%0 Journal Article
%T Development and Initial Validation of a Client-Rated MET-CBT Adherence Measure
%A Wendy R. Ulaszek
%A Hsiu-Ju Lin
%A Linda K. Frisman
%A Susan Sampl
%A Susan Harrington Godley
%A Karen L. Steinberg-Gallucci
%A Jody L. Kamon and Margaret O¡¯Hagan-Lynch
%J Substance Abuse: Research and Treatment
%D 2012
%I 
%R 10.4137/SART.S9896
%X Traditional mechanisms for rating adherence or fidelity are labor-intensive. We developed and validated a tool to rate adherence to Motivational Enhancement Therapy¡ªCognitive Behavioral Treatment (MET-CBT) through anonymous client surveys. The instrument was used to survey clients in 3 methadone programs over 2 waves. Explanatory and Confirmatory Factor Analyses were used to establish construct validity for both MET and CBT. Internal consistency based on Cronbach¡¯s alpha was within adequate range (¦Á > 0.70) for all but 2 of the subscales in one of the samples. Consensus between clients¡¯ ratings (rwg(j) scores) were in the range of 0.6 and higher, indicating a moderate to strong degree of agreement among clients¡¯ ratings of the same counselor. These results suggest that client surveys could be used to measure adherence to MET-CBT for quality monitoring that is more objective than counselor self-report and less resource-intensive than supervisor review of taped sessions. However, additional work is needed to develop this scale.
%U http://www.la-press.com/development-and-initial-validation-of-a-client-rated-met-cbt-adherence-article-a3302