A comparison of self-reported and phone-based fidelity for Assertive Community Treatment (ACT): A pilot study in Indiana

dc.contributor.authorMcGrew, John H.
dc.contributor.authorWhite, Laura M.
dc.contributor.authorStull, Laura G.
dc.contributor.authorWright-Berryman, Jennifer
dc.contributor.departmentPsychology, School of Science
dc.date.accessioned2025-05-30T07:52:49Z
dc.date.available2025-05-30T07:52:49Z
dc.date.issued2013
dc.description.abstractObjective: Monitoring fidelity of assertive community treatment (ACT) teams is costly. This study investigated the reliability and validity of a less burdensome approach: self-reported assessment. Methods: Phone-administered and self-reported assessments were compared for 16 ACT teams. Team leaders completed a self-report protocol providing information sufficient to score the Dartmouth Assertive Community Treatment Scale (DACTS). Two raters scored the DACTS using only self-reported information. Two additional raters conducted phone interviews with team leaders, verifying the self-reported data, and independently scored the DACTS. Results: DACTS total scores obtained via self-reported assessments were reliable and valid compared with phone-administered assessment on the basis of interrater consistency (intraclass correlation) and consensus (mean rating differences). Phone-administered assessments agreed with self-reported assessments within .25 scale points (out of 5 points) for 15 of 16 teams. Conclusions: A self-report approach could address concerns regarding costs of monitoring as part of a stepped approach to quality assurance.
dc.eprint.versionAuthor's manuscript
dc.identifier.citationMcGrew JH, White LM, Stull LG, Wright-Berryman J. A comparison of self-reported and phone-administered methods of ACT fidelity assessment: a pilot study in Indiana. Psychiatr Serv. 2013;64(3):272-276. doi:10.1176/appi.ps.001252012
dc.identifier.urihttps://hdl.handle.net/1805/48473
dc.language.isoen_US
dc.publisherAmerican Psychiatric Association
dc.relation.isversionof10.1176/appi.ps.001252012
dc.relation.journalPsychiatric Services
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectMental disorders
dc.subjectCommunity mental health services
dc.subjectPatient care team
dc.titleA comparison of self-reported and phone-based fidelity for Assertive Community Treatment (ACT): A pilot study in Indiana
dc.typeArticle
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