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Bond, Gary R.; Evans, Lisa; Salyers, Michelle P.; Williams, Jane; Kim, Hea‐Won

doi:10.1023/a:1010153020697

Cited by 236 publications

(93 citation statements)

References 62 publications

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“…A critical innovation in the field, used throughout this project, is the fidelity scale, a measure of adherence to a specific program model (Bond et al 2000).…”

Section: Introductionmentioning

confidence: 99%

Individualization and Quality Improvement: Two New Scales to Complement Measurement of Program Fidelity

Bond

Drake

Rapp

et al. 2009

Adm Policy Ment Health

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Fidelity scales have been widely used to assess program adherence to the principles of an evidence-based practice, but they do not measure important aspects of quality of care. Pragmatic scales measuring clinical quality of services are needed to complement fidelity scales measuring structural aspects of program implementation. As part of the instrumentation developed for the National Implementing Evidence-Based Practices Project, we piloted a new instrument with two 5-item quality scales, Individualization (a client-level quality scale) and Quality Improvement (an organizational-level quality scale). Pairs of independent fidelity assessors conducted fidelity reviews in 49 sites in 8 states at baseline and at four subsequent 6-month intervals over a 2-year follow-up period. The assessors followed a standardized protocol to administer these quality scales during daylong site visits; during these same visits they assessed programs on fidelity to the evidence-based practice that the site was seeking to implement. Assessors achieved acceptable interrater reliability for both Individualization and Quality Improvement. Principal components factor analysis confirmed the 2-scale structure. The two scales were modestly correlated with each other and with the evidence-based practice fidelity scales. Over the first year, Individualization and Quality Improvement improved, but showed little or no improvement during the last year of follow-up. The two newly developed scales showed adequate psychometric properties in this preliminary study, but further research is needed to assess their validity and utility in routine clinical practice.

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“…A critical innovation in the field, used throughout this project, is the fidelity scale, a measure of adherence to a specific program model (Bond et al 2000).…”

Section: Introductionmentioning

confidence: 99%

Individualization and Quality Improvement: Two New Scales to Complement Measurement of Program Fidelity

Bond

Drake

Rapp

et al. 2009

Adm Policy Ment Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Used to measure adherence to evidence-based practice standards, fidelity scales (Bond et al 2000) have been utilized at the organizational, practitioner, and patient levels as all three are hypothesized to be critical to assuring quality of treatment. Fidelity scales are used for both research and quality improvement purposes.…”

Section: Introductionmentioning

confidence: 99%

Scales to Evaluate Quality of Medication Management: Development and Psychometric Properties

Taylor

Bond

Tsai

et al. 2009

Adm Policy Ment Health

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This paper describes the psychometric properties of two fidelity scales created as part of the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsored medication management toolkit and their metric properties when used in 26 public mental health clinics with 50 prescribers. A 23-item scale, based on chart reviews, was developed to assess whether prescribers are following good medication practices, in conjunction with a 17-item scale to assess organizational support for and evaluation of prescriber adherence to recommended medication-related practices. Fundamental gaps in routine practice, including poor documentation of medication history and infrequent monitoring of symptoms and side effects were found.

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“…One accepted strategy to improve implementation is to verify program fidelity (5, 6). However, with the increasing number of evidence based practices, the need to conduct fidelity measurement has begun to place a very high burden on agencies charged with ensuring service quality.…”

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confidence: 99%

A Comparison of Phone-Based and On-Site Assessment of Fidelity for Assertive Community Treatment in Indiana

McGrew¹

2011

Psychiatric Services

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Objective This study investigated the reliability, validity, and role of rater expertise in phone-administered fidelity assessment instrument based on the Dartmouth Assertive Community Treatment Scale (DACTS). Methods An experienced rater paired with a research assistant without fidelity assessment experience or a consultant familiar with the treatment site conducted phone based assessments of 23 teams providing assertive community treatment in Indiana. Using the DACTS, consultants conducted on-site evaluations of the programs. Results The pairs of phone raters revealed high levels of consistency [intraclass correlation coefficient (ICC)=.92] and consensus (mean absolute difference of .07). Phone and on-site assessment showed strong agreement (ICC=.87) and consensus (mean absolute difference of .07) and agreed within .1 scale point, or 2% of the scoring range, for 83% of sites and within .15 scale point for 91% of sites. Results were unaffected by the expertise level of the rater. Conclusions Phone based assessment could help agencies monitor faithful implementation of evidence-based practices.

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Abstract: Until recently, most psychiatric rehabilitation models have been poorly defined and few have had systematic methods for measuring their implementation. We review the historical roots for the development of fidelity measures and describe recent applications in both research and practice.

Cited by 236 publications

References 62 publications

Individualization and Quality Improvement: Two New Scales to Complement Measurement of Program Fidelity

Individualization and Quality Improvement: Two New Scales to Complement Measurement of Program Fidelity

Scales to Evaluate Quality of Medication Management: Development and Psychometric Properties

A Comparison of Phone-Based and On-Site Assessment of Fidelity for Assertive Community Treatment in Indiana

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