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dc.contributor.authorRuud, Torleif
dc.contributor.authorDrake, Robert E.
dc.contributor.authorSaltyte Benth, Jurate
dc.contributor.authorDrivenes, Karin
dc.contributor.authorHartveit, Miriam
dc.contributor.authorHeiervang, Kristin Sverdvik
dc.contributor.authorHøifødt, Tordis Sørensen
dc.contributor.authorHaaland, Vegard Øksendal
dc.contributor.authorJoa, Inge
dc.contributor.authorJohannessen, Jan Olav
dc.contributor.authorJohansen, Karl Johan
dc.contributor.authorStensrud, Bjørn
dc.contributor.authorHaugom, Espen Woldsengen
dc.contributor.authorClausen, Hanne Kristin
dc.contributor.authorBiringer, Eva Aaker
dc.contributor.authorBond, Gary R.
dc.description.abstractPurpose Service providers need effective strategies to implement evidence-based practices (EBPs) with high fidelity. This study aimed to evaluate an intensive implementation support strategy to increase fidelity to EBP standards in treatment of patients with psychosis. Methods The study used a cluster randomized design with pairwise assignment of practices within each of 39 Norwegian mental health clinics. Each site chose two of four practices for implementation: physical health care, antipsychotic medication management, family psychoeducation, illness management and recovery. One practice was assigned to the experimental condition (toolkits, clinical training, implementation facilitation, data-based feedback) and the other to the control condition (manual only). The outcome measure was fidelity to the EBP, measured at baseline and after 6, 12, and 18 months, analyzed using linear mixed models and effect sizes. Results The increase in fidelity scores (within a range 1–5) from baseline to 18 months was significantly greater for experimental sites than for control sites for the combined four practices, with mean difference in change of 0.86 with 95% CI (0.21; 1.50), p = 0.009). Effect sizes for increase in group difference of mean fidelity scores were 2.24 for illness management and recovery, 0.68 for physical health care, 0.71 for antipsychotic medication management, and 0.27 for family psychoeducation. Most improvements occurred during the first 12 months. Conclusions Intensive implementation strategies (toolkits, clinical training, implementation facilitation, data-based feedback) over 12 months can facilitate the implementation of EBPs for psychosis treatment. The approach may be more effective for some practices than for others.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleThe Effect of Intensive Implementation Support on Fidelity for Four Evidence‑Based Psychosis Treatments: A Cluster Randomized Trialen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.source.journalAdministration and Policy in Mental Health and Mental Health Services Researchen_US
dc.relation.projectHelse Sør-Øst RHF: 2015106en_US
dc.identifier.citationAdministration and Policy in Mental Health and Mental Health Services Research. 2021, 48, 909-920.en_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal