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Family involvement practices for persons with psychotic disorders in community mental health centres – a cross-sectional fidelity-based study
- Source :
- BMC Psychiatry, Vol 21, Iss 1, Pp 1-11 (2021), BMC Psychiatry
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Background Family involvement for persons with psychotic disorders is supported by scientific evidence, as well as legal and ethical considerations, and recommended in clinical practice guidelines. This article reports a cross-sectional measurement of the level of implementation of such guidelines in fifteen community mental health centre units in Norway, and presents a novel fidelity scale to measure basic family involvement and support. The aim was to investigate current family involvement practices comprehensively, as a basis for targeted quality improvement. Methods We employed three fidelity scales, with 12–14 items, to measure family involvement practices. Items were scored from 1 to 5, where 1 equals no implementation and 5 equals full implementation. Data was analysed using descriptive statistics, a non-parametric test, and calculation of interrater reliability for the scales. Results The mean score was 2.33 on the fidelity scale measuring basic family involvement and support. Among patients with psychotic disorders, only 4% had received family psychoeducation. On the family psychoeducation fidelity assessment scale, measuring practice and content, the mean score was 2.78. Among the eight units who offered family psychoeducation, it was 4.34. On the general organizational index scale, measuring the organisation and implementation of family psychoeducation, the mean score was 1.78. Among the units who offered family psychoeducation, it was 2.46. As a measure of interrater reliability, the intra-class correlation coefficient was 0.99 for the basic family involvement and support scale, 0.93 for the family psychoeducation fidelity assessment scale and 0.96 for the general organizational index scale. Conclusions The implementation level of the national guidelines on family involvement for persons with psychotic disorders was generally poor. The quality of family psychoeducation was high, but few patients had received this evidence-based treatment. Our novel fidelity scale shows promising psychometric properties and may prove a useful tool to improve the quality of health services. There is a need to increase the implementation of family involvement practices in Norway, to reach a larger percentage of patients and relatives. Trial registration ClinicalTrials.gov Identifier NCT03869177. Registered 11.03.19.
- Subjects :
- Fidelity scale
Quality management
Community Mental Health Centers
media_common.quotation_subject
medicine.medical_treatment
RC435-571
Fidelity
Psychoeducation
medicine
Humans
Family involvement
Mental health services research
media_common
Psychiatry
Psychotic disorders
Descriptive statistics
Norway
Mental Disorders
Research
Family psychoeducation
Reproducibility of Results
Mental health
Test (assessment)
Psychiatry and Mental health
Inter-rater reliability
Cross-Sectional Studies
Scale (social sciences)
Schizophrenia
Implementation science
Psychology
Clinical psychology
Subjects
Details
- ISSN :
- 1471244X
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- BMC Psychiatry
- Accession number :
- edsair.doi.dedup.....0dd03312dae1d6bc9312cb4859a004d0