Question

In: Psychology

Please sumerize this differently: Objective: To develop a psychotherapy rating scale to measure therapist adherence in...

Please sumerize this differently:

Objective: To develop a psychotherapy rating scale to measure therapist adherence in the Strong Without Anorexia Nervosa (SWAN) study, a multi-center randomized controlled trial comparing three different psychological treatments for adults with anorexia nervosa. The three treatments under investigation were Enhanced Cognitive Behavioral Therapy (CBT-E), the Maudsley Anorexia Nervosa Treatment for Adults (MANTRA), and Specialist Supportive Clinical Management (SSCM).

Method: The SWAN Psychotherapy Rating Scale (SWAN-PRS) was developed, after consultation with the developers of the treatments, and refined. Using the SWANPRS, two independent raters initially rated 48 audiotapes of treatment sessions to yield inter-rater reliability data. One rater proceeded to rate a total of 98 audiotapes from 64 trial participants.

Results: The SWAN-PRS demonstrated sound psychometric properties, and as considered a reliable measure of therapist adherence. The three treatments were highly distinguishable by independent raters, with therapists demonstrating significantly more behaviors consistent with the actual allocated treatment compared to the other two treatment modalities. There were no significant site differences in therapist adherence observed.

Solutions

Expert Solution

The objective of this study is development of a scale for rating the psychotherapy. The scale should be made such that the grip of the subject over the Strong Without Anorexia Nervosa (SWAN) can be measured using this. The objective achievement was aimed at by using 3 different treatments showing multi dimensional approach. Enhanced cognitive behavioral therapy (CBT-E) , the maudsley anorexia nervosa treatment for adults (MANTRA,and specialist supportive clinical management (SSCM) were used

The method included the use of consultation which was done from the developers of the treatments and then refining the development if SWAN Psychotherapy Rating Scale (SWAN-PRS) . After this two taters which were independent of each other and rated 48 audio tapes in the beginning yielded the inter rater reliability data. A single rater then rated 98 audio tapes from 64 participants of the trial

The results displayed that the SWANPRS is a reliable measure for the purpose and us also a sound psychometric test. The raters could significantly distinguish between the treatments used of 3 different types. The therapists could show efficiently that more behaviors were consistent with the actual treatment than with the other two. Differences in the therapist adhrance were not obserbed significantly


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