Standardizing Fidelity to Evidence-Based Practice in the Early Psychosis Intervention Network.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2024-10-01 Epub Date: 2024-05-21 DOI:10.1176/appi.ps.20230556

Donald Addington, Tina Marshall, Abram Rosenblatt, Gary R Bond, Howard H Goldman

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引用次数: 0

Abstract

Objective: This study investigated variations in the measurement of fidelity to coordinated specialty care (CSC) within the Early Psychosis Intervention Network (EPINET), a learning health system that consists of 101 CSC programs within eight hubs. The study investigated the degree to which five fidelity scales could be mapped onto a standard scale.

Methods: The investigators identified six fidelity scales in use by EPINET participants; examined their item content, scoring, and data sources; and mapped five scales onto the First Episode Psychosis Services Fidelity Scale (FEPS-FS), which is the most widely used scale.

Results: Mapping five fidelity scales onto the FEPS-FS showed that the percentage of FEPS-FS components successfully mapped ranged from 42% to 81%.

Conclusions: Mapping five scales onto one that uses dichotomous scoring identified the degree of variation in measures and reduced the amount and quality of usable fidelity data. Identifying variations in fidelity measurement is a core function of a learning health system.

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在早期精神病干预网络中实现循证实践的标准化。

研究目的本研究调查了早期精神病干预网络（EPINET）中对协调专科护理（CSC）忠实度测量的差异，EPINET是一个学习型医疗系统，由8个中心的101个CSC项目组成。该研究调查了五个忠实度量表与标准量表的映射程度：研究人员确定了 EPINET 参与者使用的六个忠实度量表；检查了它们的项目内容、评分和数据来源；并将五个量表映射到使用最广泛的首期精神病服务忠实度量表（FEPS-FS）上：结果：将五个忠实度量表映射到 FEPS-FS 上的结果显示，成功映射的 FEPS-FS 成分的百分比从 42% 到 81% 不等：结论：将五个量表映射到一个使用二分法计分的量表上，可以确定测量的差异程度，并减少可用忠诚度数据的数量和质量。识别忠实度测量中的差异是学习型医疗系统的核心功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.