Measuring the fidelity of implementation of a mental health program model.

Measuring the fidelity of implementation of a mental health program model.
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衡量心理健康计划模型实施的保真度。

DOI:
10.1037//0022-006x.62.4.670
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发表时间:
1994
影响因子:
5.9
通讯作者:
Salyers,M
Salyers,M
中科院分区:
心理学1区
文献类型:
--
作者:
McGrew,JH;Bond,GR;Dietzen,L;Salyers,M

文献摘要

被引文献

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制定了自信社区治疗(ACT)项目实施的忠诚度指数。在研究1中,20位专家对73种被提议作为关键ACT成分的元素的重要性进行了评级,这也表明了元素的理想模型规格。专家对重要性评级的一致性很高(组内r=. 98)。在研究2中,专家确定的关键成分的17个项目的子集被用来构建一个保真度指数与3个分量表:人员配备,组织和服务。内部监控范围从。50比72、A。总量表的信度为81。忠实度与程序的”世代”呈线性关系,表明”程序漂移“。“在18个ACT项目中,忠诚度也与精神病医院天数减少有关。总比额表与组织和人员编制分比额表之间的相关性很大,但事务分比额表之间的相关性不明显。(PsycInfo数据库记录(c)2016阿帕,保留所有权利)
Developed a fidelity index of program implementation for assertive community treatment (ACT). In Study 1, 20 experts rated the importance of 73 elements proposed as critical ACT ingredients, also indicating ideal model specifications for elements. Agreement among experts on ratings of importance was high (intraclass r=. 98). In Study 2, a 17-item subset of the expert-identified critical ingredients was used to construct a fidelity index with 3 subscales: Staffing, Organization, and Service. Internal consistencies ranged from. 50 to. 72, with a. 81 reliability for the total scale. Fidelity was linearly related to program" generations," suggesting" program drift." In 18 ACT programs, fidelity also was associated with measures of reduction in days in psychiatric hospitals. The correlation was significant for the total scale and for the Organization and Staffing subscales but not for the Service subscale.(PsycINFO Database Record (c) 2016 APA, all rights reserved)