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Development of a scale to measure fidelity to manualized group-based cognitive behavioural interventions for people with intellectual disabilities

Jahoda, Andrew, Willner, Paul, Rose, John, Kroese, Biza Stenfert, Lammie, Claire, Shead, Jennifer, Woodgate, Christopher, Gillespie, David, Townson, Julia, Felce, David John, Stimpson, Aimee, Rose, Nikki, MacMahon, Pamela, Nuttall, Jacqueline and Hood, Kerenza 2013. Development of a scale to measure fidelity to manualized group-based cognitive behavioural interventions for people with intellectual disabilities. Research in Developmental Disabilities 34 (11) , pp. 4210-4221. 10.1016/j.ridd.2013.09.006

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The context for the present study was a cluster-randomized controlled trial of a group-based anger-management intervention, delivered by day-service staff. We aimed to develop a scale to measure the fidelity of manualized cognitive-behavioural therapy (CBT) delivered to adults with intellectual disabilities in group-based settings. A 30-item monitoring instrument (the MAnualized Group Intervention Check: MAGIC) was adapted from an existing fidelity-monitor instrument for individual CBT. Two sessions for 27 groups were observed by pairs of monitors who had no other contact with the intervention. 16 observers participated, in 15 unique pairings. Observers recorded high levels of inter-rater reliability and the scale had good internal consistency. Fidelity ratings predicted two key outcomes of the intervention, and were themselves predicted by the therapists' clinical supervisors.

Item Type: Article
Status: Published
Schools: MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: R Medicine > R Medicine (General)
R Medicine > RZ Other systems of medicine
Uncontrolled Keywords: Cognitive-behavioural therapy; Fidelity; Group; Intellectual disability; Manual;Adult; Anger; Checklist; Clinical Protocols; Cognitive Therapy; Guideline Adherence; Humans; Intellectual Disability; Psychotherapy, Group; Treatment Outcome;adult; anger; article; behavior; clinical assessment; clinical effectiveness; cognitive therapy; controlled study; fidelity; human; intellectual impairment; intervention study; major clinical study; Manualized Group Intervention Check; named inventories, questionnaires and rating scales; outcome assessment; patient monitoring; process development; randomized controlled trial; scoring system
Publisher: Elsevier
ISSN: 0891-4222
Last Modified: 23 Dec 2017 20:33

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