Alvarez-Monjaras Mauricio, Lotmore Melissa, Razzaque Russell, Hopfenbeck Mark Steven, Pilling Stephen
Department of Clinical Educational and Health Psychology, University College London, London, United Kingdom.
North East London NHS Foundation Trust, London, United Kingdom.
Front Psychol. 2023 Feb 22;14:1076791. doi: 10.3389/fpsyg.2023.1076791. eCollection 2023.
Open dialogue (OD) is a multi-component therapeutic and organizational intervention for crisis and continuing community mental health care with a therapeutic focus on clients' social networks. The development and implementation of this model of care in the United Kingdom requires considerable contextual adaptations which need to be assessed to support effective implementation. Program fidelity-the extent to which core components of an intervention are delivered as intended by an intervention protocol at all levels-is crucial for these adaptations.
To develop, pilot, and implement a program fidelity measure for community mental health services providing OD and 'treatment as usual' (TAU) or standard NHS crisis and community care.
Measure structure, content, and scoring were developed and refined through an iterative process of discussion between the research team and OD experts. Measure was piloted in the 6 OD and 6 TAU services participating in a large-scale research program.
Initial data suggests that the Community Mental Health Team Fidelity Scale (COM-FIDE) is a potentially reliable and feasible measure of the fidelity of community mental health services and specific OD components of such services.
开放式对话（OD）是一种多成分的治疗性和组织性干预措施，用于危机干预及持续的社区精神卫生保健，其治疗重点关注服务对象的社会网络。在英国，这种护理模式的开发和实施需要进行大量的情境调整，而这些调整需要进行评估以支持有效实施。项目保真度——即干预的核心成分在各个层面上按照干预方案的预期进行实施的程度——对于这些调整至关重要。
为提供开放式对话以及“常规治疗”（TAU）或标准国民保健服务危机及社区护理的社区精神卫生服务开发、试行并实施一项项目保真度测量工具。
通过研究团队与开放式对话专家之间的反复讨论过程，对测量工具的结构、内容和评分进行了开发和完善。该测量工具在参与一项大规模研究项目的6个开放式对话服务机构和6个常规治疗服务机构中进行了试行。
初步数据表明，社区精神卫生团队保真度量表（COM - FIDE）是一种潜在可靠且可行的测量社区精神卫生服务保真度以及此类服务特定开放式对话成分的工具。
