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Measuring Fidelity to Evidence-Based Practices: Psychometrics.
T Ruud1,2, R E Drake3, G R Bond3
1Mental Health Services, Akershus University Hospital, Lørenskog, Norway. torleif.ruud@medisin.uio.no.
Administration and Policy in Mental Health
|August 2, 2020
Summary
This study evaluated fidelity scales for mental health services in Norway, finding good to excellent psychometric properties. These scales are essential for effective quality improvement in psychosis care.
Area of Science:
- Psychiatry
- Health Services Research
- Psychometrics
Background:
- A national project in Norway aimed to enhance the quality of care for individuals with psychoses.
- The project involved 39 clinical units across six health trusts, providing education, implementation support, and fidelity assessments.
Purpose of the Study:
- To present the psychometric properties of fidelity scales used in a national mental health services project.
- To assess the reliability and validity of measurement tools for evidence-based practices in psychosis care.
Main Methods:
- The study analyzed the psychometric properties of five fidelity scales.
- Scales measured adherence to specific evidence-based practices: illness management and recovery, family psychoeducation, physical healthcare, and antipsychotic medication management.
- One scale assessed individualization and quality improvement.
Main Results:
- The psychometric properties of the five fidelity scales were evaluated.
- Results indicated that the psychometric properties of the scales ranged from good to excellent.
- Fidelity assessment was confirmed as a necessary and effective strategy for quality improvement.
Conclusions:
- Fidelity scales demonstrate good to excellent psychometric properties for measuring adherence to evidence-based practices in mental health care.
- Fidelity assessment is a crucial and effective method for driving quality improvement initiatives.
- The findings support the use of these scales in large-scale mental health service projects.
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