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Psychology Doctoral Dissertation Defense: Christopher Georgiadis

Wednesday, May 22 at 10:00am to 12:00pm

AHC1 - Academic Health Center 1, 135
11200 SW 8th ST, Academic Health Center 1, Miami, Florida 33199

Enhancing Engagement Through Person-centered Care Practices: An Identification of Recommended Treatment Modifications for Youth Internalizing Disorders

This dissertation portfolio presents the results of two studies examining the extent to which evidence-based treatment protocols (N=44) for youth internalizing disorders allow for patient-centered treatment modification, the form of modifications and reasons they are recommended, and the specific practice elements recommended within modification guidelines to promote patient and family engagement. Within identified guidelines for modification (N=4,021) cultural factors were among the least common factors addressed within treatment manuals. Moreover, despite the common need to streamline care when implementing treatments in service settings, the majority of guidelines functionally added or extended treatment content, and offered minimal guidance for condensing treatment components. A subset of modification guidelines (n=1,323) was then coded to determine the domains of engagement (i.e., relationship, treatment expectancy, attendance, clarity, homework, in-session behavioral participation, and preference) that are considered within protocols, and the specific practice elements recommended to address them. Among supported protocols, specific practice elements (including psychoeducation, shared decision-making, modifying content presentation, and assessment) were recommended to address multiple engagement domains. Results synthesize and appraise the specific guidance included in supported protocols to support providers in modifying treatment delivery to address various engagement domains. The integration of such practice elements within EBTs has the potential to promote treatment engagement across both behavioral and perceptual domains, however more work is needed to investigate the effectiveness of such practice elements during service delivery. 

Major Professor: Dr. Jonathan S. Comer

Event Type

Academics, Lectures & conferences


Students, Faculty & Staff, General Public



Department of Psychology


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