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Family interventions in psychosis: a scale to measure therapist adherence
Authors:Juliana Onwumere  Elizabeth Kuipers  Catherine Gamble  Suzanne Jolley  Ben Smith  Rebecca Rollinson  Craig Steel  David Fowler  Paul Bebbington  Graham Dunn  Daniel Freeman  Philippa Garety
Institution:Institute of Psychiatry at King's College London, UK.;
South West London and St George's Mental Health Trust, UK.;
Department of Mental Health Sciences, University College London, UK.;
University of East Anglia, UK.;
University of Reading, UK.;
University of Manchester, UK.
Abstract:The efficacy of family interventions in psychosis is well documented. UK and USA schizophrenia treatment guidelines advocate the practice of family interventions within routine clinical services. However, less attention has been paid to the study of treatment fidelity and the tools used in its assessment. This study reports the inter-rater reliability of a new scale: Family Intervention in Psychosis-Adherence Scale (FIPAS). This measure is designed to assess therapist adherence to the Kuipers et al . (2002) family intervention in psychosis treatment manual. Reliability ratings were based on a sample of thirteen audiotapes drawn from a randomized controlled trial of family intervention. The results indicated that the majority of items of the FIPAS had acceptable levels of inter-rater reliability. The findings are discussed in terms of their implications for the training and monitoring of the effectiveness of practitioners for family interventions in psychosis.
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