TY - JOUR
T1 - Therapist effects in three treatments for alcohol problems
AU - Allen, John P.
AU - Mattson, Margaret E.
AU - Miller, William R.
AU - Scott Tonigan, J.
AU - Connors, Gerard J.
AU - Rychtarik, Robert G.
AU - Randall, Carrie L.
AU - Anton, Raymond F.
AU - Kadden, Ronald M.
AU - Litt, Mark
AU - Cooney, Ned L.
AU - Diclemente, Carlo C.
AU - Carbonari, Joseph
AU - Zweben, Allen
AU - Longabaugh, Richard H.
AU - Stout, Robert L.
AU - Donovan, Dennis
AU - Babor, Thomas F.
AU - Delboca, Frances K.
AU - Rounsaville, Bruce J.
AU - Carroll, Kathleen M.
AU - Wirtz, Philip W.
PY - 1998/7
Y1 - 1998/7
N2 - Prior research indicates that therapist effects can be sizeable in substance- abuse treatment. Therapist differences were examined within a multisite (TV = 1726) randomized trial of three psychosocial treatments for alcohol problems: twelve-step facilitation (TSF), cognitive-behavioral skills training (CBT), and motivational enhancement therapy (MET). Therapists (TV = 80) were nested within treatments, selected and trained for expertise in a specific approach. This report describes: (1) differences in therapist characteristics across the three treatments; (2) the magni-tude of therapist effects within each treatment; and (3) exploratory analyses of therapist attributes associated with successful outcomes. Therapist characteristics differed between TSF and the other two conditions. Significant therapist effects were found in client satisfaction and out-comes, even after covarying for effects of treatment sites and client baseline characteristics. Specific therapist attributes were predictive of client outcomes. Outlier therapists whose caseloads showed unusually poor outcomes accounted for most of the observed effects.
AB - Prior research indicates that therapist effects can be sizeable in substance- abuse treatment. Therapist differences were examined within a multisite (TV = 1726) randomized trial of three psychosocial treatments for alcohol problems: twelve-step facilitation (TSF), cognitive-behavioral skills training (CBT), and motivational enhancement therapy (MET). Therapists (TV = 80) were nested within treatments, selected and trained for expertise in a specific approach. This report describes: (1) differences in therapist characteristics across the three treatments; (2) the magni-tude of therapist effects within each treatment; and (3) exploratory analyses of therapist attributes associated with successful outcomes. Therapist characteristics differed between TSF and the other two conditions. Significant therapist effects were found in client satisfaction and out-comes, even after covarying for effects of treatment sites and client baseline characteristics. Specific therapist attributes were predictive of client outcomes. Outlier therapists whose caseloads showed unusually poor outcomes accounted for most of the observed effects.
UR - https://www.scopus.com/pages/publications/0000561421
U2 - 10.1080/10503309812331332527
DO - 10.1080/10503309812331332527
M3 - Article
AN - SCOPUS:0000561421
SN - 1050-3307
VL - 8
SP - 455
EP - 474
JO - Psychotherapy Research
JF - Psychotherapy Research
IS - 4
ER -