment integrity—the extent to which a treatment is delivered as it was intended—has long been recognized as critically important in treatment evaluation research, but has garnered increased attention in recent years within the context of dissemination and implementation science. However, the field’s development has been hindered by inadequate measurement tools. This project is focused on developing and evaluating the psychometric strength of two measures of treatment integrity. To evaluate the psychometric strength of the Cognitive-Behavioral Therapy for Youth Anxiety Therapist Adherence Scale (CBAY-A)and the Cognitive-Behavioral Therapy for Youth Anxiety Therapist Competence Scale (CBAY-C), 954 psychotherapy sessions from two treatment evaluation studies were coded. Analysis of the evidence for reliability and validity of the item scores for each measure provide substantial support for each measure, while also highlighting areas in need of further evaluation. The discussion focuses on interpreting the psychometric strength of the CBAY-A and CBAY-C compared to other measures of treatment integrity, next steps for evaluating the psychometric strength of the two measures, and potential applications of the CBAY-A and CBAY-C.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

8-4-2015

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