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
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
收藏
页码:157 / 167
页数:11
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