We were tasked with establishing treatment integrity for the SHIFT trial. In this article we discuss the concepts of treatment adherence and competence; arguing that the design of the trial, in particular the flexibility of the manual and the training and supervision of qualified systemic therapists, guarantees some level of treatment integrity. Despite this we decided, on the basis of a systematically informed literature review, that a post hoc evaluation of therapy tapes was in line with best practice. Our literature review found no measures that were appropriate for the needs of the trial, so we used the literature to guide our development of a SHIFT adherence measure (SAM). We outline our experience of constructing SAM in the hope of increasing transparency in this complex area of psychotherapy research. We also consider whether SAM can be transported into practice and outline future areas of research. Practitioner points Developing measures of treatment integrity for a flexible systemic family therapy manual is a challenge but necessary for treatment to be delivered as intended. Clinicians may wish to consider whether such measures can be used in everyday practice, potentially with a role in supporting supervision or skill development. 构建SHIFT附着量表：对SHIFT尝试和一个家庭治疗整合量表的发展 摘要: 我们的任务是为SHIFT尝试构建干预整合。在本文中我们讨论了干预附着和效能感的概念；主张这一尝试的设计尤其是手册以及培训和督导合格系统治疗师的灵活性, 保证了某种程度上的干预整合。 尽管如此, 我们决定在系统性地文献综述的基础上, 把治疗磁带的后期评估和最好的实践放在一起。我们的文献综述发现没有量表满足尝试的需要, 于是我们应用文献在指导我们对SHIFT附着量表的发展。我们概括了我们在构建SAM时候的经验以希望增加心理治疗研究这一复杂领域的透明度。我们还考虑把SAM转化成实践并列出了未来研究的领域。 对实践者有用的几点建议 为了一个灵活的系统家庭治疗手册, 发展干预整合的量表是一个挑战, 但对干预按照设计的方式实施很有必要。 临床工作者可能希望考虑应用这样的有可能支持督导和技能发展的量表到所有的实践中。 关键词：心理治疗整合, 手册, 附着, 效能感