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Smith JE, Gianini LM, Garner BR, et al. A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach. J Child Adolesc Subst Abuse. 2014;23(3):185-199doi: 10.1080/1067828X.2012.729258.
Smith, J. E., Gianini, L. M., Garner, B. R., Malek, K. L., & Godley, S. H. (2014). A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach. Journal of child & adolescent substance abuse, 23(3), 185-199. https://doi.org/10.1080/1067828X.2012.729258
Smith, Jane Ellen, et al. "A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach." Journal of child & adolescent substance abuse vol. 23,3 (2014): 185-199. doi: https://doi.org/10.1080/1067828X.2012.729258
Smith JE, Gianini LM, Garner BR, Malek KL, Godley SH. A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach. J Child Adolesc Subst Abuse. 2014 Jan 01;23(3):185-199. doi: 10.1080/1067828X.2012.729258. PMID: 24778544; PMCID: PMC4000045.
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J Child Adolesc Subst Abuse. 2014 Jan 01;23(3):185-199. doi: 10.1080/1067828X.2012.729258.

A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach.

Journal of child & adolescent substance abuse

Jane Ellen Smith, Loren M Gianini, Bryan R Garner, Karen L Malek, Susan H Godley

Affiliations

  1. Department of Psychology, University of New Mexico, Albuquerque, NM.
  2. Yale University School of Medicine, Psychiatry, New Haven, CT.
  3. Chestnut Health Systems, Normal, IL.

PMID: 24778544 PMCID: PMC4000045 DOI: 10.1080/1067828X.2012.729258

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 ICCs 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.

Keywords: A-CRA; Evidence-based treatment; coder training; community reinforcement; rater training; treatment adherence

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