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Testing the Integrity of a Psychotherapy Protocol: Assessment of Adherence and Competence

Overview
Specialty Psychology
Date 1993 Aug 1
PMID 8370857
Citations 189
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Abstract

Manipulation checks should be used in psychotherapy trials to confirm that therapists followed the treatment manuals and performed the therapy competently. This article is a review of some strategies that have been used to document treatment integrity; also, their limitations are discussed here. Recommendations for improving these checks are presented. Specific guidelines are offered regarding when and how to assess both therapist adherence to treatment protocols and competence.

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