Motivation for Youth’s Treatment Scale (MYTS): A New Tool for Measuring Motivation Among Youths and Their Caregivers
- 557 Downloads
Treatment motivation can be important for treatment adherence and outcomes, yet few measures of motivation are available for youths in mental health settings. These authors describe the psychometric properties of the motivation for youth’s treatment scale (MYTS), an 8-item measure with forms for youths and caregivers that assesses their problem recognition and treatment readiness. Results indicate that the MYTS offers practitioners and researchers a brief, psychometrically sound tool for assessing treatment motivation of youths and their caregivers. Multivariate analyses of clinical and non-clinical characteristics of youths and caregivers show that youths’ symptom severity consistently predicts treatment motivation for both groups. However, the strain of caring for the youth adds significantly to caregivers’ recognition of the youth’s troubles. While caregiver and youth motivations correlate, their agreement is low. Caregivers are nearly always more treatment motivated than youths. The authors discuss the implications of their findings for measurement, treatment planning, and future research.
KeywordsTreatment motivation Caregiver motivation Treatment readiness Predictors of motivation Youth therapy
This research was supported by grants to Leonard Bickman, Principal Investigator, from the NIMH, R01-MH068589 and 4264600201. The authors are grateful to the NIMH and Dr. Bickman for the opportunity to conduct this research and hope that it will contribute to research, practice, and outcomes.
- Athay, M. M., Riemer, M., & Bickman, L. (2012). The symptoms and functioning severity scale (SFSS): Psychometric evaluation and differences among youth, caregiver, and clinician ratings over time. Administration and Policy in Mental Health and Mental Health Services Research. doi: 10.1007/s10488-012-0403-2.
- Bickman, L., Athay, M. M., Riemer, M., Lambert, E. W., Kelley, S. D., Breda, C., Tempesti, T., Dew-Reeves, S. E., Brannan, A. M., Vides de Andrade, A. R. (Eds). (2010). Manual of the peabody treatment progress battery, [Electronic version], (2nd edn.). Nashville: Vanderbilt University. http://peabody.vanderbilt.edu/ptpb\.
- Bickman, L., Riemer, M., Lambert, E. W., Kelley, S. D., Breda, C., Dew., S., et al. (2007). Manual of the Peabody Treatment and Progress Battery (Electronic version). Nashville: Vanderbilt University. http://peabody.vanderbilt.edu/ptpb/.
- Bickman, L., Vides de Andrade, A. R., Athay, M. M., Chen, J. I., De Nadai, A. S., Jordan-Arthur, B., & Karver, M. S. (2012). The relationship between change in therapeutic alliance ratings and improvement in youth symptom severity: Whose ratings matter the most? Administration and Policy in Mental Health and Mental Health Services Research. doi: 10.1007/s10488-011-0398-0.
- Brannan, A. M., Athay, M. M., & Vides de Andrade, A. (2012). Measurement quality of the Caregiver Strain Questionnaire-Short Form 7 (CGSQ-SF7). Administration and Policy in Mental Health and Mental Health Services Research. doi: 10.1007/s10488-012-0412-1.
- Browne, M. W., & Cudeck, R. (1993). Alternative ways of accessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park: Sage.Google Scholar
- Burns, B., Angold, A., & Costello, E. (1992). Measuring child, adolescent, and family service use. In L. Bickman & D. J. Rog (Eds.), Evaluating mental health services for children (pp. 42–65). San Francisco: Jossey-Bass.Google Scholar
- DiClemente, C., & Prochaska, J. (1998). Toward comprehensive, transtheoretical model of change: Stages of change and addictive behaviors. In W. Miller & N. Heather (Eds.), Treating addictive behaviors (2nd ed., pp. 3–24). New York: Plenum Press.Google Scholar
- Prochaska, J. O. (1995). An eclectic and integrative approach: Transtheoretical therapy. In A. S. Gurman & S. B. Messer (Eds.), Essential psychotherapies: Theory and practice (pp. 403–440). New York: Guilford Press.Google Scholar
- Riemer, M., Athay, M. M., Bickman, L., Breda, C., Kelley, S. D., & Vides de Andrade, A. (2012). The Peabody Treatment Progress Battery: History and methods for developing a comprehensive measurement battery for youth mental health. Administration and Policy in Mental Health and Mental Health Services Research. doi: 10.1007/s10488-012-0404-1.
- Simpson, D. D. (2001 October). Evidence for the TCU treatment process model. Retrieved January 29, 2007 from http://www.ibr.tcu.edu/presentations/PDF/tpm-evidence.pdf.
- U.S. Public Health Service. (2000). Report of the Surgeon General’s Conference on Mental Health: A national action agenda. Washington: Department of Health and Human Services.Google Scholar
- Wright, B. D., & Linacre, J. M. (1994). Reasonable mean-square fit values. Rasch Measurement Transactions, 8, 370. Retrieved March 10, 2011 from www.rasch.org/rmt/rmt83b.htm.