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A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
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The teamwork in assertive community treatment (TACT) scale: development and validation.

Douglas R Wholey1, Xi Zhu, David Knoke

  • 1Division of Health Policy and Management, School of Public Health, University of Minnesota, MMC 729, 420 Delaware St., S.W., Minneapolis, MN 55455-0392, USA. whole001@umn.edu

Psychiatric Services (Washington, D.C.)
|September 6, 2012
PubMed
Summary
This summary is machine-generated.

The Teamwork in Assertive Community Treatment (TACT) scale was developed to measure teamwork in Assertive Community Treatment (ACT) teams. This validated scale can assess team processes and their impact on ACT performance.

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Area of Science:

  • Mental Health Services Research
  • Team Dynamics in Healthcare
  • Organizational Psychology

Background:

  • Assertive Community Treatment (ACT) teams have specified designs, but performance varies.
  • Understanding team processes is crucial for improving ACT team effectiveness.
  • Existing measures may not fully capture the nuances of teamwork in ACT.

Purpose of the Study:

  • To develop and validate the Teamwork in Assertive Community Treatment (TACT) scale.
  • To examine the role of team processes in ACT performance.
  • To provide a reliable and valid instrument for assessing teamwork in ACT.

Main Methods:

  • Developed the TACT scale from a conceptual model adapted for the ACT context.
  • Used exploratory and confirmatory factor analyses to construct TACT subscales.
  • Assessed reliability, validity, stability, and internal consistency using surveys from 300 ACT team members over three time points.

Main Results:

  • Identified nine TACT subscales: exploration, knowledge exploitation, psychological safety, goal agreement, conflict, constructive controversy, information accessibility, encounter preparedness, and consumer-centered care.
  • Subscales demonstrated good fit, temporal stability, high internal consistency, and within-team agreement.
  • Regression analyses showed predictive validity, linking encounter preparedness to staff outcomes.

Conclusions:

  • The TACT scale is a reliable and valid measure of teamwork in ACT.
  • The scale can be utilized in research and evaluation of ACT and mental health teams.
  • Assessing specific team processes can inform interventions to enhance ACT team performance.