title: Factor structure of therapist fidelity to individual resiliency training in the Recovery After an Initial Schizophrenia Episode Early Treatment Program.
abstract: 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.
  
  
  
  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 supported a 2-factor structure of the IRT fidelity scale. Correlations between clinician years of education and fidelity ratings were statistically significant.
authors.affiliation: Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Julia
authors.initials: J
authors.lastname: Browne
authors.affiliation: Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Alexandra N
authors.initials: AN
authors.lastname: Edwards
authors.affiliation: Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.|School of Psychology, Australian Catholic University, Melbourne, Victoria, Australia.
authors.forename: David L
authors.initials: DL
authors.lastname: Penn
authors.affiliation: Minnesota Center for Chemical and Mental Health, School of Social Work, University of Minnesota, St. Paul, Minnesota.
authors.forename: Piper S
authors.initials: PS
authors.lastname: Meyer-Kalos
authors.affiliation: Center for Psychiatric Rehabilitation, Departments of Occupational Therapy, Psychology, & Psychiatry, Boston University, Boston, Massachusetts.
authors.forename: Jennifer D
authors.initials: JD
authors.lastname: Gottlieb
authors.affiliation: Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Paul
authors.initials: P
authors.lastname: Julian
authors.affiliation: Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Kelsey
authors.initials: K
authors.lastname: Ludwig
authors.affiliation: Center for Psychiatric Rehabilitation, Departments of Occupational Therapy, Psychology, & Psychiatry, Boston University, Boston, Massachusetts.
authors.forename: Kim T
authors.initials: KT
authors.lastname: Mueser
authors.affiliation: Division of Psychiatry Research, Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, New York, New York.
authors.forename: John M
authors.initials: JM
authors.lastname: Kane
mesh_terms: D061345:Early Medical Intervention / Q000706:statistics & numerical data; D005163:Factor Analysis, Statistical; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic; D011613:Psychotherapy; D011618:Psychotic Disorders / Q000150:complications / Q000628:therapy; D055500:Resilience, Psychological; D012559:Schizophrenia / Q000150:complications / Q000628:therapy; D012565:Schizophrenic Psychology; D055815:Young Adult
keywords: adherence; competence; fidelity; psychosis; psychosocial treatment