In residential treatment settings, it is essential for many clinical and research purposes to conduct high-quality assessments of the integrity of treatment, that is, the extent to which the intended therapy is occurring. When psychosocial treatment integrity has been measured in these settings, retrospective ratings by direct-care staff have often been utilized. The current study was designed to empirically evaluate the potential of both self-ratings by staff and ratings by their supervisors for accurately assessing treatment integrity. Forty staff members of an inpatient psychiatric unit rated their own behavior toward clients. In addition, 11 unit supervisors completed a similar rating-scale measure on 29 of the workers. When the data were examined at the level of the individual worker, self-ratings by staff and ratings by their supervisors were at best only moderately similar to data on the Staff-Resident Interaction Chronograph, a direct-observational-coding instrument. These results clearly do not warrant use of rating-scale data for clinical decision-making, which often has profound effects on peoples' lives. However, when administered under certain conditions and averaged across respondents, both self-ratings and supervisor ratings did fairly accurately reflect the actual interactional pattern exhibited by the staff group, suggesting some potential for uses requiring information that is accurate at this level (e.g., program evaluation). / Source: Dissertation Abstracts International, Volume: 53-12, Section: B, page: 6560. / Major Professor: Mark H. Licht. / Thesis (Ph.D.)--The Florida State University, 1992.
Identifer | oai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_76827 |
Contributors | Lazarus, Mark Leander., Florida State University |
Source Sets | Florida State University |
Language | English |
Detected Language | English |
Type | Text |
Format | 199 p. |
Rights | On campus use only. |
Relation | Dissertation Abstracts International |
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