학술논문

Comparing the Costs and Acceptability of Three Fidelity Assessment Methods for Assertive Community Treatment.
Document Type
Report
Source
Administration & Policy in Mental Health & Mental Health Services Research. Sep2017, Vol. 44 Issue 5, p810-816. 7p.
Subject
*MEDICAL care costs
*EVIDENCE-based medicine
*LOYALTY
*MEDICAL quality control
*TRAVEL costs
Language
ISSN
0894-587X
Abstract
Successful implementation of evidence-based practices requires valid, yet practical fidelity monitoring. This study compared the costs and acceptability of three fidelity assessment methods: on-site, phone, and expert-scored self-report. Thirty-two randomly selected VA mental health intensive case management teams completed all fidelity assessments using a standardized scale and provided feedback on each. Personnel and travel costs across the three methods were compared for statistical differences. Both phone and expert-scored self-report methods demonstrated significantly lower costs than on-site assessments, even when excluding travel costs. However, participants preferred on-site assessments. Remote fidelity assessments hold promise in monitoring large scale program fidelity with limited resources. [ABSTRACT FROM AUTHOR]