Exploring Adherence to Client Treatment Recommendations in the Neurosequential Model of Therapeutics
| Autor: | Kylie E. Evans, Anna E. Bender, Nancy Rolock, Erin P. Hambrick, Rong Bai, Kevin White, Roni Diamant-Wilson, Keith A. Bailey |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Research on Social Work Practice. :104973152311605 |
| ISSN: | 1552-7581 1049-7315 |
| Popis: | Purpose: Treatment adherence is a central component of implementation fidelity and key to our understanding of client outcomes. This study examines treatment adherence in the Neurosequential Model of Therapeutics (NMT) and four functional outcomes among a sample of adopted youth: sensory integration, self-regulation, and relational and cognitive functioning. Methods: The sample includes 178 youth receiving supportive services from a U.S. adoption service provider. Regression analysis was used to examine clinician adherence to NMT recommendations and child outcomes. Results: Most (61.24%) of the essential or therapeutic treatment recommendations were carried out with majority adherence. A key finding is the predictive relationship between adherence to treatment recommendations and improvement in child outcomes at T2, controlling for all other variables in the model. Conclusions: Findings illustrate the importance of treatment adherence in promoting positive outcomes for children engaged in NMT. Implications are discussed regarding clinician training and reducing barriers to treatment adherence. |
| Databáze: | OpenAIRE |
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