Use of clients' self-reports to monitor Project Liberty clinicians' fidelity to a cognitive-behavioral intervention.
OBJECTIVE
This study examined outcomes associated with clinicians' fidelity to key elements of a cognitive-behavioral treatment intervention developed for Project Liberty's enhanced services counseling program.


METHODS
In telephone interviews 60 individuals reported how often their clinicians provided six components considered central to the intervention by the intervention developers. Respondents received services at sites where some (25 to 50 percent) or all clinicians had received training in the intervention.


RESULTS
Compared with respondents who received services where only some clinicians had received training (N=19), those who received services where all clinicians had received training (N=41) were significantly more likely to report that their clinicians applied techniques central to the intervention (p<.01). Additionally, those who received services from sites where all clinicians were trained were significantly more likely to report that they had been given homework (p<.05).


CONCLUSIONS
Brief questions to service recipients are a useful and cost-effective way to monitor intervention fidelity.
Essock
Susan M
SM
Department of Psychiatry, Division of Health Services Research, Mount Sinai School of Medicine, Box 1230, 1 Gustave L. Levy Place, New York, NY 10029-6574, USA. susan.essock@mssm.edu
Covell
Nancy H
NH
Shear
Katherine M
KM
Donahue
Sheila A
SA
Felton
Chip J
CJ
D000223:Adaptation, Psychological; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000193:education; D003156:Community Mental Health Services; D003419:Crisis Intervention; D005260:Female; D005500:Follow-Up Studies; D005610:Freedom; D019983:Guideline Adherence; D006801:Humans; D007318:Inservice Training; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009519:New York City; D017060:Patient Satisfaction; D011214:Practice, Psychological; D015397:Program Evaluation; D011785:Quality Assurance, Health Care; D012650:Self Disclosure; D047851:September 11 Terrorist Attacks / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*