Concordance between Community Supervisor and Provider Ratings of Fidelity: Examination of Multi-Level Predictors and Outcomes.
Concordance between Community Supervisor and Provider Ratings of Fidelity: Examination of Multi-Level Predictors and Outcomes.
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DOI：
10.1007/s10826-020-01877-0
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发表时间：
2021-03
影响因子：
2.1
通讯作者：
Suhrheinrich J
中科院分区：
文献类型：
--
作者：
Dickson KS;Suhrheinrich J
忠诚度被认为是影响治疗结果的关键机制，但社区对忠诚度的检查有限，部分原因是可行的培训方法和工具有限。提供者报告工具是改进常规保真度监测的可行方法。还需要更多的工作来检查这些方法的有效性以及与其他保真度来源的一致性。此外，提供商和客户因素影响干预实施和一致性，但它们对保真度测量的影响知之甚少。使用培训培训者的方法，我们使用适用于社区使用的保真度评估工具来检查三种评估保真度方法(训练有素的独立编码员、主管评估和提供商自我报告)之间的一致性。多水平模型检查了一致性的预测因素(提供者和儿童水平的因素)和结果(提供者的平均保真度)。结果表明，主管和提供商能够使用保真度工具，但表现出变量一致性，主管与训练有素的编码员的一致性高于提供商。提供者证书和儿童语言对评分者的一致性有轻微的预测作用。更高的主管准确性与更高的提供商保真度相关。调查结果为更广泛的努力提供了信息，以改进开发和实施在社区环境中常规使用的可行保真度工具，并突出了影响采用和实施这类工具的多层面因素。
Fidelity is conceptualized as a key mechanism impacting treatment outcomes, yet community examination of fidelity is limited, partly due to limited feasible training methods and tools. Provider-report tools represent a feasible method for improving routine fidelity monitoring. Additional work examining the effectiveness of these methods and concordance with other fidelity sources is needed. Further, provider and client factors impact both intervention implementation and concordance, but their impact on fidelity measurement is poorly understood. Using a train-the-trainer methodology, we examine concordance between three methods of assessing fidelity (trained independent coders, supervisor evaluation and provider self-report) using a fidelity assessment tool adapted for community use. Multilevel models examined predictors (provider- and child- level factors) and outcomes (provider average fidelity) of concordance. Results suggest supervisors and providers are able to use the fidelity tool, but demonstrated variable concordance, with higher concordance with trained coders for supervisors than providers. Provider credentials and child language were marginally predictive of rater concordance. Higher supervisor accuracy was associated with higher provider fidelity. Findings inform broader efforts to improve the development and implementation of feasible fidelity tools for routine use in community settings and highlight multi-level factors impacting the adoption and implementation of such tools.
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影响因子：
2.7
作者：
Henggeler, SW
通讯作者：
Henggeler, SW
影响因子：
3.9
作者：
Dickson KS;Suhrheinrich J;Rieth SR;Stahmer AC
通讯作者：
Stahmer AC
DOI：
10.1007/s10488-014-0548-2
发表时间：
2015-03
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Hogue A;Dauber S;Lichvar E;Bobek M;Henderson CE
通讯作者：
Henderson CE
影响因子：
22.4
作者：
De Los Reyes, Andres;Augenstein, Tara M.;Wang, Mo;Thomas, Sarah A.;Drabick, Deborah A. G.;Burgers, Darcy E.;Rabinowitz, Jill
通讯作者：
Rabinowitz, Jill
DOI：
10.3109/00952990.2013.799175
发表时间：
2013-09
期刊：
The American journal of drug and alcohol abuse
影响因子：
--
作者：
Campbell BK;Buti A;Fussell HE;Srikanth P;McCarty D;Guydish JR
通讯作者：
Guydish JR