Untitled

Johnsen, Matthew; Samberg, Laura; Calsyn, Robert J.; Blasinsky, Margaret; Landow, Wendy J.; Goldman, Howard H.

doi:10.1023/a:1018761807225

Cited by 54 publications

(10 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An encouragement design was used to evaluate the effectiveness of a systems integration intervention among participants receiving ACT for 12 months at 18 sites located in nine metropolitan areas. Although the fidelity of implementation of the ACT model varied across the study sites, fidelity scores were generally comparable to scores earned by real-world ACT programs (18,19). Further, a multisource study of the sites’ fidelity showed that all sites provided outreach, medication management, and assistance with housing and entitlements, and most also provided counseling and employment assistance (18).…”

Section: Methodsmentioning

confidence: 82%

“…Although the fidelity of implementation of the ACT model varied across the study sites, fidelity scores were generally comparable to scores earned by real-world ACT programs (18,19). Further, a multisource study of the sites’ fidelity showed that all sites provided outreach, medication management, and assistance with housing and entitlements, and most also provided counseling and employment assistance (18). Our study was granted exempt status by the University of Pittsburgh Institutional Review Board because we used previously collected data that had no personal identifiers.…”

Section: Methodsmentioning

confidence: 82%

See 1 more Smart Citation

Racial and Ethnic Service Use Disparities Among Homeless Adults With Severe Mental Illnesses Receiving ACT

Horvitz-Lennon

Zhou²,

Normand³

et al. 2011

Psychiatric Services

View full text Add to dashboard Cite

Objective Case management–based interventions aimed at improving quality of care have the potential to narrow racial and ethnic disparities among people with chronic illnesses. The aim of this study was to assess the equity effects of assertive community treatment (ACT), an evidence-based case management intervention, among homeless adults with severe mental illness. Methods This study used baseline, three-, and 12-month data for 6,829 black, Latino, and white adults who received ACT services through the ACCESS study (Access to Community Care and Effective Services and Support). Zero-inflated Poisson random regression models were used to estimate the adjusted probability of use of outpatient psychiatric services and, among service users, the intensity of use. Odds ratios and rate ratios (RRs) were computed to assess disparities at baseline and over time. Results No disparities were found in probability of use at baseline or over time. Compared with white users, baseline intensity of use was lower for black users (RR=.89; 95% confidence interval [CI]=.83–.96) and Latino users (RR=.65; CI=.52–.81]). Intensity did not change over time for whites, but it did for black and Latino users. Intensity increased for blacks between baseline and three months (RR=1.11, CI=1.06–1.17]) and baseline and 12 months (RR=1.17, CI=1.11–1.22]). Intensity of use dropped for Latinos between baseline and three months (RR=.83, CI=.70–.98). Conclusions Receipt of ACT was associated with a reduction in service use disparities for blacks but not for Latinos. Findings suggest that ACT’s equity effects differ depending on race-ethnicity.

show abstract

Section: Methodsmentioning

confidence: 82%

Section: Methodsmentioning

confidence: 82%

Racial and Ethnic Service Use Disparities Among Homeless Adults With Severe Mental Illnesses Receiving ACT

Horvitz-Lennon

Zhou²,

Normand³

et al. 2011

Psychiatric Services

View full text Add to dashboard Cite

show abstract

“…Programme differentiation is whether critical features that distinguish the programme from the comparison condition are present or absent during implementation and participant responsiveness which is the extent to which participants are engaged by and involved in the activities and content of the programme. This study did not measure fidelity to process because the criteria for measuring fidelity to process are fundamentally difficult to quantify as they measure dynamic qualities of the intervention [74, 75] and measuring these criteria are resource-intensive [76]. In addition, in the unique population studied, assessing participants’ responsiveness, as fidelity measure would be a challenge due to their disabilities.…”

Section: Discussionmentioning

confidence: 99%

Effect of a classroom-based intervention on the social skills of pupils with intellectual disability in Southwest Nigeria

Adeniyi

Omigbodun

2016

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

Background: Studies have demonstrated that social skill interventions and classroom supports are effective for pupils with intellectual disability. Such interventions have been demonstrated to reduce the risk of developing mental disorders, majority of which have their onset during the period of youth. Most young people with intellectual disability in low-resource settings do not have access to interventions that would enable or enhance their participation in society. The aim of this study was to investigate the effect of a social skills training for pupils with intellectual disability attending a special school in Southwest Nigeria.Methods: Thirty pupils with mild to moderate intellectual disability participated in the study. Utilising the Explore social skills curriculum, teachers were trained to give lessons to the participants 3-4 times a week for 8 weeks in their classrooms. Social skills level of participants was assessed with the Matson evaluation of social skills for individuals with severe retardation (MESSIER) at baseline and immediately after the intervention. Paired t tests, Wilcoxon signedrank test, Mann-Whitney U test and the Kruskal-Wallis Test were used to assess for pre and post intervention changes in social skills scores and analysis of changes in social skills across socio-demographic variables at p < 0.05. Results:The mean age of the participants was 15.70 ± 1.89 years. At baseline, 18 of the participants (63.3 %) had moderate social skills impairment, 2 (6.7 %) had none or minimal impairments and 10 (30 %) had severe impairments. At the end of the intervention, there was a 20 % reduction in the number of participants in the severe social skills impairment category and 13.3 % increase in the number of participants in the 'none or minimal' social skills category. The mean pre and post-intervention total social skills scores were 126.63 ± 17.91 and 135.97 ± 20.81 respectively with a mean difference of 9.34 (t = 3.71; p = 0.001). Conclusion:The social skills of pupils with intellectual disability who participated in this study improved significantly during the 8 weeks the Explore social skills curriculum was administered. Advocacy should be made for the development and incorporation of social skills curricula into routine teaching of pupils with developmental disabilities.

show abstract

“…Szulanski and Winter [36] state that a best practice should be copied as closely as possible, in minute detail, and that adapting a successful template is a mistake. On the other hand, there is often a legitimate need to tailor a program to local circumstances and resources and to the social and cultural needs of the target population [37-39]. For example, patients in different locations have different strengths and needs and health service organizations have different goals and objectives.…”

Section: Discussionmentioning

confidence: 99%

The Prevention and Reactivation Care Program: intervention fidelity matters

Vos

Bakker²,

Vreede

et al. 2013

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundThe Prevention and Reactivation Care Program (PReCaP) entails an innovative multidisciplinary, integrated and goal oriented approach aimed at reducing hospital related functional decline among elderly patients. Despite calls for process evaluation as an essential component of clinical trials in the geriatric care field, studies assessing fidelity lag behind the number of effect studies. The threefold purpose of this study was (1) to systematically assess intervention fidelity of the hospital phase of the PReCaP in the first year of the intervention delivery; (2) to improve our understanding of the moderating factors and modifications affecting intervention fidelity; and (3) to explore the feasibility of the PReCaP fidelity assessment in view of the modifications.MethodsBased on the PReCaP description we developed a fidelity instrument incorporating nineteen (n=19) intervention components. A combination of data collection methods was utilized, i.e. data collection from patient records and individual Goal Attainment Scaling care plans, in-depth interviews with stakeholders, and non-participant observations. Descriptive analysis was performed to obtain levels of fidelity of each of the nineteen PReCaP components. Moderating factors were identified by using the Conceptual Framework for Implementation Fidelity.ResultsTen of the nineteen intervention components were always or often delivered to the group of twenty elderly patients. Moderating factors, such as facilitating strategies and context were useful in explaining the non- or low-adherence of particular intervention components.ConclusionsFidelity assessment was carried out to evaluate the adherence to the PReCaP in the Vlietland Ziekenhuis in the Netherlands. Given that the fidelity was assessed in the first year of PReCaP implementation it was commendable that ten of the nineteen intervention components were performed always or often. The adequate delivery of the intervention components strongly depended on various moderating factors. Since the intervention is still developing and undergoing continuous modifications, it has been concluded that the fidelity criteria should evolve with the modified intervention. Furthermore, repeated intervention fidelity assessments will be necessary to ensure a valid and reliable fidelity assessment of the PReCaP.Trial registrationThe Netherlands National Trial Register: NTR2317

show abstract

Untitled

Cited by 54 publications

References 28 publications

Racial and Ethnic Service Use Disparities Among Homeless Adults With Severe Mental Illnesses Receiving ACT

Racial and Ethnic Service Use Disparities Among Homeless Adults With Severe Mental Illnesses Receiving ACT

Effect of a classroom-based intervention on the social skills of pupils with intellectual disability in Southwest Nigeria

The Prevention and Reactivation Care Program: intervention fidelity matters

Contact Info

Product

Resources

About