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Does adherence to IHBT improve family therapy outcomes?

Dragomir, Renne Rodriguez
http://orcid.org/0000-0002-1984-6773
http://rave.ohiolink.edu/etdc/view?acc_num=akron1587646811820939

Abstract Details

2020, Doctor of Philosophy, University of Akron, Counselor Education and Supervision.
Youth are at risk of out of home placement for varied reasons, which places excess burden and negative consequences on youth, families, communities, and stakeholders. This creates a need to identify effective, adherent treatment to avoid placements. This quantitative research study utilized a general systems theory and implementation science framework to assess if adherence to Intensive Home-Based Treatment (IHBT) impacted case outcomes at discharge. A Columbus, Ohio IHBT program’s outcomes were analyzed, with a sample size of 116 participants. A simple linear regression approach of ordinary least squares regression analysis was utilized with SPSS. Variables analyzed included adherence measured by the IHBT Caregiver Feedback Survey (Shepler, et al., 2016) and youth outcomes measured by change in hospitalization, and change in problem severity and functioning on the Ohio Scales- Parent Form (Ogles, 2000) from intake to discharge. Initial results were not statistically significant as variables were not correlated. To further inform the original research question and determine if outcomes were positive despite adherence not being significant, a post-hoc analysis using a t-test for dependent samples was conducted. It determined there was a statistically significant difference between the mean scores from pre-IHBT to post-IHBT, as youth had a decrease in hospitalization, made clinically significant changes in problem severity, and showed reliable change in functioning. This suggests that IHBT is an effective treatment for youth with serious emotional disturbance and risk of out of home placement.
Heather Katafiasz, PhD (Committee Chair)
Rikki Patton, PhD (Committee Member)
David Tefteller, PhD (Committee Member)
Pamela Schultze, PhD (Committee Member)
Richard Shepler, PhD (Committee Member)
142 p.
Behavioral Sciences; Clinical Psychology; Cognitive Psychology; Cognitive Therapy; Counseling Psychology; Families and Family Life; Health Sciences; Individual and Family Studies; Mental Health; Psychology; Psychotherapy; Quantitative Psychology; Social Work; Statistics; Systems Science
Home-based therapy or counseling; In-home treatment; Research-based therapy, Promising practice; Family counseling or therapy; At-risk youth or adolescents; Intensive Home-Based Treatment or IHBT; Ohio Scales, Family systems; Implementation Science

Recommended Citations

Citations

  • Dragomir, R. R. (2020). Does adherence to IHBT improve family therapy outcomes? [Doctoral dissertation, University of Akron]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=akron1587646811820939

    APA Style (7th edition)

  • Dragomir, Renne. Does adherence to IHBT improve family therapy outcomes? . 2020. University of Akron, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=akron1587646811820939.

    MLA Style (8th edition)

  • Dragomir, Renne. "Does adherence to IHBT improve family therapy outcomes? ." Doctoral dissertation, University of Akron, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=akron1587646811820939

    Chicago Manual of Style (17th edition)

akron1587646811820939
295
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This open access ETD is published by University of Akron and OhioLINK.