{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:41:10Z","timestamp":1777891270841,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Subst\ufffdAbuse"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:p>\n                    Traditional mechanisms for rating adherence or fidelity are labor-intensive. We developed and validated a tool to rate adherence to Motivational Enhancement Therapy\u2013-Cognitive Behavioral Treatment (MET-CBT) through anonymous client surveys. The instrument was used to survey clients in 3 methadone programs over 2 waves. Explanatory and Confirmatory Factor Analyses were used to establish construct validity for both MET and CBT. Internal consistency based on Cronbach's alpha was within adequate range (\u03b1 &gt; 0.70) for all but 2 of the subscales in one of the samples. Consensus between clients\u2019 ratings (r\n                    <jats:sub>wg(j)<\/jats:sub>\n                    scores) were in the range of 0.6 and higher, indicating a moderate to strong degree of agreement among clients\u2019 ratings of the same counselor. These results suggest that client surveys could be used to measure adherence to MET-CBT for quality monitoring that is more objective than counselor self-report and less resource-intensive than supervisor review of taped sessions. However, additional work is needed to develop this scale.\n                  <\/jats:p>","DOI":"10.4137\/sart.s9896","type":"journal-article","created":{"date-parts":[[2012,8,7]],"date-time":"2012-08-07T17:06:12Z","timestamp":1344359172000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Development and Initial Validation of a Client-Rated MET-CBT Adherence Measure"],"prefix":"10.4137","volume":"6","author":[{"given":"Wendy R.","family":"Ulaszek","sequence":"first","affiliation":[{"name":"University of Connecticut School of Social Work,"},{"name":"Connecticut Department of Mental Health and Addiction Services Research Division,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiu-Ju","family":"Lin","sequence":"additional","affiliation":[{"name":"University of Connecticut School of Social Work,"},{"name":"Connecticut Department of Mental Health and Addiction Services Research Division,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda K.","family":"Frisman","sequence":"additional","affiliation":[{"name":"University of Connecticut School of Social Work,"},{"name":"Connecticut Department of Mental Health and Addiction Services Research Division,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Sampl","sequence":"additional","affiliation":[{"name":"University of Connecticut Health Center,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan Harrington","family":"Godley","sequence":"additional","affiliation":[{"name":"Chestnut Health Systems,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen L.","family":"Steinberg-Gallucci","sequence":"additional","affiliation":[{"name":"University of Connecticut Health Center,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jody L.","family":"Kamon","sequence":"additional","affiliation":[{"name":"University of Vermont."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"O'hagan-Lynch","sequence":"additional","affiliation":[{"name":"Connecticut Department of Mental Health and Addiction Services Research 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