The Family Psychoeducation Fidelity Scale: Psychometric Properties

Joa, Inge; Johannessen, Jan Olav; Heiervang, Kristin Sverdvik; Sviland, A. A.; Nordin, Håkan; Landers, Matthew; Ruud, Torleif; Drake, Robert E.; Bond, Gary R.

doi:10.1007/s10488-020-01040-3

Cited by 10 publications

(11 citation statements)

References 30 publications

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“…The paper by Egeland et al is the first comprehensive assessment of the psychometric properties of the scale. Joa et al ( 2020 ) report on the Family Psychoeducation Fidelity Scale, also developed in the National EBP Project, and this paper is the first to report its psychometric properties.…”

Section: Papers In the Special Sectionmentioning

confidence: 88%

Measuring Fidelity to Evidence-Based Practices: Psychometrics

Ruud

Drake

Bond

2020

Adm Policy Ment Health

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This special section presents the psychometric properties of fidelity scales used in a national mental health services project in Norway to improve the quality of care of people with psychoses. Across Norway, 39 clinical units in six health trusts participated. The project provided education, implementation support and fidelity assessments. The papers in the section address the psychometrics of fidelity measurement for the specific evidence-based practices: illness management and recovery, family psychoeducation, physical healthcare and antipsychotic medication management. Another paper analyzes the psychometrics of a scale measuring individualization and quality improvement that may be used in conjunction with fidelity scales for specific evidence-based practices. The first paper in the section presents the development and field of fidelity scales, and the two final papers with comments add some additional perspectives and discuss fidelity scales in a wider context. The psychometrics of the five scales were good to excellent. Fidelity assessment is a necessary and effective strategy for quality improvement.

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Section: Papers In the Special Sectionmentioning

confidence: 88%

Measuring Fidelity to Evidence-Based Practices: Psychometrics

Ruud

Drake

Bond

2020

Adm Policy Ment Health

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“…The 14-item Family Psychoeducation Fidelity Assessment (FPE) scale was used to measure the practice and content of FPE. This scale has demonstrated acceptable psychometric properties in previous trials, including in a Norwegian translation and context [ 36 , 37 ]. The 12-item General Organizational Index (GOI) scale provided a complementary assessment of FPE’s integration in the unit’s practice, by measuring individualisation, quality improvement, program philosophy, and penetration rate.…”

Section: Methodsmentioning

confidence: 99%

Family involvement practices for persons with psychotic disorders in community mental health centres – a cross-sectional fidelity-based study

et al. 2021

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Background Family involvement for persons with psychotic disorders is supported by scientific evidence, as well as legal and ethical considerations, and recommended in clinical practice guidelines. This article reports a cross-sectional measurement of the level of implementation of such guidelines in fifteen community mental health centre units in Norway, and presents a novel fidelity scale to measure basic family involvement and support. The aim was to investigate current family involvement practices comprehensively, as a basis for targeted quality improvement. Methods We employed three fidelity scales, with 12–14 items, to measure family involvement practices. Items were scored from 1 to 5, where 1 equals no implementation and 5 equals full implementation. Data was analysed using descriptive statistics, a non-parametric test, and calculation of interrater reliability for the scales. Results The mean score was 2.33 on the fidelity scale measuring basic family involvement and support. Among patients with psychotic disorders, only 4% had received family psychoeducation. On the family psychoeducation fidelity assessment scale, measuring practice and content, the mean score was 2.78. Among the eight units who offered family psychoeducation, it was 4.34. On the general organizational index scale, measuring the organisation and implementation of family psychoeducation, the mean score was 1.78. Among the units who offered family psychoeducation, it was 2.46. As a measure of interrater reliability, the intra-class correlation coefficient was 0.99 for the basic family involvement and support scale, 0.93 for the family psychoeducation fidelity assessment scale and 0.96 for the general organizational index scale. Conclusions The implementation level of the national guidelines on family involvement for persons with psychotic disorders was generally poor. The quality of family psychoeducation was high, but few patients had received this evidence-based treatment. Our novel fidelity scale shows promising psychometric properties and may prove a useful tool to improve the quality of health services. There is a need to increase the implementation of family involvement practices in Norway, to reach a larger percentage of patients and relatives. Trial registration ClinicalTrials.gov Identifier NCT03869177. Registered 11.03.19.

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“…We use one scale to assess the practice and content of family psychoeducation (scale 1) and a general organisational index (GOI) scale (scale 2) to assess the organisation, penetration rate, and general integration of family psychoeducation in the unit's clinical practice. These scales were used in BPB and demonstrated robust psychometric properties [45,46]. The third scale (scale 3) gives a composite assessment of structure, content, implementation, and penetration rate of basic family involvement and support.…”

Section: Intervention Fidelitymentioning

confidence: 99%

Implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres (IFIP): protocol for a cluster randomised controlled trial

Hestmark

Romøren

Heiervang

et al. 2020

BMC Health Serv Res

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Background Family involvement for persons with psychotic disorders is under-implemented in mental health care, despite its firm scientific, economic, legal and moral basis. This appears to be the case in Norway, despite the presence of national guidelines providing both general recommendations on family involvement and support in the health- and care services, and specific guidance on family interventions for patients with psychotic disorders. The aim of this project is to improve mental health services and the psychosocial health of persons with psychotic disorders and their relatives, by implementing selected recommendations from the national guidelines in community mental health centres, and to evaluate this process. Methods The trial is cluster randomised, where 14 outpatient clusters from community mental health centres undergo stratified randomisation with an allocation ratio of 1:1. The seven intervention clusters will receive implementation support for 18 months, whereas the control clusters will receive the same support after this implementation period. The intervention consists of: 1. A basic level of family involvement and support. 2. Family psychoeducation in single-family groups. 3. Training and guidance of health care personnel. 4. A family coordinator and 5. Other implementation measures. Fidelity to the intervention will be measured four times in the intervention arm and two times in the control arm, and the differences in fidelity changes between the arms constitute the primary outcomes. In each arm, we aim to include 161 patients with psychotic disorders and their closest relative to fill in questionnaires at inclusion, 6 months and 12 months, measuring psychosocial health and satisfaction with services. Clinicians will contribute clinical data about patients at inclusion and 12 months. Use of health and welfare services and work participation, for both patients and relatives, will be retrieved from national registries. We will also perform qualitative interviews with patients, relatives, health care personnel and leaders. Finally, we will conduct a cost-effectiveness analysis and a political economy analysis. Discussion This project, with its multilevel and mixed methods approach, may contribute valuable knowledge to the fields of family involvement, mental health service research and implementation science. Trial registration ClinicalTrials.gov Identifier NCT03869177. Registered 11.03.19.

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The Family Psychoeducation Fidelity Scale: Psychometric Properties

Cited by 10 publications

References 30 publications

Measuring Fidelity to Evidence-Based Practices: Psychometrics

Measuring Fidelity to Evidence-Based Practices: Psychometrics

Family involvement practices for persons with psychotic disorders in community mental health centres – a cross-sectional fidelity-based study

Implementation of guidelines on family involvement for persons with psychotic disorders in community mental health centres (IFIP): protocol for a cluster randomised controlled trial

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