Table 3.

Mixed-effects logistic regression of therapist adaptations predicted by client, therapist, and session-related factors

		Augment Adaptationa (N = 659)		Reducing Adaptationb (N =643)
	nd	OR	SE	OR	SE
Therapist-level predictors
Licensure (Not licensed)	485
Licensed	128	1.03	.39	1.03	.57
Therapist Gender (Female)	542
Male	71	1.26	.64	.49	.43
Therapist Race (Non-Hispanic White)	138
Hispanic	348	.64	.24	.41	.23
Other	127	.65	.29	.77	.48
Discipline (MFT)	336
Counseling, clinical, school psychology	45	1.61	.77	.87	.62
Social Work	215	1.43	.47	1.70	.82
Other	17	1.43	1.40	--	--
Therapist Caseload	--	.99	.02	.94	.03
EBPAS Divergence	--	.91	.17	.77	.23
EBPAS Openness	--	1.79*	.43	1.26	.44
Client-level predictors
Client Gender (Female)	329
Male	290	1.41	.34	1.04	.38
Client Race (Non-Hispanic White)	38
Hispanic	445	1.84	.92	.82	.55
Other	137	1.58	.85	.96	.69
Client Age	--	.87***	.03	1.03	.06
Session-level predictors
Presenting Problem (Internalizing)	278
Externalizing	237	.41**	.12	.39*	.19
Trauma	204	.80	.30	.51	.25
Involvement in Session (Child Only)	422
Caregiver Only	73	1.03	.44	1.79	1.31
Youth & Caregiver	235	.89	.24	2.01†	.78
Practice (MAP)	379
Child-Parent Psychotherapy	51	.28*	.17	.49	.50
Seeking Safety	27	1.33	.88	2.72	2.59
Trauma Focused-CBT	233	.38*	.16	1.57	.89
Triple-P	39	.82	.55	.39	.54
Expressed client concernsc	--	.93	.33	1.10	.45
Limited engagementc	--	1.05	.30	1.59	.65
PCIS of session practice	--	.95	.18	.81	.23
Constant	--	.71	.65	.25	.33

Note. Reference group for categorical variables in parentheses.

^aCompared to base outcome of no Augmenting adaptation described in the session.

^bCompared to base outcome of no Reducing adaptation described in the session.

^cTherapist-report; Coded for No/Yes for at least one occurrence of the engagement challenge during session.

^dNumber of sessions for each group within categorical variables.

^†p < .10,

^*p < .05,

^**p < .01,

^***p < .001