University of California, Berkeley.
University of California, Berkeley; RAND Corporation.
Behav Ther. 2021 Jul;52(4):932-944. doi: 10.1016/j.beth.2020.11.005. Epub 2020 Dec 17.
Patient memory for the contents of treatment is staggeringly poor, and poor memory for treatment is associated with worse treatment outcome. Accordingly, the Memory Support Intervention was developed to improve patient memory for treatment as an adjunct to treatment as usual. As plans to disseminate the Memory Support Intervention are developed, it is important to have efficient, accurate methods of measuring fidelity to the intervention. However, the existing method of assessing fidelity to the Memory Support Intervention, the Memory Support Rating Scale (MSRS), is burdensome and requires trained independent-raters to spend multiple hours reviewing session recordings, which is not feasible in many routine mental health care settings. Hence, a provider-rated measure of fidelity to the MSI has been developed. The goal of this study is to examine the reliability and validity of scores on this measure-the Memory Support Treatment Provider Checklist. A sample of Memory Support Treatment Provider Checklists (N = 319) were completed by providers (N = 8) treating adults with depression (N = 84). Three metrics of the Memory Support Treatment Provider Checklist were evaluated: (a) the internal consistency and structural validity using confirmatory factor analysis based on prior research on the MSRS and the Memory Support Intervention, (b) construct validity, and (c) predictive validity. Results indicate that the Memory Support Treatment Provider Checklist yields reliable and valid scores of fidelity to the Memory Support Intervention. Overall, this checklist offers a viable, brief method of evaluating fidelity to the Memory Support Intervention.
患者对治疗内容的记忆惊人地差,而对治疗的记忆差与治疗效果差有关。因此,开发了记忆支持干预措施,以改善患者对治疗的记忆,作为治疗的辅助手段。随着传播记忆支持干预措施的计划的制定,拥有高效、准确的方法来衡量干预措施的保真度非常重要。然而,评估记忆支持干预措施保真度的现有方法,即记忆支持评定量表(MSRS),繁琐且需要经过培训的独立评估者花费多个小时来审查会议记录,这在许多常规心理健康护理环境中是不可行的。因此,已经开发了一种针对 MSI 的提供者评定保真度的措施。本研究的目的是检验该措施——记忆支持治疗提供者清单的信度和效度。由 8 名治疗抑郁症患者的提供者(N = 84)完成了 319 份记忆支持治疗提供者清单(N = 319)。评估了记忆支持治疗提供者清单的三个指标:(a)基于 MSRS 和记忆支持干预的先前研究的验证性因素分析,评估内部一致性和结构有效性,(b)构念有效性,和(c)预测有效性。结果表明,记忆支持治疗提供者清单提供了可靠和有效的记忆支持干预措施保真度评分。总体而言,该清单提供了一种可行的、简短的评估记忆支持干预措施保真度的方法。