This CTN platform study by Zac Imel and John Baer of the Pacific Northwest Node, as well as colleagues from the New England Consortium, examined variability in therapist adherence and competence in Motivational Enhancement Therapy (MET) both within and between caseloads in a large multi-site clinical trial (CTN-0004: Motivational Enhancement Treatment to Improve Treatment Engagement and Outcome in Subjects Seeking Treatment for Substance Abuse).
Variability in MET adherence and competence within caseloads was not consistently associated with client severity of addiction at baseline. However, client motivation at the beginning of the session and days of use during treatment were consistent predictors of therapist adherence and competence. Results raise questions about the nature of therapist adherence and competence in treatment protocols.
Citation: Imel ZE, Baer JS, Martino S, Ball SA, Carroll KM. Mutual Influence in Therapist Competence and Adherence to Motivational Enhancement Therapy. Drug and Alcohol Dependence 2011 (in press).