Department of Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada (Addington); Westat, Rockville, Maryland (Marshall, Rosenblatt, Bond, Goldman); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman).
Psychiatr Serv. 2024 Oct 1;75(10):1031-1034. doi: 10.1176/appi.ps.20230556. Epub 2024 May 21.
This study investigated variations in the measurement of fidelity to coordinated specialty care (CSC) within the Early Psychosis Intervention Network (EPINET), a learning health system that consists of 101 CSC programs within eight hubs. The study investigated the degree to which five fidelity scales could be mapped onto a standard scale.
The investigators identified six fidelity scales in use by EPINET participants; examined their item content, scoring, and data sources; and mapped five scales onto the First Episode Psychosis Services Fidelity Scale (FEPS-FS), which is the most widely used scale.
Mapping five fidelity scales onto the FEPS-FS showed that the percentage of FEPS-FS components successfully mapped ranged from 42% to 81%.
Mapping five scales onto one that uses dichotomous scoring identified the degree of variation in measures and reduced the amount and quality of usable fidelity data. Identifying variations in fidelity measurement is a core function of a learning health system.
本研究调查了早期精神病干预网络（EPINET）内协调专业护理（CSC）的测量值的变化，该学习型健康系统由八个中心的 101 个 CSC 项目组成。本研究调查了将五个保真度量表映射到标准量表的程度。
研究人员确定了 EPINET 参与者使用的六个保真度量表；检查了他们的项目内容、评分和数据源；并将五个量表映射到最广泛使用的量表，即首发精神病服务保真度量表（FEPS-FS）。
将五个保真度量表映射到 FEPS-FS 上，表明成功映射的 FEPS-FS 组件的百分比从 42%到 81%不等。
将五个量表映射到使用二分评分的量表上，确定了测量值的变化程度，并减少了可用保真度数据的数量和质量。识别保真度测量的变化是学习型健康系统的核心功能。
