Department of Psychiatry and Psychotherapy, Charité University Medicine Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Brandenburg Medical School Theodor Fontane, Department of Psychiatry and Psychotherapy, Immanuel Klinik Rüdersdorf, Rüdersdorf bei Berlin, Germany.
BMC Psychiatry. 2018 Sep 3;18(1):278. doi: 10.1186/s12888-018-1861-1.
Flexible and integrative treatment (FIT) models are rather novel in German mental health care. This study aimed at identifying and evaluating empirically based, practicable, and quantifiable program components that describe the specific treatment structures and processes of German FIT models.
A multi-step, iterative research process, based on Grounded Theory Methodology (GTM), was used to identify and operationalise components. A complex algorithm and expert-interviews were applied to quantify the relative weight of each component and to develop a sum score. Face and content validity were examined and internal consistency was tested by Cronbach's α coefficient.
Ten of eleven FIT components could be operationalised, quantified and united in the total score. All operationalised components showed sufficient face and content validity and eight components had a good reliability.
The components are a first step in the process of operationally defining German FIT models. They considerably overlap with various critical ingredients of international FIT models and may serve as a theoretical basis for constructing fidelity tools and research guides to enable process and outcome evaluation of German FIT models.
灵活综合治疗（FIT）模式在德国精神卫生保健领域较为新颖。本研究旨在确定和评估基于经验的、可行的和可量化的方案组成部分，这些组成部分描述了德国 FIT 模式的具体治疗结构和过程。
采用基于扎根理论方法（GTM）的多步骤迭代研究过程来识别和操作组件。应用复杂算法和专家访谈来量化每个组件的相对权重，并制定总和得分。通过 Cronbach 的 α 系数检验表面效度和内容效度，检验内部一致性。
可以对十一个 FIT 组成部分中的十个进行操作化、量化并整合为总分。所有操作化的组成部分都具有足够的表面效度和内容效度，八个组成部分具有良好的可靠性。
这些组成部分是对德国 FIT 模型进行操作定义的第一步。它们与国际 FIT 模型的各种关键要素有很大的重叠，可能为构建保真工具和研究指南提供理论基础，从而实现德国 FIT 模型的过程和结果评估。
