ResearchandAssessmentinFamilyTherapy.pptx

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ResearchandAssessmentinFamilyTherapy.pptx

Research and Assessment in Family Therapy

Chapter 17

Chapter 17

1

Importance of Research and Assessment

Vitally interlinked with family therapy

Most of the pioneers in family therapy employed research-based procedures to evaluate and work with families.

In the 21st century, family therapy has become even more redefined in its research and focus on real-life context

The assessment of families is becoming stronger.

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Five Important Reasons for Research

Knowledge – informs therapists about phenomena

Confirmation and verification – demonstrates the efficacy of techniques and procedures

Accountability – provides means to show their services are grounded in science

Practicality – pays off in the long run

Uniqueness – way of distinguishing itself from other fields

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3

Research Findings in Family Therapy

Findings from research on family therapy indicate in general that most individuals and families improve when they receive couple and family therapy.

Contributions by Szapocznik:

Development of brief strategic family therapy

Formulation of structural ecosystems therapy

Development of the Strategic Family Systems Rating

Creation of one-person family therapy

Efficacy of individual, psychodynamic, and child therapy versus family therapy

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Two Types of Family Therapy Research

Quantitative

Grew out of the scientific traditions of physics, chemistry, and biology

Numbers

Qualitative

Rooted in the traditions of anthropology and sociology

Words or other means

Participatory evaluation research

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Difficulties in Family Therapy Research

Complexity of relationships within families

Time commitment needed to study the effects of family therapy

Getting families to participate in research projects

Ethical and regulatory standards

National Research Act

Belmont Report

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Research Design

The way in which research is designed affects results

Five categories of research design:

Exploratory: qualitative design used to better define issues

Descriptive: describes specific variables

Developmental: studies change over time

Experimental: adhere to classic “hard science methodologies, such as using hypotheses and dependent/independent variables

Correlational: studies degree of association between variables

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Sampling

Probability Samples: drawn from a known population with the possibility of calculating the likelihood of each case being included in the sample

Simple random sampling: each person in a population has an equal chance of being selected

Systematic random assignment: first family selected at random, then every nth family is automatically included

Stratified sample: random samples are drawn from different strata or groups of a population

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Sampling

Nonprobability samples: used when representation of a whole population is less important than the information itself

Convenience: using easy-to-access families

Snowball: asking participating individuals to refer other individuals

Purposive: choosing participants because they are believed to be representative of the study population

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Instrumentation

Self-report instruments

External validity (i.e., generalizability)

Construct validity (i.e., measuring what they report to measure)

Direct observational assessment (i.e., use of coders, raters, or judges)

Inter-rater reliability (degree to which raters agree on what they observe)

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Procedure

How families are studied

Many different methods for study families

Not neutral, as they reflect the epistemology of the investigator

Evidence-based research

Akin to outcome research

The available research evidence bearing on whether and why a treatment works (McMillan & Schumacher, 2014)

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Theory and Statistics

Well-designed research is based on questions that have usually arisen from a theory

Most family therapy is based on general systems theory

Statistically reported research needs to be clinically relevant and readable to practitioners as well as scientists (Gay et al., 2012)

Normal distribution is important when reporting statistics

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Validity

“The extent to which a measuring instrument measures what it was intended to measure” (Miller, 1986, p. 58)

Three main measures of validity:

Content: how well a measure taps the full range of dimensions or meaning of some underlying construct

Criterion: how well a measurement predicts or correlates with external criteria

Construct: how well a measure correlates with measures of similar construct

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Reliability

The consistency or dependency of a measure

Perfect reliability is expressed as a correlational coefficient of 1.00, which is seldom achieved.

An instrument can be reliable or consistent without being valid or accurate. However, an instrument cannot be valid or accurate without being reliable or consistent.

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Importance of Assessing Families

Assessment procedure – any method used to measure characteristics of people, programs, or objects.

Assessment is a vital part of family therapy

Through assessment therapists gain information that helps them diagnose and respond systematically and appropriately to families

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Dimensions of Assessing Families

Mostly based on a systemic approach

Questions asked in family therapy are generally focused on transactions and relationships

Fishman (1988) suggested four aspects of assessment for family therapists:

Contemporary developmental pressures on the family

History

Structure

Process

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Methods Used in Assessing Families

Informal Methods of Assessment

Couples Creativity Assessment Task (C-C A T)

Family Assessment Form

Direct Observation

Formal Methods of Assessment

More than 1,000 instruments are available to family therapists to assess families and couples

Cover such diverse areas as intimacy, power, parenthood, and adjustment

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Common Formal Assessment Instruments

Caring Days Inventory

Family of Origin

Locke-Wallace Marital Adjustment Scale

Myers-Briggs Type Inventory

Beavers-Timberlawn Family Evaluation Scales

Family Adaptability and Cohesion Scale

McMaster Family Assessment Device

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