A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach |
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| Authors: | Jane Ellen Smith Loren M. Gianini Bryan R. Garner Karen L. Malek Susan H. Godley |
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| Affiliation: | 1. University of New Mexico , Albuquerque , NM , USA janellen@unm.edu;3. Yale University, New Haven , CT , USA;4. Chestnut Health Systems , Normal , IL , USA |
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| Abstract: | This study evaluated a process for training raters to reliably rate clinicians delivering the Adolescent Community Reinforcement Approach (A-CRA) in a national dissemination project. The unique A-CRA coding system uses specific behavioral anchors throughout its 73 procedure components. Five randomly selected raters each rated “passing” and “not passing” examples of the 19 A-CRA procedures. Ninety-four percent of the final intraclass correlation coefficients were at least “good” (≥.60) and 66.7% were “excellent” (≥.75), and 95% of the ratings exceeded the 60% or better agreement threshold between raters and the gold standard. Raters can be trained to provide reliable A-CRA feedback for large-scale dissemination projects. |
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| Keywords: | A-CRA coder training community reinforcement evidence-based treatment rater training treatment adherence |
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