Table 1.
Selected fidelity measures for community-based interventions for persons with serious mental illnesses.
| Measure1 | Program | Fidelity measurement | |||
|---|---|---|---|---|---|
| Intervention | Complexity2 | Domains | Focus | Methods | |
| CTPAS | Cognitive-Behavioral Therapy for Psychosis | Low | Single intervention, single practitioner | Practitioner adherence in dyadic interactions | Direct observation via audiotape |
| SM-FS | Strengths Model of case management | Moderate | Single practice philosophy; multiple practitioners & program components | Group adherence to intervention philosophy; program structure and quality maintenance mechanisms | Records review; on-site interview & observation |
| IMR-FS | Illness Management and Recovery | Moderate | Multiple interventions, practitioners, & program components | Group adherence to criteria for practice delivery within multi-component program; program structure | |
| TMACT | Assertive Community Treatment | High | Multiple integrated interventions, disciplines, & practitioners; complex multi-component program model | Program & practitioner-level adherence to criteria for program structure and multiple team & discipline-specific practices | |
1
CTPAS = Cognitive Therapy for Psychosis Adherence Scale; SM-FS = Strengths Model Fidelity Scale; IMR-FS = Illness Management and Recovery Program Fidelity Scale; TMACT = Tool for Measurement of Assertive Community Treatment
2
Program complexity: relative scope of specified program levels and elements