Centre for Addiction and Mental Health, Toronto (Durbin, Selick); Department of Psychiatry, University of Toronto, Toronto (Durbin); Haliburton Kawartha Pine Ridge Branch, Canadian Mental Health Association, Peterborough, Ontario (Langill); Psychiatry Section, Clinical Sciences, Northern Ontario School of Medicine, Thunder Bay, Ontario (Cheng); Department of Psychiatry and Behavioural Neuroscience, McMaster University, Hamilton, Ontario (Archie); Elgin Branch, Canadian Mental Health Association, St. Thomas, Ontario (Butt); Department of Psychiatry, University of Calgary, Calgary, Alberta (Addington).
Psychiatr Serv. 2019 Sep 1;70(9):840-844. doi: 10.1176/appi.ps.201800581. Epub 2019 Jun 4.
The First Episode Psychosis Services Fidelity Scale (FEPS-FS) is a validated measure of program delivery in relation to international standards. This study assessed fidelity in Ontario programs and the utility of the FEPS-FS for program improvement.
Assessments were conducted in a volunteer sample of nine early psychosis intervention (EPI) programs. Thirty components of care were each rated on a 5-point scale; a rating of 4 indicates satisfactory performance. Trained assessor teams conducted site visits, and ratings were made by consensus.
Program mean fidelity ratings ranged from 3.1 to 4.4 and exceeded 4 in five programs. Across the programs, item mean fidelity ratings ranged from 2.1 to 5 and exceeded 4 for 14 of 30 items.
The FEPS-FS captured variation in program implementation and provided a baseline for measuring change. Additions to the scale are planned to address components of the Ontario EPI standards not covered by the FEPS-FS.
首发精神病服务保真度量表（FEPS-FS）是一种经验证的衡量项目实施与国际标准符合程度的工具。本研究评估了安大略省项目的保真度，以及 FEPS-FS 对项目改进的效用。
在自愿参与的 9 个早期精神病干预（EPI）项目中进行评估。30 项护理内容的每一项都按 5 分制进行评分；4 分表示表现令人满意。经过培训的评估团队进行现场访问，并通过共识进行评分。
项目平均保真度评分范围为 3.1 至 4.4，有 5 个项目超过 4 分。在所有项目中，各项目平均保真度评分范围为 2.1 至 5，有 30 项中的 14 项超过 4 分。
FEPS-FS 捕捉到项目实施的变化，并为衡量变化提供了基线。计划对量表进行补充，以涵盖 FEPS-FS 未涵盖的安大略省 EPI 标准的组成部分。
