Comparison of Assertive Community Treatment Fidelity Assessment Methods: Reliability and Validity

被引：12

作者：

Rollins, Angela L. ^{[1
,2
]}

McGrew, John H. ^{[2
]}

Kukla, Marina ^{[1
,2
]}

McGuire, Alan B. ^{[1
,2
]}

Flanagan, Mindy E. ^{[1
]}

Hunt, Marcia G. ^{[3
]}

Leslie, Doug L. ^{[4
]}

Collins, Linda A. ^{[1
]}

Wright-Berryman, Jennifer L. ^{[5
]}

Hicks, Lia J. ^{[6
]}

Salyers, Michelle P. ^{[2
]}

机构：

[1] Richard L Roudebush VAMC, HSR&D Ctr Hlth Informat & Commun, 1481 W 10th St,11-H, Indianapolis, IN 46202 USA

[2] Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA

[3] VA Northeast Program, Off Mental Hlth Operat, Evaluat Ctr, West Haven, CT USA

[4] Penn State Univ, Coll Med, University Pk, PA 16802 USA

[5] Univ Cincinnati, Sch Social Work, Cincinnati, OH USA

[6] Adult & Child Ctr, Indianapolis, IN USA

来源：

ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2016年 / 43卷 / 02期

关键词：

Fidelity; Quality measurement; Implementation; Assertive community treatment; SEVERE MENTAL-ILLNESS; CRITICAL INGREDIENTS; CASE-MANAGEMENT; PROGRAM; IMPLEMENTATION; CARE; METAANALYSIS; OUTCOMES; CAUTION; PROCEED;

D O I：

10.1007/s10488-015-0641-1

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Assertive community treatment is known for improving consumer outcomes, but is difficult to implement. On-site fidelity measurement can help ensure model adherence, but is costly in large systems. This study compared reliability and validity of three methods of fidelity assessment (on-site, phone-administered, and expert-scored self-report) using a stratified random sample of 32 mental health intensive case management teams from the Department of Veterans Affairs. Overall, phone, and to a lesser extent, expert-scored self-report fidelity assessments compared favorably to on-site methods in inter-rater reliability and concurrent validity. If used appropriately, these alternative protocols hold promise in monitoring large-scale program fidelity with limited resources.

引用

页码：157 / 167

页数：11

共 35 条

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