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dc.contributor.authorTeague, Gregory B.
dc.contributor.authorMueser, Kim T.
dc.contributor.authorRapp, Charles A.
dc.identifier.citationTeague, G. B., Mueser, K. T., & Rapp, C. A. (2012). Advances in fidelity measurement for mental health services research. Psychiatric Services (Washington, D.C.), 63(8), 765–771.
dc.descriptionThe official published article is available online at
dc.description.abstractOBJECTIVE: Mental health intervention research requires clear and accurate specification of treatment conditions in intervention studies. Measures are increasingly available for community-based interventions for persons with serious mental illnesses. Measures must go beyond structural features to assess critical processes in interventions. They must also balance effectiveness, adequate coverage of active treatment elements, with efficiency, the degree to which measures may be used cost-effectively. The context of their use is changing with the emergence of new frameworks for implementation research and quality improvement. METHODS: The focus, content, and results of preliminary studies of four recently developed fidelity measures are described. Measures respectively assess fidelity to case management, cognitive therapy for psychosis, illness management and recovery, and assertive community treatment. RESULTS: Fidelity measures described assess interventions in a range of treatment contexts from dyads to teams. Each measure focuses assessment resources on the elements critical to the respective intervention. Each has demonstrated coverage of its target intervention and satisfactory psychometric properties and is related to outcomes. Measures have been used for training, quality improvement, or certification. Current fidelity measures assess domains and have uses beyond their nominal position in implementation and quality frameworks. CONCLUSION: Process components in community-based interventions can be effectively assessed in fidelity measures. Omission of elements assessing potentially critical, active treatment components poses risk to both research and practice until there is evidence to demonstrate they are non-essential. Further development of fidelity measurement theory and approaches should articulate with development of theory and methods in implementation science.en_US
dc.publisherAmerican Psychiatric Publishingen_US
dc.titleAdvances in fidelity measurement for mental health services researchen_US
kusw.kuauthorRapp, Charles A.
kusw.kudepartmentSocial Welfareen_US
kusw.oanotesPer SHERPA/RoMEO 6/28/2017: Author's Pre-print: green tick author can archive pre-print (ie pre-refereeing) Author's Post-print: grey tick subject to Restrictions below, author can archive post-print (ie final draft post-refereeing) Restrictions:

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Publisher's Version/PDF: cross author cannot archive publisher's version/PDF General Conditions:

Authors final version of accepted manuscript Any open access repository Non-commercial Publisher's version/PDF cannot be used Publisher copyright and source including DOI must be acknowledged Must link to publisher version on publisher's website at with the phrase: "The official published article is available online at ." If mandated by a funding agency, the author's post-print may be deposited in institutional repository before 12 months
kusw.oaversionScholarly/refereed, author accepted manuscripten_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US

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