An Evaluation of the Observer Effect on Treatment Integrity in a Day Treatment Center for Children
Treatment integrity is an important concern in treatment centers but is often overlooked. Performance feedback is a well-established approach to improving treatment integrity, but is underused and undervalued. One way to increase its value to treatment centers may be to expose unrealized benefits on...
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| Veröffentlicht in: | Behavior modification 2013-07, Vol.37 (4), p.490-515 |
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| container_title | Behavior modification |
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| creator | Howard, Monica R. Burke, Raymond V. Allen, Keith D. |
| description | Treatment integrity is an important concern in treatment centers but is often overlooked. Performance feedback is a well-established approach to improving treatment integrity, but is underused and undervalued. One way to increase its value to treatment centers may be to expose unrealized benefits on the observer who collects the performance feedback data. This “observer effect” could increase the value of performance feedback and promote more consistent evaluation of treatment integrity. The purpose of this investigation was to evaluate the observer effect on treatment integrity. Five supervisors who worked in a day treatment center were asked to collect performance feedback data on staff members’ integrity in following a standard treatment protocol that supervisors were also expected to follow. Results showed an immediate and marked improvement in treatment integrity in three supervisors who collected but never received performance feedback. For two supervisors, this effect was reversed and replicated. Implications are discussed. |
| doi_str_mv | 10.1177/0145445513486801 |
| format | Article |
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Performance feedback is a well-established approach to improving treatment integrity, but is underused and undervalued. One way to increase its value to treatment centers may be to expose unrealized benefits on the observer who collects the performance feedback data. This “observer effect” could increase the value of performance feedback and promote more consistent evaluation of treatment integrity. The purpose of this investigation was to evaluate the observer effect on treatment integrity. Five supervisors who worked in a day treatment center were asked to collect performance feedback data on staff members’ integrity in following a standard treatment protocol that supervisors were also expected to follow. Results showed an immediate and marked improvement in treatment integrity in three supervisors who collected but never received performance feedback. For two supervisors, this effect was reversed and replicated. Implications are discussed.</description><identifier>ISSN: 0145-4455</identifier><identifier>EISSN: 1552-4167</identifier><identifier>DOI: 10.1177/0145445513486801</identifier><identifier>PMID: 23639884</identifier><identifier>CODEN: BEMODA</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Behavior Modification ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; Child Health Services - standards ; Child, Preschool ; Children ; Children & youth ; Clinical Competence - standards ; Day Care, Medical - standards ; Day Programs ; Feedback ; Feedback (Response) ; Feedback, Psychological ; Female ; Fidelity ; Guideline Adherence - standards ; Health Personnel - psychology ; Health Personnel - standards ; Humans ; Improvement ; Job evaluation ; Medical sciences ; Observation ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. 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Performance feedback is a well-established approach to improving treatment integrity, but is underused and undervalued. One way to increase its value to treatment centers may be to expose unrealized benefits on the observer who collects the performance feedback data. This “observer effect” could increase the value of performance feedback and promote more consistent evaluation of treatment integrity. The purpose of this investigation was to evaluate the observer effect on treatment integrity. Five supervisors who worked in a day treatment center were asked to collect performance feedback data on staff members’ integrity in following a standard treatment protocol that supervisors were also expected to follow. Results showed an immediate and marked improvement in treatment integrity in three supervisors who collected but never received performance feedback. For two supervisors, this effect was reversed and replicated. Implications are discussed.</description><subject>Adult</subject><subject>Behavior Modification</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Child Health Services - standards</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical Competence - standards</subject><subject>Day Care, Medical - standards</subject><subject>Day Programs</subject><subject>Feedback</subject><subject>Feedback (Response)</subject><subject>Feedback, Psychological</subject><subject>Female</subject><subject>Fidelity</subject><subject>Guideline Adherence - standards</subject><subject>Health Personnel - psychology</subject><subject>Health Personnel - standards</subject><subject>Humans</subject><subject>Improvement</subject><subject>Job evaluation</subject><subject>Medical sciences</subject><subject>Observation</subject><subject>Psychology. Psychoanalysis. 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Psychiatry</subject><subject>Supervisors</subject><subject>Treatments</subject><subject>United States (Midwest)</subject><subject>Values</subject><issn>0145-4455</issn><issn>1552-4167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkc1v1DAQxS0EotvCnQvIUlWJS2Acf8Q-VssCRZV6KefIccZtqqxTbKfS_vc42qVUlRAXz-H93viNHiHvGHxirGk-AxNSCCkZF1ppYC_IiklZV4Kp5iVZLXK16EfkOKU7ABCN4a_JUc0VN1qLFenOA9082HG2eZgCnTzNt0ivuoTxASPdeI8u06JcR7R5iyHTi5DxJg55R4dALf1id0_EdXmKz0-Rrm-HsY8Y3pBX3o4J3x7mCfn5dXO9_l5dXn27WJ9fVk5IyJXlqL3UUkoELVTPjKpFz1Ep23XoEU1tbW-Edo5bJTyAYR0HrkE7r3zHT8jH_d77OP2aMeV2OySH42gDTnNqmVQNCAWs_j_KldLMNGAKevoMvZvmGMohC2Uk0wxYoWBPuTilFNG393HY2rhrGbRLVe3zqorlw2Hx3G2xfzT86aYAZwfAJmdHH21wQ_rLNRI0rxfu_Z7DOLhHefOj5Cq_LcdWez3ZG3yS_l_BfgMudK9W</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Howard, Monica R.</creator><creator>Burke, Raymond V.</creator><creator>Allen, Keith D.</creator><general>SAGE Publications</general><general>Sage Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7U3</scope><scope>BHHNA</scope></search><sort><creationdate>20130701</creationdate><title>An Evaluation of the Observer Effect on Treatment Integrity in a Day Treatment Center for Children</title><author>Howard, Monica R. ; Burke, Raymond V. ; Allen, Keith D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-a3e8f58555e0846d19624d3e66abbefee92aad948cc3a64f0091b303808cf6fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Behavior Modification</topic><topic>Behavior therapy. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Child Health Services - standards</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Clinical Competence - standards</topic><topic>Day Care, Medical - standards</topic><topic>Day Programs</topic><topic>Feedback</topic><topic>Feedback (Response)</topic><topic>Feedback, Psychological</topic><topic>Female</topic><topic>Fidelity</topic><topic>Guideline Adherence - standards</topic><topic>Health Personnel - psychology</topic><topic>Health Personnel - standards</topic><topic>Humans</topic><topic>Improvement</topic><topic>Job evaluation</topic><topic>Medical sciences</topic><topic>Observation</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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Performance feedback is a well-established approach to improving treatment integrity, but is underused and undervalued. One way to increase its value to treatment centers may be to expose unrealized benefits on the observer who collects the performance feedback data. This “observer effect” could increase the value of performance feedback and promote more consistent evaluation of treatment integrity. The purpose of this investigation was to evaluate the observer effect on treatment integrity. Five supervisors who worked in a day treatment center were asked to collect performance feedback data on staff members’ integrity in following a standard treatment protocol that supervisors were also expected to follow. Results showed an immediate and marked improvement in treatment integrity in three supervisors who collected but never received performance feedback. For two supervisors, this effect was reversed and replicated. 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| subjects | Adult Behavior Modification Behavior therapy. Cognitive therapy Biological and medical sciences Child Health Services - standards Child, Preschool Children Children & youth Clinical Competence - standards Day Care, Medical - standards Day Programs Feedback Feedback (Response) Feedback, Psychological Female Fidelity Guideline Adherence - standards Health Personnel - psychology Health Personnel - standards Humans Improvement Job evaluation Medical sciences Observation Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Supervisors Treatments United States (Midwest) Values |
| title | An Evaluation of the Observer Effect on Treatment Integrity in a Day Treatment Center for Children |
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