The Family Psychoeducation Fidelity Scale: Psychometric Properties

I Joa, J O Johannessen, K S Heiervang, A A Sviland, H A Nordin, M Landers, T Ruud, R E Drake, G R Bond, I Joa, J O Johannessen, K S Heiervang, A A Sviland, H A Nordin, M Landers, T Ruud, R E Drake, G R Bond

Abstract

This study examined psychometric properties and feasibility of the Family Psychoeducation (FPE) Fidelity Scale. Fidelity assessors conducted reviews using the FPE fidelity scale four times over 18 months at five sites in Norway. After completing fidelity reviews, assessors rated feasibility of the fidelity review process. The FPE fidelity scale showed excellent interrater reliability (.99), interrater item agreement (88%), and internal consistency (mean = .84 across four time points). By the 18-month follow-up, all five sites increased fidelity and three reached adequate fidelity. Fidelity assessors rated feasibility as excellent. The FPE fidelity scale has good psychometric properties and is feasible for evaluating the implementation of FPE programs. Trial registration ClinicalTrials.gov Identifier: NCT03271242.

Keywords: FPE fidelity scale; Family psychoeducation; Psychometric properties; Psychosis.

Conflict of interest statement

All authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Mean family psychoeducation fidelity over time in full sample (five sites). Confidence intervals (one standard deviation above and below mean) shown

References

    1. Awad AG, Voruganti LN. The burden of schizophrenia on caregivers: a review. Pharmacoeconomics. 2008;26(2):149–162. doi: 10.2165/00019053-200826020-00005.
    1. Berry K, Haddock G. The implementation of the NICE guidelines for schizophrenia: Barriers to the implementation of psychological interventions and recommendations for the future. Psychology and Psychotherapy. 2008;81(Pt 4):419–436. doi: 10.1348/147608308X329540.
    1. Bond GR, Becker DR, Drake RE. Measurement of fidelity of implementation of evidence-based practices: Case Example of the IPS Fidelity Scale. Clinical Psychology: Science and Practice. 2011;18(2):126–141. doi: 10.1111/j.1468-2850.2011.01244.x.
    1. Bond GR, Drake RE. Assessing the fidelity of evidence-based practices: History and current status of a standardized measurement methodology. Administration and Policy in Mental Health and Mental Health. 2019 doi: 10.1007/s10488-019-00991-6.
    1. Bond GR, Drake RE, McHugo GJ, Rapp CA, Whitley R. Strategies for improving fidelity in the national evidence-based practices project. Research on Social Work Practice. 2009;19(5):569–581. doi: 10.1177/1049731509335531.
    1. Cabral RR, Chaves AC. Multi-family group intervention in a programme for patients with first-episode psychosis: a Brazilian experience. International Journal of Social Psychiatry. 2010;56(5):527–532. doi: 10.1177/0020764009102754.
    1. Day K, Petrakis M. Family interventions in early psychosis service delivery: A systematized review. Social Work in Mental Health. 2017;15(6):632–650. doi: 10.1080/15332985.2016.1271381.
    1. Dixon L, McFarlane WR, Lefley H, Lucksted A, Cohen M, Falloon I, Sondheimer D. Evidence-based practices for services to families of people with psychiatric disabilities. Psychiatric Services. 2001;52(7):903–910. doi: 10.1176/appi.ps.52.7.903.
    1. Drake RE, Goldman HH, Leff HS, Lehman AF, Dixon L, Mueser KT, Torrey WC. Implementing evidence-based practices in routine mental health service settings. Psychiatric Services. 2001;52(2):179–182. doi: 10.1176/appi.ps.52.2.179.
    1. Eassom E, Giacco D, Dirik A, Priebe S. Implementing family involvement in the treatment of patients with psychosis: A systematic review of facilitating and hindering factors. British Medical Journal Open. 2014;4(10):e006108. doi: 10.1136/bmjopen-2014-006108.
    1. Helsedirektoratet. (2013). Utredning, behandling og oppfølging av personer med psykoselidelser. Retrieved from
    1. Jeppesen P, Petersen L, Thorup A, Abel MB, ⊘ehlenschlæger J, Christensen TØ, Nordentoft M. Integrated treatment of first-episode psychosis: Effect of treatment on family burden: OPUS trial. British Journal of Psychiatry. 2005;187(S48):s85–s90. doi: 10.1192/bjp.187.48.s85.
    1. Kavanagh DJ, Piatkowska O, Clark D, O'halloran P, Manicavasagar V, Rosen A, Tennant C. Application of cognitive-behavioural family intervention for schizophrenia in multidisciplinary teams: What can the matter be? Australian Psychologist. 1993;28(3):181–188. doi: 10.1080/00050069308258899.
    1. Kealey EM, Leckman-Westin E, Jewell TJ, Finnerty MT. Multifamily group psychoeducation in New York State: Implementation and fidelity outcomes. Psychiatric Services. 2015;66(11):1194–1199. doi: 10.1176/appi.ps.201400403.
    1. Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Frontiers in Psychology. 2013 doi: 10.3389/fpsyg.2013.00863.
    1. Lobban F, Postlethwaite A, Glentworth D, Pinfold V, Wainwright L, Dunn G, Haddock G. A systematic review of randomised controlled trials of interventions reporting outcomes for relatives of people with psychosis. Clinical Psychology Review. 2013;33(3):372–382. doi: 10.1016/j.cpr.2012.12.004.
    1. Lu W, Yanos PT, Gottlieb JD, Duva SM, Silverstein SM, Xie H, Mueser KT. Use of fidelity assessments to train clinicians in the CBT for PTSD program for clients with serious mental illness. Psychiatric Services. 2012;63(8):785–792. doi: 10.1176/appi.ps.201000458.
    1. McFarlane WR. Multifamily groups in the treatment of severe psychiatric disorders. New York: The Guilford Press; 2004.
    1. McFarlane WR. Family interventions for Schizophrenia and the psychoses: A review. Family Process. 2016;55(3):460–482. doi: 10.1111/famp.12235.
    1. McFarlane, W. R., Dixon, L., & Colleagues. (2002). Evidence-based practice implementation package on family psychoeducation. Retrieved from Lebanon, NH.
    1. McFarlane WR, Dixon L, Lukens E, Lucksted A. Family psychoeducation and schizophrenia: A review of the literature. Journal of Marital and Family Therapy. 2003;29(2):223–245. doi: 10.1111/j.1752-0606.2003.tb01202.x.
    1. McGraw KO, Wong SP. Forming inferences about some intraclass correlation coefficients. Psychological Methods. 1996;1:30–46. doi: 10.1037/1082-989X.1.1.30.
    1. McHugo GJ, Drake RE, Teague GB, Xie H. Fidelity to assertive community treatment and client outcomes in the New Hampshire dual disorders study. Psychiatric Services. 1999;50(6):818–824. doi: 10.1176/ps.50.6.818.
    1. McHugo GJ, Drake RE, Whitley R, Bond GR, Campbell K, Rapp CA, Finnerty MT. Fidelity outcomes in the national implementing evidence-based practices project. Psychiatric Services. 2007;58(10):1279–1284. doi: 10.1176/ps.2007.58.10.1279.
    1. McWilliams S, Egan P, Jackson D, Renwick L, Foley S, Behan C, O'Callaghan E. Caregiver psychoeducation for first-episode psychosis. European Psychiatry. 2010;25(1):33–38. doi: 10.1016/j.eurpsy.2009.08.006.
    1. Miklowitz, D., O’Brien, M., & Schlosser, D. (2010). Clinicians’ treatment manual for familyfocused therapy for prodromal youth (FFT-PY). In U. University of California at Los Angeles (Ed.): Unpublished Treatment Manual.
    1. Mowbray CT, Holter MC, Teague GB, Bybee D. Fidelity criteria: Development, measurement, and validation. American Journal of Evaluation. 2003;24(3):315–340. doi: 10.1177/109821400302400303.
    1. Nilsen L, Frich JC, Friis S, Norheim I, Rossberg JI. Participants' perceived benefits of family intervention following a first episode of psychosis: A qualitative study. Early Intervention Psychiatry. 2016;10(2):152–159. doi: 10.1111/eip.12153.
    1. Nilsen L, Frich JC, Friis S, Rossberg JI. Patients' and family members' experiences of a psychoeducational family intervention after a first episode psychosis: A qualitative study. Issues in Mental Health Nursing. 2014;35(1):58–68. doi: 10.3109/01612840.2013.837992.
    1. Pharoah F, Mari J, Rathbone J, Wong W. Family intervention for schizophrenia. Cochrane Database of Systematic Reviews. 2010 doi: 10.1002/14651858.CD000088.pub2.
    1. Selick A, Durbin J, Vu N, O'Connor K, Volpe T, Lin E. Barriers and facilitators to implementing family support and education in Early Psychosis Intervention programmes: A systematic review. Early Intervention Psychiatry. 2017;11(5):365–374. doi: 10.1111/eip.12400.
    1. Yesufu-Udechuku A, Harrison B, Mayo-Wilson E, Young N, Woodhams P, Shiers D, Kendall T. Interventions to improve the experience of caring for people with severe mental illness: Systematic review and meta-analysis. The British Journal of Psychiatry. 2015;206(4):268–274. doi: 10.1192/bjp.bp.114.147561.

Source: PubMed

Sponsorzy i współpracownicy

Warunki medyczne

Interwencje lekowe

3
Subskrybuj