Adherence and competence in two manual-guided therapies for co-occurring substance use and posttraumatic stress disorders: clinician factors and patient outcomes.

ABSTRACT: The challenges of implementing and sustaining evidence-based therapies into routine practice have been well-documented.This study examines the relationship among clinician factors, quality of therapy delivery, and patient outcomes.Within a randomized controlled trial, 121 patients with current co-occurring substance use and posttraumatic stress disorders were allocated to receive either manualized Integrated Cognitive Behavioral Therapy (ICBT) or Individual Addiction Counseling (IAC). Twenty-two clinicians from seven addiction treatment programs were trained and supervised to deliver both therapies. Clinician characteristics were assessed at baseline; clinician adherence and competence were assessed over the course of delivering both therapies; and patient outcomes were measured at baseline and 6-month follow-up.Although ICBT was delivered at acceptable levels, clinicians were significantly more adherent to IAC (p?

SUBMITTER: Meier A 

PROVIDER: S-EPMC4698972 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature