Treatment Integrity Measurement Study (TIMS Project)

MPIs: Bryce D. McLeod, Ph.D. & Michael Southam-Gerow, Ph.D.
Funding: National Institute of Mental Health (RO1 MH086529, 2010-2016)

In collaboration with Dr. Michael Southam-Gerow (VCU Department of Psychology), we conducted a project designed to develop and test the utility of four related but distinct observational measures of treatment integrity. We developed the measures using recordings from three large RCTs that tested CBT approaches for children diagnosed with anxiety disorders. 

Publications:

Violante, S., McLeod, B. D.¸ Southam-Gerow, M. A., Chorpita, B., F., & Weisz, J. R. (2024). Can adherence and competence measures evaluate treatment fidelity for two CBT programs for youth anxiety? Behavior Therapy. Advance online publication.

McLeod, B. D., Martinez, R., Southam-Gerow, M. A., Weisz, J. R., & Chorpita, B. F. (2022). Can a single measure estimate protocol adherence for two psychosocial treatments for youth anxiety delivered in community mental health settings? Behavior Therapy, 53(1), 119-136. https://doi.org/10.1016/j.beth.2021.06.008 

Cecilione, J. L., McLeod, B. D., Southam-Gerow, M. A., Weisz, J. R., & Chorpita, B. F. (2021). Examining the relation between technical and global competence in two treatments for youth anxiety. Behavior Therapy, 52(6), 1395-1407. https://doi.org/10.1016/j.beth.2021.03.009

McLeod, B. D., Cecilione, J. L., Jensen-Doss, A., Southam-Gerow, M. A., & Kendall, P. C. (2021). Reliability, factor structure, and validity of an observer-rated alliance scale with youth. Psychological Assessment, 33(10), 1013-1023. https://doi.org/10.1037/pas0001036 

Southam-Gerow, M. A., Chapman, J. C., Martinez, R., McLeod, B. D., Hogue, A., Kendall, P. K., & Weisz, J. R. (2021). Are therapist adherence and competence related to outcome in CBT for youth anxiety? Journal of Consulting and Clinical Psychology, 89(3), 188-199. https://doi.org/10.1037/ccp0000538 

Cox, J. R., McLeod, B. D., Jensen-Doss, A., Srivastava, V., Southam-Gerow, M. A., Kendall, P. C., & Weisz, J. R. (2020). Examining how CBT interventions for anxious youth are delivered across settings. Behavior Therapy, 51(6), 856-868. https://doi.org/10.1016/j.beth.2019.11.008 

Southam-Gerow, M. A., Bonifay, W., McLeod, B. D., Cox, J. R., Violante, S., Kendall, P. C., & Weisz, J. R. (2020). Generalizability and decision studies of a treatment adherence instrument for CBT for youth anxiety. Assessment, 27, 321-333. https://doi.org/10.1177/1073191118765365

McLeod, B. D., Southam-Gerow, M. A., Jensen-Doss, A., Hogue, A., Kendall, P. C., & Weisz, J. R. (2019). Benchmarking treatment adherence and therapist competence in individual cognitive-behavioral treatment for youth anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 48(S1), S234-S246. https://doi.org/10.1080/15374416.2017.1381914

Brown, R., Southam-Gerow, M. A., McLeod, B. D., Wheat, E., Tully, C. B., Weisz, J. R., & Kendall, P. C. (2018). The Global Therapist Competence Scale for Youth Psychological Treatment: Development and initial validation. Journal of Clinical Psychology74(4), 649-664. https://doi.org/10.1002/jclp.22537 

McLeod, B. D., Southam-Gerow, M. A., Rodriguez, A., Quinoy, A., Arnold, C., Kendall, P. C., & Weisz, J. R. (2018). Development and initial psychometrics for a therapist competence instrument for CBT for youth anxiety. Journal of Clinical Child and Adolescent Psychology, 47(1), 47-60. https://doi.org/10.1080/15374416.2016.1253018 

McLeod, B. D., Southam-Gerow, M. A., & Kendall, P. C. (2017). Observer, child, and therapist perspectives on the alliance in CBT for youth anxiety. Psychological Assessment, 29(12), 1550-1555. https://doi.org/10.1037/pas0000465 

Smith, M. M., McLeod, B. D., Southam-Gerow, M. A., Jensen-Doss, A., Kendall, P. C., & Weisz, J. R. (2017). Does the delivery of CBT for youth anxiety differ across research and practice settings? Behavior Therapy, 48(4), 501-516. https://doi.org/10.1016/j.beth.2016.07.004 

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). Role of setting versus treatment modality on alliance in youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453-464. https://doi.org/10.1037/ccp0000081 

Southam-Gerow, M. A., McLeod, B. D., Arnold, C. A., Rodriguez, A., Cox, J. R., Reise, S. P., Bonifay, W. E., Weisz, J. R., & Kendall, P. C. (2016). Initial development of a treatment adherence measure for cognitive-behavioral therapy for child anxiety. Psychological Assessment, 28(1), 70-80. https://doi.org/10.1037/pas0000141 

McLeod, B. D., Smith, M. M., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2015). Measuring differentiation for implementation research: The Therapy Process Observational Coding System for Child Psychotherapy Revised Strategies scale. Psychological Assessment, 27(1), 314-325. https://doi.org/10.1037/pas0000037 

McLeod, B. D., Southam-Gerow, M. A., Bair, C. E., Rodriguez, A., & Smith, M. M. (2013). Making a case for treatment integrity as a psychological treatment quality indicator. Clinical Psychology: Science and Practice, 20(1), 14-32.  https://doi.org/10.1111/cpsp.12020 

Southam-Gerow, M. A. & McLeod, B. D. (2013). Advances in applying treatment integrity research for dissemination and implementation science: Introduction to special issue. Clinical Psychology: Science and Practice, 20(1), 1-13. https://doi.org/10.1111/cpsp.12019