We assumed that the secure care center would mainly intervene with the problem awareness, motivation for treatment and competence skills of the adolescents, because the social competency model (Durrant 1993; Slot and Spanjaard 1999) was considered to be the primary, underlying methodology of the care and treatment in the secure center.
More specifically, we tested whether adolescents showed improvements in their motivation for treatment and competence skills, because the secure care center in the present study mainly intervened with the motivation for treatment and competence skills of the adolescents (Harder et al. 2007).
Outcomes in terms of change in adolescent's motivation for treatment and competence from admission (T1) to departure (T3) were assessed by using the Wilcoxon signed-rank test.
Positive relationships with staff were, in contrast to our expectations, not associated with improvements in adolescents' motivation for treatment or competence.
The change in motivation for treatment and competence skills of the adolescents are shown in Table 3.> -wrap-foot> totalotal motivation for treatment scores ranges from 0 to 12 and the three subscales scores from 0 to 2. Competency scores range from 1 to 5. Higher scores can be perceived as a higher motivation for treatment and more competence skills.
(2010) and Perepletchikova (2009), clinical outcome was rated by assessors who were blind to whether the patient had received treatment and competence was rated by different assessors who were blind to clinical outcome.
We also confirmed that knowledge of clinical guidelines on nicotine dependence treatment, perceived competence in both counseling and treating smokers was insufficient (Score 2), with no statistically significant differences between groups.
Therefore, we looked at differences between the response and non-response groups in terms of background (see Table 1) and relevant characteristics that were known for most of the adolescents (e.g., the client-staff relationship, adolescents' motivation for treatment and competence skills at admission).
As a pre-restorative treatment requires high competence on behalf of different specialists, the orthodontic phase should be performed using truly reliable devices.
In the present work we used LATA treatment, and developmental competence was assessed by the relative number of oocytes reaching the blastocyst stage following IVF.
