Intervention fidelity in family-based prevention counseling for adolescent problem behaviors

This study examined fidelity in multidimensional family prevention (MDFP), a family‐based prevention counseling model for adolescents at high risk for substance abuse and related behavior problems, in comparison to two empirically based treatments for adolescent drug abuse: multidimensional family t...

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Bibliographic Details
Published in:Journal of community psychology 2005-03, Vol.33 (2), p.191-211
Main Authors: Hogue, Aaron, Liddle, Howard A., Singer, Alisa, Leckrone, Jodi
Format: Article
Language:English
Subjects:
At Risk Persons
Behavior disorders
Behavior Modification
Behavior Problems
Cognitive Restructuring
Counseling
Counseling Techniques
Drug Abuse
Families & family life
Family Counseling
Health Services
Intervention
Mental Health
Mental health care
Mental Health Programs
Parenting Styles
Prevention
Teenagers
Therapy
Video Technology
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Summary:This study examined fidelity in multidimensional family prevention (MDFP), a family‐based prevention counseling model for adolescents at high risk for substance abuse and related behavior problems, in comparison to two empirically based treatments for adolescent drug abuse: multidimensional family therapy (MDFT) and cognitive‐behavioral therapy (CBT). Randomly selected videotapes of 109 MDFP sessions, 57 MDFT sessions, and 31 CBT sessions were observationally rated along two key dimensions of implementation: intervention parameters and intervention techniques. Overall, MDFP was similar to MDFT and different from CBT in a manner congruent with its theoretical principles of interactional, systemic intervention. However, deficiencies in parental monitoring and developmental knowledge interventions point the way for continued model development. The utility of fidelity process research for conveying intervention technology along the prevention‐treatment continuum of mental health services is discussed. © 2005 Wiley Periodicals, Inc. J Comm Psychol 33: 191–211, 2005.
ISSN:0090-4392
1520-6629
DOI:10.1002/jcop.20031