Table 3.
Therapist adherence rating scale items
RPMG Subscale | |
| |
1. Warmth/interest | Conveys warmth and interest toward group members |
2. Fosters relational development | Focus on developing new understanding of relationships and their impact on self and others |
3. Fosters insight and discovery | Uses exploratory, discovery-oriented approach to guide group members’ resolution of issues |
4. Focuses on psychological needsa | Focuses on self-esteem building, stress reduction, self-support, or other aspects of individual psychological needs |
5. Conveys flexibility/opennessa | Conveys openness and flexibility to incorporating patient discussion into the group topic |
6. Fosters parental development | Focuses discussion on helping patient develop parenting skills, knowledge, and/or awareness |
7. Uses appropriate self-disclosurea | Makes own ideas and experience available to the group in a way that fosters progress |
8. Explicit support of patients’ efforts to progressa | Actively encourages and reinforces patients’ attempts to assimilate new ideas and insights |
9. Empathic understanding | Reflects patients’ feelings and personal meanings to show an understanding of patients’ experience |
10. Encourages interaction and supporta | Encourages group members to speak directly to and support each other |
11. Succinctly paraphrases core meaning of discussion | Effectively summarizes the essence of the discussion before moving to a new topic |
| |
RT Subscale | |
| |
1. Focuses on abstinence and relapse prevention | Discusses illicit drug use, cravings, triggers, dangerous situations, decisions leading to a relapse, etc. |
2. Confronts patients with a “wake-up” call | Encourages and models confrontation or “calling” patients on their behavior and views of reality |
3. Focuses on addiction and the recovery processa | Definitions, symptoms or types of addiction, stages, goals, progress, commitment in regard to recovery |
4. Focuses on alternatives to drug-using lifestyles | Discusses plans, activities, challenges, and progress toward having a drug-free lifestyle |
5. Maintains an “expert” stancea | Presents self as an ultimate expert/authority |
6. Maintains a directive stancea | Provides direct advice to patient regarding what she should do in a specific situation |
7. Maintains a concrete stancea | Focuses exclusively on generating concrete solutions without addressing other aspects |
New items added to the original scale developed during Stage I.