Table 6.
Goal/strategy | Intensity threshold | |||||
---|---|---|---|---|---|---|
Therapist | Observer | |||||
2+ (%) | 3+ (%) | 1+ (%) | 2+ (%) | 3+ (%) | Kappa | |
Information gathering | 48 | 30 | 10 | 6 | 2 | .41** |
-Psychosocial stressors | ||||||
Responding effectively to positive/appropriate behavior | 39 | 22 | 4 | 0 | 0 | .09 |
Review progress | 38 | 24 | 2 | 0 | 0 | .12 |
Information gathering | 38 | 21 | 33 | 18 | 8 | .28* |
-MH status, behavior, functioning | ||||||
-Family structure | ||||||
Family member perspective | 28 | 24 | 16 | 10 | 4 | .29* |
Respond effectively to negative/inappropriate behavior | 28 | 22 | 25 | 8 | 4 | .63** |
Establish treatment/session goals | 26 | 14 | 20 | 4 | 0 | .09 |
Learn about child skills | 26 | 14 | 0 | 0 | 0 | – |
Monitor child behavior/improve supervision | 24 | 12 | 2 | 2 | 0 | – |
Caregiver roles | 22 | 16 | 2 | 2 | 0 | .14 |
Caregiver consistency | 22 | 22 | 0 | 0 | 0 | – |
Information gathering | 22 | 22 | 6 | 2 | 0 | .30* |
-High risk issues | ||||||
Effective commands/limit setting | 20 | 14 | 6 | 0 | 0 | .35** |
Stress reduction skills | 20 | 18 | 4 | 2 | 0 | .13 |
Reward systems | 16 | 14 | 6 | 4 | 4 | .35** |
Formal supports | 10 | 8 | 8 | 2 | 0 | .46** |
Time out | 10 | 10 | 4 | 0 | 0 | −.05 |
Cognitive distortions | 8 | 8 | 4 | 2 | 2 | .30* |
Develop/facilitate plan | 8 | 8 | 6 | 2 | 0 | .54** |
Informal supports | 8 | 4 | 2 | 0 | 0 | −.03 |
Note Percentages of sessions in which each goal/strategy was identified as present are reported for sessions rated by therapists (N = 51) and coded by observers (N = 63). Kappa coefficients were calculated dichotomizing the presence/absence of a goal/strategy using intensity cutpoints of 3 for therapists and 1 for observers due to differences in rates of report of goal/strategy presence
* P < .05, ** P < .01