Factor structure of therapist fidelity to individual resiliency training in the Recovery After an Initial Schizophrenia Episode Early Treatment Program

Julia Browne, Alexandra N. Edwards, David L. Penn, Piper S. Meyer-Kalos, Jennifer D. Gottlieb, Paul Julian, Kelsey Ludwig, Kim T. Mueser, John M. Kane

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Evidence-based approaches and early intervention have improved the long-term prognosis of individuals with schizophrenia. However, little is known about the therapeutic processes involved in individual therapy in first-episode psychosis. A comprehensive psychosocial/psychiatric programme for this population, NAVIGATE, includes an individual therapy component, individual resiliency training (IRT). Fidelity of clinicians’ adherence to the IRT protocol has been collected to ensure proper implementation of this manual-based intervention. These data can provide insight into the elements of the therapeutic process in this intervention. Materials and Methods: To achieve this goal, we first examined the factor structure of the IRT fidelity scale with exploratory factor analysis. Second, we explored the relationships among the IRT fidelity ratings with clinician years of experience and years of education, as well as client's baseline symptom severity and duration of untreated psychosis. Results and Conclusions: Results supported a 2-factor structure of the IRT fidelity scale. Correlations between clinician years of education and fidelity ratings were statistically significant.

Original languageEnglish (US)
Pages (from-to)1052-1063
Number of pages12
JournalEarly Intervention in Psychiatry
Volume12
Issue number6
DOIs
StatePublished - Dec 2018

Bibliographical note

Funding Information:
We would like to thank the RAISE-ETP Executive Committee: Delbert Robinson, Nina Schooler, Jean Addington, Christoph Correll, Sue Estroff, Robert Rosenheck, Mary Brunette, Jim Robinson, and Patricia Marcy. In addition, we would like to thank Susan Gingerich for her valuable work with the NAVIGATE programme. Finally, we would like to thank all clients, clinicians, and research assistants at the participating sites for their significant effort and contribution to RAISE-ETP. J.B. and A.E. conducted all analyses and certify the accuracy of the results.

Publisher Copyright:
© 2016 John Wiley & Sons Australia, Ltd

Keywords

  • adherence
  • competence
  • fidelity
  • psychosis
  • psychosocial treatment

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