Measuring the fidelity of implementation of a mental health program model.
Measuring the fidelity of implementation of a mental health program model.
复制标题
衡量心理健康计划模型实施的保真度。
DOI:
10.1037//0022-006x.62.4.670
复制
发表时间:
1994
影响因子:
5.9
通讯作者:
Salyers,M
中科院分区:
文献类型:
--
作者:
McGrew,JH;Bond,GR;Dietzen,L;Salyers,M
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)