Table 1.

Research to practice: a summary of responses to the PEARLS fidelity instrument as compared to the original PEARLS model.

Original PEARLS model	Practice model
CLINICAL SUPERVISION
Formal contract with supervisor	89% have formal supervision in place
Bi-monthly supervision	40% meet at least monthly
Each client discussed at each session	Range from “as needed” (16%) to “weekly” (24%)
COUNSELOR ASSESSMENT
Audiotapes of PEARLS sessions	56% assessed during formal clinical supervision; 28% during job supervision or self-assessment
ELIGIBILITY
Home-based program	42% deliver PEARLS outside of the home
Older adults (60+)	40% include younger adults (<age 60 years)
PEARLS SESSIONS
6–8 in-person sessions	71% average ≥6 sessions per client
PHQ-9	80% PHQ-9 at ≥6 sessions
Education about depression using both written and verbal materials	64% counselors use both written and verbal materials
Sessions focus on the present	42% ≤2 sessions focus on the past
Client chooses problems and solutions	42% ≥6 sessions
Homework completed	17% ≥6 sessions, 75% ≥4 sessions
Behavioral activation	46–58% ≥6 sessions
Written PST worksheet	46% ≥6 sessions