Full Answer
What are the factors that influence the effectiveness of therapy?
Therapist factors such as training, skill and experience (Beutler et al. 2004) and adherence to treatment protocol (Webb et al. 2010), have been found to be only weak predictors of patient outcome.
What are the indicators of treatment acceptability?
Factors such as participants’ attitudes towards the intervention, appropriateness, suitability, convenience and perceived effectiveness of the intervention have been considered as indicators of treatment acceptability.
What factors influence patients’ perceived acceptability of interventions?
Factors that influence patients’ perceived acceptability include the intervention’s “ appropriateness in addressing the clinical problem, suitability to individual life style, convenience and effectiveness in managing the clinical problem” ( [ 14 ], p.421).
Is there a review of acceptability of healthcare interventions?
Nonetheless, the overview does provide a useful synthesis of how acceptability of healthcare interventions has been defined, assessed and theorised in systematic reviews of the effectiveness of healthcare interventions. In particular, the review highlights a distinct need to advance acceptability research.
What is treatment acceptability?
The construct of treatment acceptability, developed from the work of Wolf (1978) and Kazdin (1981), was defined as the degree to which stakeholders found the intervention to be fair, reasonable, appropriate, and consistent with expectations of treatment.
What is treatment acceptability rating form?
The Treatment Acceptability Rating Form (TARF; Reimers & Wacker, 1988) was devised from Kazdin's (1980) original measure of treatment acceptability to measure parent's acceptability of treatments devised within a clinical setting. It consists of 15 items on a seven-point Likert-type scale.
What is treatment integrity data?
Treatment integrity data indicate how much of and how well an intervention is being implemented. It includes multiple dimensions, including adherence, quality, and exposure.
What is social validity ABA?
Broadly defined, social validity concerns the appropriateness and acceptability of ABA interventions as both process and outcome measures (Kazdin, 1977; Wolf, 1978). One type of social validity, expert validation, has to do with the selection of intervention objectives, skills, and procedures.
How do you measure acceptability of an intervention?
The inclusion of affective attitude as a construct in the TFA (v2) is in line with the findings of the overview of reviews, in which measures of attitude have been used to assess acceptability of healthcare interventions. Affective attitude is defined as “how an individual feels about taking part in an intervention”.
How many questions does the treatment acceptability rating form consist of group of answer choices?
The TARF-R consists of 20 questions with 17 questions per- taining to treatment acceptability, in which two questions address problem severity, and one question that addresses understanding the intervention. Questions are rated on a seven point Likert-type scale with varying an- chor point descriptors for each item.
What is the most effective method for improving treatment integrity?
Recent literature suggests that performance feedback is the most effective method for improving treatment integrity (DiGennaro Reed and Codding 2011; DiGennaro Reed et al. 2013).
What is good treatment integrity?
Treatment integrity has been defined as the degree to which an intervention or treatment is implemented as planned, intended, or originally designed (Gresham, 1989, 2004; Gresham, MacMillan, Beebe-Frankenberger, & Bocian, 2000; Lane, Bocian, MacMillan, & Gresham, 2004).
How can I improve my treatment of integrity?
2:275:16How To Improve Treatment Integrity In ABA - YouTubeYouTubeStart of suggested clipEnd of suggested clipIf your previously effective intervention is now yielding less than effective data. It's importantMoreIf your previously effective intervention is now yielding less than effective data. It's important to do your procedural.
What factors would you consider when choosing methods to assess social validity?
To determine social validity, the team members need to identify whether:The intervention will address socially significant goals.Those involved with the intervention feel that it is socially acceptable.The intervention will produce socially important outcomes.More items...
What are the three levels of social validation?
The three levels of social validity are (1) extent to which target behaviors are really the most important ones for the client and society (2) acceptability to the client of the particular procedures used, especially when alternative procedures can accomplish approximately the same results, and (3) satisfaction of the ...
What is the most frequently used method for assessing social validity?
Most frequently used method for assessing social validity is to ask consumers. Experts can be called upon to judge the social validity of some behavior changes.
What is acceptability in healthcare?
Acceptability has become a key consideration in the design, evaluation and implementation of health care interventions. Many healthcare interventions are complex in nature; for example, they can consist of several interacting components, or may be delivered at different levels within a healthcare organisation [ 1 ]. Intervention developers are faced with the challenge of designing effective healthcare interventions to guarantee the best clinical outcomes achievable with the resources available [ 2, 3 ]. Acceptability is a necessary but not sufficient condition for effectiveness of an intervention. Successful implementation depends on the acceptability of the intervention to both intervention deliverers (e.g. patients, researchers or healthcare professionals) and recipients (e.g. patients or healthcare professionals) [ 4, 5 ]. From the patient’s perspective, the content, context and quality of care received may all have implications for acceptability. If an intervention is considered acceptable, patients are more likely to adhere to treatment recommendations and to benefit from improved clinical outcomes [ 6, 7 ]. From the perspective of healthcare professionals, if the delivery of a particular intervention to patients is considered to have low acceptability, the intervention may not be delivered as intended (by intervention designers), which may have an impact on the overall effectiveness of the intervention [ 8, 9 ].
When should acceptability be considered?
It is increasingly acknowledged that ‘acceptability’ should be considered when designing, evaluating and implementing healthcare interventions. However, the published literature offers little guidance on how to define or assess acceptability. The purpose of this study was to develop a multi-construct theoretical framework of acceptability ...
What is an overview of reviews?
1) An overview of reviews was conducted to identify systematic reviews that claim to define, theorise or measure acceptability of healthcare interventions. 2) Principles of inductive and deductive reasoning were applied to theorise the concept of acceptability and develop a theoretical framework.
What is the inconsistency in defining concepts?
The inconsistency in defining concepts can impede the development of valid assessment instruments [ 20 ]. Theorising the concept of acceptability would provide the foundations needed to develop assessment tools of acceptability.
What is the development phase of intervention?
The development phase of an intervention requires researchers to identify or develop a theory of change (e .g. what changes are expected and how they will be achieved) and to model processes and outcomes (e.g. using analogue studies and other evidence to identify the specific outcomes and appropriate measures) [ 1 ].
Is acceptability research more robust?
Despite frequent claims that healthcare interventions have assessed acceptability, it is evident that acceptability research could be more robust. The proposed definition of acceptability and the TFA can inform assessment tools and evaluations of the acceptability of new or existing interventions.