Abstract
We assessed parents’ beliefs about treatment credibility and effectiveness and examined the influence of these beliefs on subsequent treatment participation. Seventy-six parents completed the Credibility/Expectancies Questionnaire—Parent Version (CEQ-P), and subsequently participated in treatment for their child's clinically referred conduct problems. The key findings were that: (a) the CEQ-P is composed of two components that measure parents’ treatment credibility and expectancies; (b) the total scale and each component are internally consistent and have strong test-retest reliability; (c) scores on the CEQ-P are significantly associated with scores on a measure of parent motivation for treatment, supporting the construct validity of this measure; and (d) scores on the CEQ-P at the first clinic visit significantly predict subsequent adherence to treatment procedures above and beyond demographic variables and parent motivation for treatment. This study provides an efficient and psychometrically sound measure of parent beliefs about treatment and demonstrates the importance of such beliefs for subsequent treatment adherence.
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References
Allen, K. D., & Warzak, W. J. (2000). The problems of parental non-adherence in clinical behavior analysis: Effective treatment is not enough. Journal of Applied Behavior Analysis, 33, 373–391.
Armbruster, P., & Kazdin, A. E. (1994). Attrition in child psychotherapy. In T. H. Ollendick & R. J. Prinz (Eds.), Advances in clinical child psychology (Vol. 16, pp. 81–109). New York: Plenum.
Borkovec, T. D., & Costello, E. (1993). Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 61, 611–619.
Borkovec, T. D., & Nau, S. D. (1972). Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3, 257–260.
Chambless, D. L., Tran, G. Q., & Glass, C. R. (1997). Predictors of response to cognitive-behavioral group therapy for social phobia. Journal of Anxiety Disorders, 11, 221–240.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.
Devilly, G. J., & Borkovec, T. D. (2000). Psychometric properties of the credibility/expectancy questionnaire. Journal of Behavior Therapy and Experimental Psychiatry, 31, 73–86.
Dew, S. E., & Bickman, L. (2005). Client expectancies about therapy. Mental Health Services Research, 7, 21–33.
Forgatch, M. S. (1991). The clinical science vortex: A developing theory of antisocial behavior. In D. J. Pepler & K. H. Rubin (Eds.), Development and treatment of childhood aggression (pp. 291–315). Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.
Frank, J. D., & Frank, J. B. (1991). Persuasion and healing: A comparative study of psychotherapy (3rd ed.). Baltimore, MD: Johns Hopkins University Press.
Goossens, M. E., Vlaeyen, J. W., Hidding, A., Kole-Snijders, A., & Evers, S. M. (2005). Treatment expectancy affects the outcome of cognitive-behavioral interventions in chronic pain. Clinical Journal of Pain, 21, 18–26.
Guadagnoli, E., & Velicer, W. F. (1988). Relation of sample size to the stability of component patterns. Psychological Bulletin, 103, 265–275.
Harrington, A. (1997). The placebo effect: An interdisciplinary exploration. Cambridge, MA: Harvard University Press.
Kazdin, A. E. (1979). Therapy outcome questions requiring control of credibility and treatment-generated expectancies. Behavior Therapy, 10, 81–93.
Kazdin, A. E. (2003). Problem-solving skills training and parent management training for conduct disorder. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 241–262). New York: Guilford Press.
Kazdin, A. E. (2005). Parent management training: Treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. New York: Oxford University Press.
Kazdin, A. E., Bass, D., Ayers, W. A., & Rodgers, A. (1990). Empirical and clinical focus of child and adolescent psychotherapy research. Journal of Consulting and Clinical Psychology, 58, 729–740.
Kazdin, A. E., Stolar, M. J., & Marciano, P. L. (1995). Risk factors for dropping out of treatment among White and Black families. Journal of Family Psychology, 9, 412–417.
Kazdin, A. E., & Wilcoxon, L. A. (1976). Systematic desensitization and nonspecific treatment effects: A methodological evaluation. Psychological Bulletin, 83, 729–758.
Kirsch, I. (1990). Changing expectations: A key to effective psychotherapy. Belmont, CA: Brooks/Cole Publishing Company.
Lambert, E. W., Wahler, R. G., Andrade, A. R., & Bickman, L. (2001). Looking for the disorder in conduct disorder. Journal of Abnormal Psychology, 110, 110–123.
Miller, W. R., & Rollnick, A. (Eds.). (2002). Motivational interviewing: Preparing people for change (2nd ed.). New York: Guilford.
Morrissey-Kane, E., & Prinz, R. J. (1999). Engagement in child and adolescent treatment: The role of parental cognitions and attributions. Clinical Child and Family Psychology Review, 2, 183–198.
Nock, M. K. (2003). Progress review of the psychosocial treatment of child conduct problems. Clinical Psychology: Science and Practice, 10, 1–28.
Nock, M. K., & Ferriter, C. (2005). Parent management of attendance and adherence in child and adolescent therapy: A conceptual and empirical review. Clinical Child and Family Psychology Review, 8, 149–166.
Nock, M. K., & Kazdin, A. E. (2001). Parent expectancies for child therapy: Assessment and relation to participation in treatment. Journal of Child and Family Studies, 10, 155–180.
Nock, M. K., & Kazdin, A. E. (2002). Parent-directed physical aggression by clinic-referred youths. Journal of Clinical Child and Adolescent Psychology, 31, 193–205.
Nock, M. K., & Kazdin, A. E. (2005). Randomized controlled trial of a brief intervention for increasing participation in parent management training. Journal of Consulting and Clinical Psychology, 73, 872–879.
Nock, M. K., & Photos, V. I. (2006). Parent motivation to participate in treatment: Assessment and prediction of subsequent participation. Journal of Child and Family Studies, 15, 345–358.
Novick, J., Benson, R., & Rembar, J. (1981). Patterns of termination in an outpatient clinic for children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 20, 834–844.
Pekarik, G., & Stephenson, L. A. (1988). Adult and child client differences in therapy dropout research. Journal of Clinical Child Psychology, 17, 316–321.
Steinberg, M. L., Ziedonis, D. M., Krejci, J. A., & Brandon, T. H. (2004). Motivational interviewing with personalized feedback: A brief intervention for motivating smokers with schizophrenia to seek treatment for tobacco dependence. Journal of Consulting and Clinical Psychology, 72, 723–728.
Stewart-Williams, S. (2004). The placebo puzzle: Putting together the pieces. Health Psychology, 23, 198–206.
Stewart-Williams, S., & Podd, J. (2004). The placebo effect: Dissolving the expectancy versus conditioning debate. Psychological Bulletin, 130, 324–340.
Sue, S., & Zane, N. (1987). The role of culture and cultural techniques in psychotherapy: A critique and reformulation. American Psychologist, 42, 37–45.
Weisz, J. R., Donenberg, G. R., Han, S. S., & Weiss, B. (1995). Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. Journal of Consulting and Clinical Psychology, 63, 688–701.
Weisz, J. R., Weiss, B., Alicke, M. D., & Klotz, M. L. (1987). Effectiveness of psychotherapy with children and adolescents: Meta-analytic findings for clinicians. Journal of Consulting and Clinical Psychology, 55, 542–549.
Acknowledgments
We are grateful to Thomas Borkovec for his permission to use the CEQ in this research. Completion of this research was facilitated by support from the National Institute of Mental Health (MH12923) to Matthew K. Nock and by support from the William T. Grant Foundation (98-1872-98) and National Institute of Mental Health (MH59029) to Alan E. Kazdin. We are extremely grateful to Dr. Kazdin for his support and guidance and to the staff of the Yale Child Conduct Clinic for their helpful contributions to the development and implementation of this research.
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Nock, M.K., Ferriter, C. & Holmberg, E. Parent Beliefs about Treatment Credibility and Effectiveness: Assessment and Relation to Subsequent Treatment Participation. J Child Fam Stud 16, 27–38 (2007). https://doi.org/10.1007/s10826-006-9064-7
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DOI: https://doi.org/10.1007/s10826-006-9064-7