The Family Psychoeducation Fidelity Scale: Psychometric Properties
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ORIGINAL PAPER
The Family Psychoeducation Fidelity Scale: Psychometric Properties I. Joa1,2 · J. O. Johannessen1,2 · K. S. Heiervang3 · A. A. Sviland1 · H. A. Nordin1 · M. Landers4 · T. Ruud3,5 · R. E. Drake4 · G. R. Bond4
© The Author(s) 2020
Abstract This study examined psychometric properties and feasibility of the Family Psychoeducation (FPE) Fidelity Scale. Fidelity assessors conducted reviews using the FPE fidelity scale four times over 18 months at five sites in Norway. After completing fidelity reviews, assessors rated feasibility of the fidelity review process. The FPE fidelity scale showed excellent interrater reliability (.99), interrater item agreement (88%), and internal consistency (mean = .84 across four time points). By the 18-month follow-up, all five sites increased fidelity and three reached adequate fidelity. Fidelity assessors rated feasibility as excellent. The FPE fidelity scale has good psychometric properties and is feasible for evaluating the implementation of FPE programs. Trial registration ClinicalTrials.gov Identifier: NCT03271242. Keywords FPE fidelity scale · Psychometric properties · Family psychoeducation · Psychosis
Background About one-third of the total population experiences a mental disorder during their lifetime. Therefore, a large proportion of the population have family members with mental health problems. Families have an important role in the caring for the ill individual (Awad and Voruganti 2008). The development of evidence-based interventions to support family involvement for people with severe mental illness has been a central feature of community-based mental health (Lobban et al. 2013; McWilliams et al. 2010; Yesufu-Udechuku Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10488-020-01040-3) contains supplementary material, which is available to authorized users. * I. Joa [email protected] 1
TIPS – Network for Clinical Research in Psychosis, Stavanger University Hospital, Post box 8100, 4068 Stavanger, Norway
2
Network for Medical Sciences, Faculty of Health, University of Stavanger, Stavanger, Norway
3
Division of Mental Health Services, Akershus University Hospital, Nordbyhagen, Norway
4
Westat, USA
5
Institute for Clinical Medicine, University of Oslo, Oslo, Norway
et al. 2015). Rigorous research has demonstrated the value of involving the family early in treatment (Cabral and Chaves 2010; Day and Petrakis 2017; Jeppesen et al. 2005; McFarlane 2016; McWilliams et al. 2010; Nilsen et al. 2016; Nilsen et al. 2014; Pharoah et al. 2010). A Cochrane review concluded that family psychoeducation (FPE) reduced relapses and readmissions over a 12-month period for the clients with a psychotic disorder (Pharoah et al. 2010). The U.S. National Implementing Evidence-Based Practices Project included FPE as one of five core practices for routine mental health settings (Drake et al. 2001; McHugo et al. 2007). FPE comprises a number of overlapping intervention models to provide families with education, skills
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