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A Meta-Evaluation: The Role of Treatment Fidelity within Psychosocial Interventions during the Last Decade

Prowse, Phuong-Tu and Nagel, Tricia M. (2015). A Meta-Evaluation: The Role of Treatment Fidelity within Psychosocial Interventions during the Last Decade. African Journal of Psychiatry,18(2 - Article No. 251).

Document type: Journal Article
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IRMA ID 81144320xPUB74
Title A Meta-Evaluation: The Role of Treatment Fidelity within Psychosocial Interventions during the Last Decade
Author Prowse, Phuong-Tu
Nagel, Tricia M.
Journal Name African Journal of Psychiatry
Publication Date 2015
Volume Number 18
Issue Number 2 - Article No. 251
ISSN 1994-8220   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84946771951
Total Pages 7
Place of Publication South Africa
Publisher In House Publications
HERDC Category C1 - Journal Article (DIISR)
Abstract Treatment fidelity is widely accepted as a critical component of successful psychological program implementation and treatment integrity. The current study is a critical interpretive synthesis of the review and evaluation literature on Treatment fidelity in psychosocial interventions in the last decade with an aim to explore the emphasis placed by researchers on: i) definitions of treatment fidelity; ii) different components of treatment fidelity; and iii) existing strategies to enhance treatment fidelity in clinical practice. This encompasses ongoing clinician training, mentoring and supervision; provision of robust, cost efficient and portable suite of complimentary-tools. The results of the metaevaluation highlighted researchers attached varying importance to strategies to enhance treatment fidelity in clinical practice. Several recommendations for treatment fidelity in clinical practice including: development of standardised definitions of treatment fidelity within an overarching treatment fidelity Model, incorporating measurement of clinician and client fidelity (through use of competence and adherence scales), and support for investment in professional development for clinicians. Areas of focus for future research include further examination of the linkage between clinician fidelity to client outcomes, and exploration of the value of measuring treatment fidelity overtime.
Keywords Treatment fidelity
Meta-evaluation
Adherence
Competence
Training
Scales
Professional development
DOI http://dx.doi.org/10.4172/Psychiatry.1000251   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes Copyright: © 2015 Prowse PT, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited


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