A Pilot Test of the Functional Family Therapy Coding and Rating Scale

功能家庭治疗编码和评定量表的试点测试

• 批准号: 7474759
• 负责人: TIMOTHY J OZECHOWSKI
• 金额: $ 7.48万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-26 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7474759
• 关键词: Adolescent; Agreement; Archives; Behavior; Behavior Therapy; Behavioral; Boston; Clinical; Clinical Trials; Code; Communication; Communities; Data; Development; Effectiveness; Emotional; Exhibits; Family; Family psychotherapy; Health Benefit; Intervention; Judgment; Link; Manuals; Measures; Mediating; Methods; National Institute of Drug Abuse; Outcome Study; Participant; Phase; Pilot Projects; Prevalence; Principal Investigator; Problem behavior; Procedures; Process; Property; Public Health; Purpose; Randomized Clinical Trials; Range; Rate; Relapse; Research; Research Personnel; Sampling; Staging; Students; Techniques; Testing; Training; Transportation; Treatment outcome; United States; Validation; Videotape; adolescent drug abuse; adolescent drug use; base; design; insight; instrument; theories; therapy development; tool

DESCRIPTION (provided by applicant): The objective of this project is to conduct a pilot study of the Functional Family Therapy Coding and Rating Scale (FFT CARS). The FFT CARS is a theory-driven observational research tool for rating and coding the presence of manual-based therapist interventions and techniques in sessions of FFT. As a theory- and manual-based process research tool, the FFT CARS will facilitate direct empirical tests of fundamental hypotheses about clinical components, processes, and mechanisms associated with sustained treatment outcomes in FFT. To date, no such observational instrument exists that could accomplish these critical FFT process research objectives. Such research is urgently needed to provide empirical support for the ongoing refinement and manualization of FFT and its transportation to community-based treatment settings across the United States and abroad. The specific aims of the proposed pilot study are to: (a) train two novice graduate student clinicians to utilize the FFT CARS to code and rate a sample of recorded FFT sessions; (b) establish and demonstrate satisfactory interrater agreement and reliability for the FFT CARS through a range of analytic approaches; and (c) assess the validity of the FFT CARS by using a range of clinical indicators derived from the instrument to predict therapist-family alliance formation, and pre- to post-treatment changes in family communication and adolescent treatment outcomes. Achieving these aims would establish the FFT CARS as a credible and bona fide process research instrument. Subsequently, the FFT CARS may be used to rate and code the massive volume of archived FFT clinical videotapes that has accumulated over the course of numerous randomized clinical trials over the past decade. A wealth of assessment data exists pertaining to change in adolescent drug use and other aspects of emotional, behavioral, and family functioning for the adolescent participants in these clinical trials. Using the FFT CARS to study how therapist behavior during treatment is linked to sustained improvement, non- improvement, or relapse in FFT would provide valuable clinical insights to inform the refinement of FFT in ways that can enhance its effectiveness and transportability. Ultimately, transporting effective treatments into community-based clinical settings is indispensable for reducing the prevalence of adolescent drug abuse to a degree sufficient to produce public health benefits.

描述（由申请人提供）：该项目的目的是对功能性家庭治疗编码和评级量表（FFT汽车）进行试点研究。 FFT汽车是一种理论驱动的观察性研究工具，用于在FFT会话中评估和编码手动治疗师的干预措施和技术。作为一种基于理论和手动的过程研究工具，FFT汽车将促进有关与FFT中持续治疗结果相关的临床组件，过程和机制的基本假设的直接经验检验。迄今为止，尚无这样的观察工具可以实现这些关键的FFT过程研究目标。迫切需要进行此类研究，以为FFT的持续改进和手动提供经验支持，并运输到美国和国外的社区治疗环境。拟议的试点研究的具体目的是：（a）培训两名新手研究生临床医生，利用FFT汽车来编码和评估记录的FFT课程样本； （b）通过一系列分析方法建立并证明FFT汽车的令人满意的跨层协议和可靠性； （c）通过使用源自该工具的一系列临床指标来预测治疗师 - 家庭联盟形成，以及家庭交流和青少年治疗结果的治疗后变化，评估FFT汽车的有效性。实现这些目标将确定FFT汽车是一种可靠且真正的过程研究工具。随后，FFT汽车可用于对过去十年中众多随机临床试验的过程中积累的大量存档临床录像带进行评分和编码。在这些临床试验中，有大量的评估数据与青少年药物使用以及情绪，行为和家庭功能的其他方面有关。使用FFT汽车研究治疗过程中的治疗师行为如何与FFT的持续改进，不改善或复发有关，将提供有价值的临床见解，以通过增强其有效性和可运输能力的方式来告知FFT。最终，将有效的治疗运送到基于社区的临床环境中是必不可少的，这对于减少青少年药物滥用率的普遍性是足以产生公共卫生益处的程度。