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Browsing by Author "Leslie, Doug L."
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Item Comparing the Costs and Acceptability of Three Fidelity Assessment Methods for Assertive Community Treatment(Springer, 2017-09) Rollins, Angela L.; Kukla, Marina; Salyers, Michelle P.; McGrew, John H.; Flanagan, Mindy E.; Leslie, Doug L.; Hunt, Marcia G.; Department of Psychology, School of ScienceSuccessful implementation of evidence-based practices requires valid, yet practical fidelity monitoring. This study compared the costs and acceptability of three fidelity assessment methods: on-site, phone, and expert-scored self-report. Thirty-two randomly selected VA mental health intensive case management teams completed all fidelity assessments using a standardized scale and provided feedback on each. Personnel and travel costs across the three methods were compared for statistical differences. Both phone and expert-scored self-report methods demonstrated significantly lower costs than on-site assessments, even when excluding travel costs. However, participants preferred on-site assessments. Remote fidelity assessments hold promise in monitoring large scale program fidelity with limited resources.Item Comparison of Assertive Community Treatment Fidelity Assessment Methods: Reliability and Validity(Springer, 2016-03) Rollins, Angela L.; McGrew, John H.; Kukla, Marina; McGuire, Alan B.; Flanagan, Mindy E.; Hunt, Marcia G.; Leslie, Doug L.; Collins, Linda A.; Wright-Berryman, Jennifer L.; Hicks, Lia J.; Salyers, Michelle P.; Department of Psychology, School of ScienceAssertive community treatment is known for improving consumer outcomes, but is difficult to implement. On-site fidelity measurement can help ensure model adherence, but is costly in large systems. This study compared reliability and validity of three methods of fidelity assessment (on-site, phone-administered, and expert-scored self-report) using a stratified random sample of 32 mental health intensive case management teams from the Department of Veterans Affairs. Overall, phone, and to a lesser extent, expert-scored self-report fidelity assessments compared favorably to on-site methods in inter-rater reliability and concurrent validity. If used appropriately, these alternative protocols hold promise in monitoring large-scale program fidelity with limited resources.