Investigating the relationship between training type and treatment integrity.

In recent years there has been a renewed interest in the assessment of treatment integrity. Current studies have examined means by which to increase treatment integrity but may be limited by an overreliance on indirect measures of treatment integrity and failure to address multiple training methods within one study. The present study was conducted to investigate the relationship between training procedures and treatment integrity. Participants first read a case description and intervention plan for a client (confederate) exhibiting a facial tie. Participants were trained using one of three procedures (didactic, modeling, or rehearsal/feedback) to implement the treatment protocol and then conducted a treatment session with the client. Treatment sessions were coded for accuracy of implementation (integrity). Higher levels of treatment integrity were associated with direct training procedures (i.e., modeling and rehearsal/feedback training). Implications of the results for treatment planning and the potential ramifications for consultants working in the schools are discussed.