title: Comparing the Costs and Acceptability of Three Fidelity Assessment Methods for Assertive Community Treatment.
abstract: Successful implementation of evidence-based practices requires valid, yet practical fidelity monitoring. This study compared the costs and acceptability of three fidelity assessment methods: on-site, phone, and expert-scored self-report. Thirty-two randomly selected VA mental health intensive case management teams completed all fidelity assessments using a standardized scale and provided feedback on each. Personnel and travel costs across the three methods were compared for statistical differences. Both phone and expert-scored self-report methods demonstrated significantly lower costs than on-site assessments, even when excluding travel costs. However, participants preferred on-site assessments. Remote fidelity assessments hold promise in monitoring large scale program fidelity with limited resources.
authors.affiliation: HSR&D Center for Health Information and Communication, Richard L. Roudebush VAMC, 1481 W. 10th Street (11-H), Indianapolis, IN, 46202, USA. angela.rollins@va.gov.|Department of Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA. angela.rollins@va.gov.
authors.forename: Angela L
authors.identifier: http://orcid.org/0000-0002-6043-2855
authors.initials: AL
authors.lastname: Rollins
authors.affiliation: HSR&D Center for Health Information and Communication, Richard L. Roudebush VAMC, 1481 W. 10th Street (11-H), Indianapolis, IN, 46202, USA.
authors.forename: Marina
authors.initials: M
authors.lastname: Kukla
authors.affiliation: Department of Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
authors.forename: Michelle P
authors.initials: MP
authors.lastname: Salyers
authors.affiliation: Department of Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
authors.forename: John H
authors.initials: JH
authors.lastname: McGrew
authors.affiliation: HSR&D Center for Health Information and Communication, Richard L. Roudebush VAMC, 1481 W. 10th Street (11-H), Indianapolis, IN, 46202, USA.
authors.forename: Mindy E
authors.initials: ME
authors.lastname: Flanagan
authors.affiliation: College of Medicine, Penn State University, Hershey, PA, USA.
authors.forename: Doug L
authors.initials: DL
authors.lastname: Leslie
authors.affiliation: VA Northeast Program Evaluation Center, Office of Mental Health Operations, West Haven, CT, USA.
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Hunt
authors.affiliation: HSR&D Center for Health Information and Communication, Richard L. Roudebush VAMC, 1481 W. 10th Street (11-H), Indianapolis, IN, 46202, USA.|Department of Psychology, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
authors.forename: Alan B
authors.initials: AB
authors.lastname: McGuire
mesh_terms: D019090:Case Management; D003156:Community Mental Health Services / Q000458:organization & administration* / Q000592:standards; D003365:Costs and Cost Analysis; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D011787:Quality of Health Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D015203:Reproducibility of Results; D013689:Telephone / Q000191:economics; D014481:United States; D014493:United States Department of Veterans Affairs
keywords: Cost; Evidence-based practice; Fidelity; Implementation; Quality