title: The development of the DSM-5 Cultural Formulation Interview-Fidelity Instrument (CFI-FI): a pilot study.
abstract: This paper reports on the development of the Cultural Formulation Interview-Fidelity Instrument (CFI-FI) which assesses clinician fidelity to the DSM-5 Cultural Formulation Interview (CFI). The CFI consists of a manualized set of standard questions that can precede every psychiatric evaluation. It is based on the DSM-IV Outline for Cultural Formulation, the cross-cultural assessment with the most evidence in psychiatric training. Using the New York sample of the DSM-5 CFI field trial, two independent raters created and finalized items for the CFI-FI based on six audio-taped and transcribed interviews. The raters then used the final CFI-FI to rate the remaining 23 interviews. Inter-rater reliability ranged from .73 to 1 for adherence items and .52 to 1 for competence items. The development of the CFI-FI can help researchers and administrators determine whether the CFI has been implemented with fidelity, permitting future intervention research.
authors.forename: Neil Krishan
authors.initials: NK
authors.lastname: Aggarwal
authors.forename: Andrew
authors.initials: A
authors.lastname: Glass
authors.forename: Amilcar
authors.initials: A
authors.lastname: Tirado
authors.forename: Marit
authors.initials: M
authors.lastname: Boiler
authors.forename: Andel
authors.initials: A
authors.lastname: Nicasio
authors.forename: Margarita
authors.initials: M
authors.lastname: Alegría
authors.forename: Melanie
authors.initials: M
authors.lastname: Wall
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
mesh_terms: D000328:Adult; D000368:Aged; D054521:Cultural Competency; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000208:ethnology*; D008875:Middle Aged; D009518:New York; D010865:Pilot Projects; D015203:Reproducibility of Results