Development and Testing of the First-Episode Psychosis Services Fidelity Scale

被引:40
作者
Addington, Donald Emile [1 ]
Norman, Ross [2 ]
Bond, Gary R. [3 ]
Sale, Tamara [4 ]
Melton, Ryan [4 ]
McKenzie, Emily [1 ]
Wang, JianLi [1 ]
机构
[1] Univ Calgary, Dept Psychiat, Calgary, AB, Canada
[2] London Hlth Sci Ctr, Dept Hlth Outcomes & Hlth Serv Res, London, ON, Canada
[3] Dartmouth Psychiat Res Ctr, Lebanon, NH USA
[4] Portland State Univ, Grad Sch Social Work, Reg Res Inst, EASA Ctr Excellence, Portland, OR 97207 USA
关键词
PROGRAM FIDELITY; TRIAL; INTERVENTION; COMPONENTS;
D O I
10.1176/appi.ps.201500398
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
Objective: The purpose of this study was to test the reliability and validity of the First-Episode Psychosis Services Fidelity Scale (FEPS-FS) and compare it with similar scales. Methods: A fidelity scale was developed from previously identified essential components of first-episode psychosis services. The scale was tested in six programs in two countries and compared with three existing scales. Results: Program data collection from multiple sources indicated the feasibility and reliability of the FEPS-FS (intraclass correlation coefficient for interrater reliability = .842; 95% confidence interval = .795-.882). Satisfactory programs scored an average of 86% of the maximum total score; the single unsatisfactory program scored 70%. Compared with the other scales, the FEPS-FS has fewer items, but it has the highest proportion of items common to all scales. Conclusions: The FEPS-FS is a feasible, compact, reliable, and valid measure of adherence to evidence-based practices for first-episode psychosis services that can be applied to any first-episode psychosis service.
引用
收藏
页码:1023 / 1025
页数:3
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