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Advances in fidelity measurement for mental health services research: four measures.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Teague, Gregory B. Mueser, Kim T. Rapp, Charles A.
Description	Country affiliation: United States Author Affiliation: Teague GB ( Department of Mental Health Law and Policy, University of South Florida, 13301 Bruce B Downs Blvd, MHC2734, Tampa, FL 33612, USA. teague@usf.edu)
Abstract	Mental health intervention research requires clear and accurate specification of treatment conditions in intervention studies. Measures are increasingly available for community-based interventions for persons with serious mental illnesses. Measures must go beyond structural features to assess critical processes in interventions. They must also balance effectiveness, or adequate coverage of active treatment elements, with efficiency, or the degree to which measures may be used cost-effectively. The context of their use is changing with the emergence of new frameworks for implementation research and quality improvement. To illustrate a range of approaches, this article describes four recently developed fidelity measures: Cognitive Therapy for Psychosis Adherence Scale, Strengths Model Fidelity Scale, Illness Management and Recovery Program Fidelity Scale, and Tool for Measurement of ACT. The fidelity measures assess interventions in a range of treatment contexts from dyads to teams. Each measure focuses assessment resources on critical elements. Each has demonstrated coverage of its target intervention and satisfactory psychometric properties and is related to outcomes. Measures have been used for training, quality improvement, or certification. They assess domains and have uses beyond their nominal position in implementation and quality frameworks. This review of recent fidelity measures indicates that process components in community-based interventions can be effectively assessed. Omission of elements assessing potentially critical active treatment components poses risk to both research and practice until there is evidence to demonstrate that they are nonessential. Further development of fidelity measurement theory and approaches should proceed in conjunction with development of theory and methods in implementation science.
File Format	HTM / HTML
ISSN	10752730
e-ISSN	15579700
DOI	10.1176/appi.ps.201100430
Journal	Psychiatric Services
Issue Number	8
Volume Number	63
Language	English
Publisher	American Psychiatric Association
Publisher Date	2012-08-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Psychiatry Community Mental Health Services Mental Disorders Rehabilitation Quality Assurance, Health Care Case Management Cognitive Therapy Guideline Adherence Statistics & Numerical Data Psychometrics Instrumentation Psychotic Disorders Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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Use of fidelity assessments to train clinicians in the CBT for PTSD program for clients with serious mental illness.

Gary Bond and fidelity assessment: the work continues.

A comparison of assertive community treatment fidelity measures and patient-centered medical home standards.

A review of treatment adherence measurement methods.

Improving the feasibility of fidelity measurement for community-based quality assurance: Partial- versus full-session observations of supervisor adherence and competence

Validation of the Revised Individual Placement and Support Fidelity Scale (IPS-25).

A comparison of self-reported and phone-administered methods of ACT fidelity assessment: a pilot study in Indiana.

The Dual Diagnosis Physician-infrastructure Assessment Tool: examining physician attributes and dual diagnosis capacity.

Quality measures: necessary but not sufficient.

Advances in fidelity measurement for mental health services research: four measures.

Similar Documents

Use of fidelity assessments to train clinicians in the CBT for PTSD program for clients with serious mental illness.

Gary Bond and fidelity assessment: the work continues.

A comparison of assertive community treatment fidelity measures and patient-centered medical home standards.

A review of treatment adherence measurement methods.

Improving the feasibility of fidelity measurement for community-based quality assurance: Partial- versus full-session observations of supervisor adherence and competence

Validation of the Revised Individual Placement and Support Fidelity Scale (IPS-25).

A comparison of self-reported and phone-administered methods of ACT fidelity assessment: a pilot study in Indiana.

The Dual Diagnosis Physician-infrastructure Assessment Tool: examining physician attributes and dual diagnosis capacity.

Quality measures: necessary but not sufficient.

Advances in fidelity measurement for mental health services research: four measures.