Department of Public Mental Health, National Institute of Mental Health, Klecany, Czechia.
Department of Psychology, Charles University, Prague, Czechia.
Early Interv Psychiatry. 2023 Jun;17(6):573-580. doi: 10.1111/eip.13350. Epub 2022 Aug 31.
The aim of the study was to evaluate fidelity in first episode psychosis (FEP) teams in Czechia and to gage the feasibility and utility of the process in a mental health system that is undergoing a transformation.
Fidelity assessment was conducted using The First Episode Psychosis Services Fidelity Scale (FEPS-FS). Fidelity assessment was based on a review of data abstracted from the health records of active clients, program documents, administrative data, and interviews with members of staff. The mean scores were compared across the teams. Feasibility and utility were assessed by program response to their fidelity results.
Three FEP teams were involved in the fidelity assessment. Across the 35 items, the mean fidelity score ranged from 2.5 to 3.1. Across the FEP teams, the percentage of the 35 items rated as 4 or 5 (satisfactory or exemplary) ranged from 34.3% to 51.4%.
This study provided an opportunity to implement FEPS-FS and assess fidelity in FEP teams in Czechia. The fidelity assessment also provided a baseline for measuring change.
本研究旨在评估捷克第一重性精神病（FEP）团队的保真度，并评估在经历转型的精神卫生系统中该流程的可行性和实用性。
使用首发精神病服务保真度量表（FEPS-FS）进行保真度评估。保真度评估是基于对活跃客户的健康记录、项目文件、行政数据的审查，以及对工作人员的访谈。对各团队的平均得分进行了比较。通过对其保真度结果的方案响应来评估可行性和实用性。
有 3 个 FEP 团队参与了保真度评估。在 35 个项目中，平均保真度得分在 2.5 到 3.1 之间。在 3 个 FEP 团队中，35 个项目中有 4 或 5 分（满意或优秀）的比例在 34.3%到 51.4%之间。
本研究为在捷克实施 FEPS-FS 和评估 FEP 团队的保真度提供了机会。保真度评估还为衡量变化提供了基准。
