College of Psychology: Faculty Articles

Title

Evaluating Motivational Enhancement Therapy adherence and competence among Spanish-speaking therapists

Document Type

Article

Publication Date

7-2009

Keywords

Motivational interviewing, Therapist adherence and competence, Therapist training and supervision, Substance abuse treatment, Hispanic population

Publication Title

Drug and Alcohol Dependence

ISSN

0376-8716

Volume

103

Issue/No.

1-2

Abstract

Despite the fact that the number of Hispanic individuals in need of treatment for substance use problems is increasing internationally, no studies have investigated the extent to which therapists can provide empirically supported treatments to Spanish-speaking clients with adequate fidelity. Twenty-three bilingual Hispanic therapists from five community outpatient treatment programs in the United States were randomly assigned to deliver either three sessions of motivational enhancement therapy (MET) or an equivalent number of drug counseling-as-usual (CAU) sessions in Spanish to 405Spanish-speaking clients randomly assigned to these conditions. Independent ratings of 325 sessions indicated the adherence/competence rating system had good to excellent interrater reliability and indicated strong support for an a priori defined fundamental MET skill factor. Support for an advanced MET skill factor was relatively weaker. The rating scale indicated significant differences in therapists' MET adherence and competenceacross conditions. These findings indicate that the rating system has promise for assessing the performance of therapists who deliver MET in Spanish and suggest that bilingual Spanish-speaking therapists from the community can be trained to implement MET with adequate fidelity and skill using an intensive multisite training and supervision model.

DOI

10.1016/j.drugalcdep.2009.03.006