Systematic literature review and meta-analysis of the relationship between adherence, competence and outcome in psychotherapy for children and adolescents.
The extent to which therapist adherence to guidelines and clinician skill or competence may play a role in the prediction of therapeutic outcomes remains inconclusive. This systematic literature review and meta-analysis considers whether adherence or competence predicts youth outcome in child and ad...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 29; no. 4; pp. 417 - 432 |
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| Autores principales: | , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142453061&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142453061 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Apr2020 vid: 29 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 142453061 142453061 142453061 10.1007/s00787-018-1265-2 142453061 ppf: 417 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Systematic literature review and meta-analysis of the relationship between adherence, competence and outcome in psychotherapy for children and adolescents. aug: au: Collyer, Hannah Eisler, Ivan Woolgar, Matt affil: Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK sug: subj: Psychotherapy In Infancy and Childhood Psychotherapy In Adolescence Guideline Adherence Clinical Competence Treatment Outcomes Human Systematic Review Meta Analysis Child Adolescence Effect Size Child: 6-12 years Adolescent: 13-18 years ab: The extent to which therapist adherence to guidelines and clinician skill or competence may play a role in the prediction of therapeutic outcomes remains inconclusive. This systematic literature review and meta-analysis considers whether adherence or competence predicts youth outcome in child and adolescent psychotherapy, and whether there are any identifiable factors which moderate the strength or direction of this relationship. A systematic literature search identified 35 studies in 52 papers. The studies contained 29 effect sizes for the relationship between adherence and outcome, while nine effect sizes were extracted for competence, and a further five effects measured a composite of adherence and competence constructs, referred to as fidelity in this report. The meta-analysis indicated a small but significant relationship between therapist adherence and outcome, although the small size of effect suggests that outcomes are likely to be more strongly associated with factors other than adherence. No significant relationship was identified between competence or composite fidelity and outcome. Although variance was observed in effect sizes, no significant moderation by client group, intervention type, or implementation measure informant was identified. Further study is needed to understand the specific circumstances under which adherence and outcome are related. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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