Development of process evaluation for psycho-social intervention programs using analysis of their effective ingredients

本研究结合基于自信社区治疗(ACT)与家庭心理教育(FPE)和IPS支持的就业计划相结合的综合计划有效性的随机对照试验的计划评估研究，开发了多阶段过程评估方法，并调查了与结果评估相关的计划的有效成分。我们试图开发多阶段评估量表，分析有效的计划组成部分(成分)，重点放在与计划结果相关的计划的服务功能和服务结构上，尽管服务结构评估过去是常见的过程评估方法。因此，我们在项目层面建立了综合循证实践(EBP)项目(ACT、FPE和IPS)的保真度评估量表，并在个人客户层面建立了三种类型的保真度量表(由工作人员评估的、客户感知的量表、自我管理的量表和电子记录系统中使用的服务活动代码)，通过它们与结果变量的关联进行了分析。我们发现，我们提取的有效项目成分与结果指数之间存在一些重要的相关性，尽管我们现在一直在继续研究项目中分析这些关系。然而，我们需要进一步的研究，因为正在考虑与服务领域的需求相关联的单个客户级别的服务提供的扩展方法。对于所有这些研究，预计将开发制定和标准化综合EBP计划的实证方法。

In line with program evaluation research of randomized controlled trials for effectiveness of integrated programs based on Assertive Community Treatment (ACT) combined with family psycho-education (FPE) and IPS supported employment programs, we developed multi-phasic process evaluation methods and investigated effective ingredients of the programs associated with outcome evaluation. We have attempted to develop the multi-phasic assessment scales analyzing effective program components (ingredients) focusing on service functions as well as service structures of the programs associated with program outcomes, although evaluation of service structures used to be common process evaluation methods. Accordingly, we have built fidelity assessment scales for integrated evidenced-based practice (EBP) programs (ACT, FPE and IPS) at the program level, as well as three types of fidelity scales at the individual client level (those assessed by staff, clients ' perceived scales, self-administered, and service activity codes used in the electronic record system) that have been analyzed through their associations with outcome variables.We have found some important correlations between effective program ingredients we have extracted and the outcome indices, although we have now been analyzing the relations in our continued research project. However, we need further research because scaling methods of service provision at the individual client level associated with needs for areas of the service are under consideration. For all of these researches, empirical approaches to the development of formulating and standardizing integrated EBP programs are expected to be developed.