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首页> 外文期刊>Administration and Policy in Mental Health and Mental Health Services Research >Therapist Adherence and Organizational Effects on Change in Youth Behavior Problems One Year After Multisystemic Therapy
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Therapist Adherence and Organizational Effects on Change in Youth Behavior Problems One Year After Multisystemic Therapy

机译：多系统治疗一年后治疗师的坚持与组织对青少年行为问题改变的影响

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摘要

The current study investigated the relations among therapist adherence to an evidence-based treatment for youth with serious antisocial behavior (i.e., Multisystemic Therapy), organizational climate and structure, and improvement in youth behavior problems one-year post treatment. Participants were 1979 youth and families treated by 429 therapists across 45 provider organizations in North America. Hierarchical Linear Modeling (HLM) results showed therapist adherence predicted improvement in youth behavior. Two structure variables and one climate variable predicted changes in youth behavior, and the climate variable also predicted therapist adherence. No statistical support for formal mediation of organizational effects through adherence was found, though examination of changes in parameter estimates suggest a possible interplay of organizational climate with adherence and youth behavior change.
机译：当前的研究调查了治疗师坚持采用证据为基础的严重反社会行为青年（即多系统疗法），组织氛围和结构以及改善治疗后一年的青年行为问题之间的关系。参加者是1979年的青年和家庭，涉及北美45个提供者组织中的429名治疗师。分层线性建模（HLM）结果表明，治疗师的依从性可以预测青少年行为的改善。两个结构变量和一个气候变量可预测青少年行为的变化，而气候变量还可预测治疗师的依从性。尽管通过参数估计值的变化表明组织氛围与坚持和青年行为改变之间可能存在相互作用，但并未发现通过坚持来正式介导组织作用的统计支持。

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