Skip to main content

Abstract

Objective:

This study investigated variations in the measurement of fidelity to coordinated specialty care (CSC) within the Early Psychosis Intervention Network (EPINET), a learning health system that consists of 101 CSC programs within eight hubs. The study investigated the degree to which five fidelity scales could be mapped onto a standard scale.

Methods:

The investigators identified six fidelity scales in use by EPINET participants; examined their item content, scoring, and data sources; and mapped five scales onto the First Episode Psychosis Services Fidelity Scale (FEPS-FS), which is the most widely used scale.

Results:

Mapping five fidelity scales onto the FEPS-FS showed that the percentage of FEPS-FS components successfully mapped ranged from 42% to 81%.

Conclusions:

Mapping five scales onto one that uses dichotomous scoring identified the degree of variation in measures and reduced the amount and quality of usable fidelity data. Identifying variations in fidelity measurement is a core function of a learning health system.

Get full access to this article

View all available purchase options and get full access to this article.

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 1031 - 1034
PubMed: 38769908

History

Received: 10 November 2023
Revision received: 9 February 2024
Accepted: 7 March 2024
Published online: 21 May 2024
Published in print: October 01, 2024

Keywords

  1. Learning health system
  2. psychotic disorders
  3. quality of health care
  4. process assessment health care
  5. program evaluation health services research

Authors

Details

Donald Addington, M.B.B.S., F.R.C.P.C. [email protected]
Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada (Addington); Westat, Rockville, Maryland (Marshall, Rosenblatt, Bond, Goldman); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman).
Tina Marshall, Ph.D.
Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada (Addington); Westat, Rockville, Maryland (Marshall, Rosenblatt, Bond, Goldman); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman).
Abram Rosenblatt, Ph.D.
Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada (Addington); Westat, Rockville, Maryland (Marshall, Rosenblatt, Bond, Goldman); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman).
Gary R. Bond, Ph.D.
Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada (Addington); Westat, Rockville, Maryland (Marshall, Rosenblatt, Bond, Goldman); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman).
Howard H. Goldman, M.D., Ph.D.
Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada (Addington); Westat, Rockville, Maryland (Marshall, Rosenblatt, Bond, Goldman); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman).

Notes

Send correspondence to Dr. Addington ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

This research was funded by NIMH (Early Psychosis Intervention Network [EPINET] grant U24-MH-120591).

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard

View Options

Get Access

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Purchase Options

Purchase this article to access the full text.

PPV Articles - Psychiatric Services

PPV Articles - Psychiatric Services

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Media

Figures

Other

Tables

Share

Share

Share article link

Share