Table 3. Adherence (F/E) and Competence (CM) for the Core Counseling Skills of Functional Analysis, Homework Assignment, and Homework Review Across Successive Toolkit Modules at Post-Training and 6-Month Follow-up.
| Session | ||||||
|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | |||
| My Addiction Pattern | Coping w/ Craving | Drug Refusal Skills | Managing Difficult Emotions | p-value | ||
| Conduct Functional Analysis | ||||||
| Post-Training | Frequency | 100% | 29% | 29% | 29% | < .0001 |
| Mean F/E (SD) | 5.36 (.842) | 2.07 (1.82) | 1.71 (1.27) | 1.86 (1.56) | --- | |
| Mean CM (SD) | 3.86 (1.41) | 3.50 (1.29) | 3.75 (.957) | 3.75 (2.22) | --- | |
| 6-Month Follow-up | Frequency | 86% | 36% | 29% | 14% | < .0001 |
| Mean F/E (SD) | 4.43 (1.91) | 1.93 (1.54) | 1.71 (1.33) | 1.43 (1.09) | --- | |
| Mean CM (SD) | 4.17 (1.75) | 4.00 (1.00) | 4.50 (1.29) | 4.00 (.000) | --- | |
|
| ||||||
| Assign Homework | ||||||
| Post-Training | Frequency | 79% | 86% | 64% | 79% | .41 |
| Mean F/E (SD) | 2.86 (1.23) | 2.71 (.994) | 2.57 (1.45) | 2.79 (1.25) | --- | |
| Mean CM (SD) | 3.91 (1.3) | 2.83 (.937) | 2.78 (.972) | 3.18 (1.17) | --- | |
| 6-Month Follow-up | Frequency | 57% | 86% | 57% | 43% | .0019 |
| Mean F/E (SD) | 2.64 (1.60) | 3.36 (1.28) | 2.00 (1.18) | 2.07 (1.39) | --- | |
| Mean CM (SD) | 4.38 (.518) | 3.50 (.905) | 3.13 (1.36) | 3.17 (.408) | --- | |
|
| ||||||
| Review Homework | ||||||
| Post-Training | Frequency | N/A | 86% | 64% | 50% | .0115 |
| Mean F/E (SD) | N/A | 3.07 (1.39) | 2.36 (1.28) | 2.21 (1.53) | --- | |
| Mean CM (SD) | N/A | 3.08 (.900) | 3.00 (.866) | 3.71 (1.50) | --- | |
| 6-Month Follow-up | Frequency | 7.0%* | 50% | 71% | 64% | < .0001 |
| Mean F/E (SD) | 1.07 (.267) | 2.00 (1.24) | 2.43 (1.16) | 2.43 (1.40) | --- | |
| Mean CM (SD) | 2.00 (N/A) | 3.29 (1.25) | 3.60 (.843) | 3.44 (1.13) | --- | |
*
This homework score of 7.0% represents one counselor out of 14 who was very active in using the Toolkit between the Post-Training and 6-Month Follow-up; this counselor had been regularly using the Scheduling homework assignment, and had assigned it in the session prior to Session 1 of the 6-Month Follow-up.