Division of Mental Health Services, Akershus University Hospital, Lørenskog, Norway.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Adm Policy Ment Health. 2020 Nov;47(6):901-910. doi: 10.1007/s10488-020-01019-0.
Mental health programs need an instrument to monitor adherence to evidence-based physical health care for people with serious mental illness. The paper describes the Physical Health Care Fidelity Scale and study interrater reliability, frequency distribution, sensitivity to change and feasibility. Four fidelity assessments were conducted over 18 months at 13 sites randomized to implementation support for evidence-based physical health care. We found good to excellent interrater reliability, adequate sensitivity for change, good feasibility and wide variability in fidelity across sites after 18 months of implementation. Programs were more successful in establishing Policies stating physical health care standards than in implementing these Policies. The Physical Health Care Fidelity Scale measures and guides implementation of evidence-based physical health care reliably.Trial registration: ClinicalTrials.gov Identifier: NCT03271242.
心理健康项目需要一种工具来监测严重精神疾病患者对基于证据的身体健康护理的依从性。本文描述了身体健康护理保真度量表及其研究的评分者间信度、频率分布、变化敏感性和可行性。在 13 个随机分配到基于证据的身体健康护理实施支持的地点，进行了 4 次保真度评估，历时 18 个月。我们发现，在实施 18 个月后，评分者间信度良好到优秀，对变化的敏感性足够，可行性良好，并且在各个地点的保真度差异很大。在制定规定身体健康护理标准的政策方面，项目比实施这些政策更成功。身体健康护理保真度量表可靠地衡量和指导基于证据的身体健康护理的实施。试验注册：ClinicalTrials.gov 标识符：NCT03271242。
