Alvarez Monjaras, Mauricio;
(2019)
Fidelity measurement for the implementation of social networks interventions in complex mental health.
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
This thesis examines the concept of programme fidelity as related to multi-component mental health interventions for severe mental health difficulties. Part 1, the literature review, explores existing measures in the field to identify the ‘best standards’ for programme fidelity assessment and an initial articulation of their typology. 31 papers are examined using a narrative synthesis approach. The content and psychometric properties of the 12 identified measures are described, identifying common practices, and highlighting neglected assessment areas. Findings highlight a scarcity of measures despite their increasing relevance to the field of implementation science. Further, although arguably consistent in design, assessment procedures, and scoring, there is great variability in the domains covered. Part 2, the empirical paper, describes the development, piloting and implementation of the Community Mental Health Fidelity Scale (CoMFideS), as part of the Open Dialogue: Development and Evaluation of a Social Network Intervention for Severe Mental Illness (ODDESSI) trial. The ODDESSI trial aims to assess whether Open Dialogue (OD) –when integrated within standard NHS mental health services for adults in crisis– improves the clinical and cost-effectiveness of traditional crisis and continuing community mental health care (CAU). CoMFideS was developed based on findings from the systematic review and drawing from expertise and existing measures in the field. CoMFideS was piloted in 6 OD and 6 CAU services. Findings suggests that CoMFideS may be a reliable and feasible programme fidelity measure of high-quality CAU and specific OD features. Part 3, the critical appraisal, provides some final thoughts about the research project, including a discussion on some methodological and theoretical considerations, as well as some reflections on the research process as a whole.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | Fidelity measurement for the implementation of social networks interventions in complex mental health |
| Event: | UCL |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © Mauricio Alvarez Monjaras and Stephen Pilling 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) Licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10083112 |
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