Abstract
One purpose of this investigation was to examine the importance of assessing treatment integrity in a study evaluating a treatment for specific anxiety disorders. Three subjects, two social phobics and one simple phobic, received self-instruction training (Phase I) followed by exposure and self-instruction training (Phase II) in a multiple baseline across subjects design. All subjects were assessed during a pretreatment baseline and throughout treatment using measures of treatment integrity and measures of change in phobic severity. Improvement took place at different times for different subjects. Measures of treatment integrity, which consisted of monitoring of self-statements as well as practice outside the session, indicated that treatment was not always received as intended and that improvement was correlated with practice. The usefulness of measures of treatment integrity in both clinical and research settings is highlighted.
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References
Barlow, D. H. (1980). Behavior therapy: The next decade.Behavior Therapy, 11 315–328.
Barlow, D. H. (1981). On the relation of clinical research to clinical practice: Current issues, new directions.Journal of Consulting and Clinical Psychology, 49 147–155.
Barlow, D. H., & Beck, J. G. (1984). The psychosocial treatment of anxiety disorders: Current status, future directions. In J. B. W. Williams & R. L. Spitzer (Eds.),Psychotherapy Research: Where are we and where should we go? (pp. 29–69). New York: Guilford Press.
Barlow, D. H., O'Brien, G. T., & Last, C. G. (1984). Couples treatment of agoraphobia.Behavior Therapy, 15 41–58.
Di Nardo, O'Brien, G. T., Barlow, D. H., Waddell, M. T., & Blanchard, E. B. (1983). The Anxiety Disorders Interview Schedule (ADIS): Preliminary results.Archives of General Psychiatry, 40 1070–1074.
Klein, D. F., Zitrin, C. M., Woerner, M. G., & Ross, D. C. (1983). Treatment of phobias. II. Behavior therapy and supportive psychotherapy: Are there any specific ingredients?Archives of General Psychiatry, 40 139–145.
Last, C. G., Barlow, D. H., & O'Brien, G. T. (1983).Reliability and validity of cognitive assessment procedures (manuscript submitted for publication).
Meichenbaum, D. H. (1972). Cognitive modification of test anxious college students.Journal of Consulting and Clinical Psychology, 39 370–380.
Meichenbaum, D. H. (1977).Cognitive-behavior modification: An integrative approach. New York: Plenum.
Sechrest, L., Redner, R. (1979). Strength and integrity of treatments in evaluation studies. InEvaluation Reports. Washington, DC: National Criminal Justice Reference Service.
Sechrest, L., West, S. G., Phillips, M., Redner, K., & Yeaton, W. (1979). Some neglected problems in evaluation research: Strength and integrity of treatments. In L. Sechrestet al. (Eds.),Evaluation Studies Review Annual Vol. 4. Beverly Hills, CA: Sage.
Yeaton, W. H., & Sechrest, L. (1981). Critical dimensions in the choice and maintenance of successful treatments: Strength, integrity, and effectiveness.Journal of Consulting & Clinical Psychology, 49 156–167.
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Preparation of the manuscript was supported in part by Research Grant MH34176 from the National Institute of Mental Health.
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Vermilyea, B.B., Barlow, D.H. & O'Brien, G.T. The importance of assessing treatment integrity: An example in the anxiety disorders. Journal of Behavioral Assessment 6, 1–11 (1984). https://doi.org/10.1007/BF01321456
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DOI: https://doi.org/10.1007/BF01321456