Development and validation of a fidelity instrument for Cognitive Adaptation Training.

Autor:	van Dam M; Lentis Psychiatric Institute, Department of Rehabilitation, Zuidlaren, the Netherlands.; University Medical Center Groningen, Rob Giel Research Center, Groningen, the Netherlands., van Weeghel J; Phrenos center of expertise on severe mental illness, Utrecht, the Netherlands.; Department of TRANZO, Tilburg School of Social and Behavioral Sciences, Tilburg, the Netherlands., Castelein S; Lentis Psychiatric Institute, Research Department, Groningen, the Netherlands.; University of Groningen, Faculty of Behavioural and Social Sciences, Department of Clinical Psychology and Experimental Psychopathology, Groningen, the Netherlands., Stiekema A; School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, the Netherlands., Quee P; GGZ Breburg, Centre for Anxiety and Mood Disorders, Breda, the Netherlands., Kidd S; Department of Psychiatry, University of Toronto, Toronto, Canada.; Centre for Addiction and Mental Health, Toronto, Canada., Allott K; Orygen Youth Health Research Centre, Parkville, Australia.; Centre for Youth Mental Health, University of Melbourne, Parkville, Australia., Maples N; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Velligan D; Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Pijnenborg M; GGZ Drenthe, Department of Psychotic Disorders, Assen, the Netherlands.; University of Groningen, Faculty of Behavioural and Social Sciences, Department of Clinical and Developmental Neuropsychology, Groningen, the Netherlands., van der Meer L; Lentis Psychiatric Institute, Department of Rehabilitation, Zuidlaren, the Netherlands.; University of Groningen, Faculty of Behavioural and Social Sciences, Department of Clinical and Developmental Neuropsychology, Groningen, the Netherlands.
Jazyk:	angličtina
Zdroj:	Schizophrenia research. Cognition [Schizophr Res Cogn] 2022 Oct 29; Vol. 31, pp. 100272. Date of Electronic Publication: 2022 Oct 29 (Print Publication: 2023).
DOI:	10.1016/j.scog.2022.100272
Abstrakt:	Purpose: Cognitive Adaptation Training (CAT) is a psychosocial intervention with demonstrated effectiveness. However, no validated fidelity instrument is available. In this study, a CAT Fidelity Scale was developed and its psychometric properties, including interrater reliability and internal consistency, were evaluated. Methods: The fidelity scale was developed in a multidisciplinary collaboration between international research groups using the Delphi method. Four Delphi rounds were organized to reach consensus for the items included in the scale. To examine the psychometric properties of the scale, data from a large cluster randomized controlled trial evaluating the implementation of CAT in clinical practice was used. Fidelity assessors conducted 73 fidelity reviews at four mental health institutions in the Netherlands. Results: After three Delphi rounds, consensus was reached on a 44-item CAT Fidelity Scale. After administration of the scale, 24 items were removed in round four resulting in a 20-item fidelity scale. Psychometric properties of the 20-item CAT Fidelity Scale shows a fair interrater reliability and an excellent internal consistency. Conclusions: The CAT fidelity scale in its current form is useful for both research purposes as well as for individual health professionals to monitor their own adherence to the protocol. Future research needs to focus on improvement of items and formulating qualitative anchor point to the items to increase generalizability and psychometric properties of the scale. The described suggestions for improvement provide a good starting point for further development. Competing Interests: None. (© 2022 The Authors.)
Databáze:	MEDLINE
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