TY - JOUR

T1 - Fidelity to Protocol and Therapy Quality in the Beatlt Study

AU - Dagnan, Dave

AU - BeatIt Trial Team

PY - 2017/8/30

Y1 - 2017/8/30

N2 - Aims: The paper will present an overview of the fidelity approach in the BeatIt study and describe the characteristics of therapists and supervision, and the development of a measure to assess the “quality” of therapy delivery that is designed as a non-specific therapy process measure for structured and manualised therapies. Methods: Therapist demographic and supervision data were collected. A nonspecifictherapy process measure was developed based on previously available fidelity measures.Therapists in both arms recorded two therapy sessions that were rated by independent researchassociates (144 fidelity recordings were available for analysis), 45 recordings were also rated by afurther research associate to determine inter-rater reliability. Results: The data indicated that the therapists were predominantly nurses, had no accredited therapy training and received a mean of one supervision for every 1.8 therapy sessions. Therapist in both arms provided a high quality of therapy and closely followed the manuals. The scale had good internal reliability (alpha = 0.76). Further detailed data for the psychometric properties of the non-specific therapy process scale will be presented. Conclusions: The fidelity data shows that the core protocol for the recruitment of therapistsand implementation of supervision was followed and therapists provided high quality of therapy that was consistent with the manuals. The non-specific therapy process measure will support the development of therapy process research for people with intellectual disabilities.

AB - Aims: The paper will present an overview of the fidelity approach in the BeatIt study and describe the characteristics of therapists and supervision, and the development of a measure to assess the “quality” of therapy delivery that is designed as a non-specific therapy process measure for structured and manualised therapies. Methods: Therapist demographic and supervision data were collected. A nonspecifictherapy process measure was developed based on previously available fidelity measures.Therapists in both arms recorded two therapy sessions that were rated by independent researchassociates (144 fidelity recordings were available for analysis), 45 recordings were also rated by afurther research associate to determine inter-rater reliability. Results: The data indicated that the therapists were predominantly nurses, had no accredited therapy training and received a mean of one supervision for every 1.8 therapy sessions. Therapist in both arms provided a high quality of therapy and closely followed the manuals. The scale had good internal reliability (alpha = 0.76). Further detailed data for the psychometric properties of the non-specific therapy process scale will be presented. Conclusions: The fidelity data shows that the core protocol for the recruitment of therapistsand implementation of supervision was followed and therapists provided high quality of therapy that was consistent with the manuals. The non-specific therapy process measure will support the development of therapy process research for people with intellectual disabilities.

U2 - 10.1080/19315864.2017.1368259

DO - 10.1080/19315864.2017.1368259

M3 - Meeting abstract

VL - 10

SP - 153

EP - 154

JO - Journal of Mental Health Research in Intellectual Disabilities

JF - Journal of Mental Health Research in Intellectual Disabilities

SN - 1931-5864

IS - Suppl. 1

ER -