Developing an instrument for assessing fidelity to the intervention in the Critical Time Intervention – Task Shifting (CTI-TS) - preliminary report

Abstract

SummaryAim. The fidelity of an intervention can be defined as the degree to which a program is implemented following the program model, i.e. a set of well-defined procedures for such intervention. This article aims to describe the steps taken to develop an assessment tool of fidelity to the original protocol of intervention for Critical Time Intervention -Task Shifting (CTI-TS). Methods. The development of an instrument to assess fidelity includes some key stages, such as def-The development of an instrument to assess fidelity includes some key stages, such as definition of the intervention model, definition of the key components of the intervention, preparation of a preliminary scale, development of fidelity assessment sheets, development of a manual on the application of fidelity scale, training fidelity assessor and testing the preliminary scale by carrying out a pilot study. results. Based on the experts' opinion, 18 key components of the intervention were defined. From these components, a fidelity scale consisting of 20 items was built, divided into three sections, each evaluating one of the types of fidelity: compliance, context and competence. Conclusion. The CTI-TS had its fidelity assessment method developed in accordance with the recommendations in the current literature. The protocol compliance is essential for the results, whether positive or not, can be credited to the intervention itself.

Implementing the protocol of a pilot randomized controlled trial for the recovery-oriented intervention to people with psychoses in two Latin American cities

“…The fidelity of the intervention was assessed by applying the CTI fidelity scale 30 . It includes 20 items that evaluate the degree to which providers implemented the key elements of the CTI model.…”

Critical time Intervention for Severely mentally ill Prisoners (CrISP): a randomised controlled trial

“…64 The adapted version took into account all changes to procedures from earlier CTI studies. The fidelity scale, included in this report as Appendix 2, was completed at eight time points during the intervention delivery phase.…”

“…The fidelity was assessed using an adapted version of the fidelity scale used in the Critical Time Intervention -Task Shifting study 64 at eight time points over the course of the trial, which is a similar approach to other studies of CTI. However, a more reliable and detailed way to assess fidelity would have been for the CTI manager to complete a checklist per participant against core CTI principles.…”

From Editors

“…For this reason we have decided to renew the publication of short information FROM EDITORS. We hope that this will create space not only to exchange information about editorial issues, but also that it could be a forum to steer broader reflection and discussion concerning the content of the published papers.In the past years many of them, like in this issue the paper on SHAI Polish translation and evaluation, have concerned the application of various research tools in different sociocultural conditions [1][2][3][4][5][6]. We invite you to reflect on the methodological benefits, challenges and difficulties of such scientific procedures.…”

“…In the past years many of them, like in this issue the paper on SHAI Polish translation and evaluation, have concerned the application of various research tools in different sociocultural conditions [1][2][3][4][5][6]. We invite you to reflect on the methodological benefits, challenges and difficulties of such scientific procedures.…”