Treatment Fidelity and Outcome in CBT for Youth with Autism: The MEYA Fidelity Scale.

IF 4.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Clinical Child and Adolescent Psychology Pub Date : 2025-01-01 Epub Date: 2022-09-29 DOI:10.1080/15374416.2022.2124515

Bryce D McLeod, Jeffrey J Wood, Jennifer Cecilione Herbst, Danielle Dunn, Philip C Kendall, Eric A Storch, An Chuen Cho, Kashia A Rosenau

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Abstract

Objective: Assessing treatment fidelity in effectiveness research is critical to interpreting study findings. This paper details the development and initial psychometric evaluation of the Modular Evidence-Based Practices for Youth with Autism Fidelity Scale (MEYA-FS) designed to support the assessment of cognitive-behavioral treatments for youth with autism in effectiveness research.

Method: Recorded treatment sessions (N = 338) were randomly selected from 77 youth (M age = 9.65 years, SD = 1.87; 50.67% White; 85.33% male) who received the Schema, Emotion, and Behavior-Focused Therapy for Children (SEBASTIEN) (n = 51) or Coping Cat (n = 24) program.

Results: The MEYA-FS Adherence items displayed acceptable interrater reliability, but more than half of the MEYA-FS Competence items did not. The magnitude and pattern of correlations supported the score validity of the MEYA-FS Adherence and Competence items and subscales. However, some corresponding Adherence and Competence items displayed significant overlap. Scores on each Adherence subscale distinguished between the SEBASTIEN and Coping Cat programs, providing support for discriminant validity. Finally, higher Adherence and Competence subscales predicted significant improvements in youth clinical outcomes (adjustment problems in the school setting, social-communication difficulties, restrictive/repetitive behaviors, and externalizing problems), providing initial evidence for predictive validity.

Conclusions: The psychometric properties of the MEYA-FS make it appropriate for supporting efforts to evaluate cognitive-behavioral interventions for youth with autism in effectiveness and implementation research.

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自闭症青少年 CBT 治疗的忠实度和结果：MEYA忠诚度量表。

目的：评估有效性研究中治疗的忠实性对于解释研究结果至关重要。本文详细介绍了为自闭症青少年设计的模块化循证实践保真度量表（MEYA-FS）的开发和初步心理测量评估，该量表旨在支持有效性研究中对自闭症青少年认知行为治疗的评估：从77名青少年（中位年龄=9.65岁，标差=1.87；50.67%为白人；85.33%为男性）中随机抽取治疗过程记录（N=338），这些青少年接受了儿童模式、情绪和行为集中疗法（SEBASTIEN）（n=51）或应对猫（n=24）项目：结果：MEYA-FS中的 "坚持 "项目显示出了可接受的交互可靠性，但MEYA-FS中一半以上的 "能力 "项目却没有显示出交互可靠性。相关性的大小和模式支持了MEYA-FS依从性和能力项目及分量表的得分有效性。然而，一些相应的依从性和能力项目出现了明显的重叠。每个依从性分量表的得分都能区分 SEBASTIEN 计划和应对猫计划，这为判别有效性提供了支持。最后，较高的 "依从性 "和 "胜任力 "子量表可预测青少年临床结果（学校环境中的适应问题、社交沟通困难、限制性/重复性行为和外化问题）的显著改善，为预测有效性提供了初步证据：MEYA-FS的心理测量学特性使其适合用于支持评估自闭症青少年认知行为干预的有效性和实施研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Child and Adolescent Psychology Multiple-

CiteScore

9.70

自引率

4.80%

发文量

期刊介绍： The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.