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Treatment Fidelity Assessment×Case Management Fidelity Assessment×
분야Social WorkSocial Work
계열Process / pipelineProcess / pipeline
기원 연도20041998
창시자NIH Behavior Change Consortium Treatment Fidelity Workgroup (Bellg et al.)Gregory Teague, Gary Bond & Robert Drake (Dartmouth ACT fidelity tradition)
유형Assessment of the degree to which an intervention is delivered as intendedStructured rating of a case-management program's adherence to a defined service model
원전Bellg, A. J., Borrelli, B., Resnick, B., Hecht, J., Minicucci, D. S., Ory, M., Ogedegbe, G., Orwig, D., Ernst, D., & Czajkowski, S. (2004). Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the NIH Behavior Change Consortium. Health Psychology, 23(5), 443–451. DOI ↗Teague, G. B., Bond, G. R., & Drake, R. E. (1998). Program fidelity in assertive community treatment: Development and use of a measure. American Journal of Orthopsychiatry, 68(2), 216–232. DOI ↗
별칭Treatment Integrity, Intervention Fidelity, Implementation Fidelity, Fidelity MonitoringCase Management Model Fidelity, Care Coordination Fidelity, Assertive Community Treatment Fidelity, DACTS Fidelity Scale
관련44
요약Treatment fidelity assessment measures the degree to which an intervention is actually delivered as it was designed — covering adherence to prescribed components, the competence with which they are delivered, the dose received, and how clearly the intervention differs from other approaches. Codified for behavioral research by the NIH Behavior Change Consortium and framed conceptually by Carroll and colleagues, it protects the validity of intervention research and the integrity of evidence-based practice by ensuring that when an intervention is studied or implemented, what was named is what was done.Case management fidelity assessment measures how closely a case-management or care-coordination program matches the defined model it claims to implement — such as assertive community treatment, intensive case management, or a strengths model — by rating specific structural and process dimensions on anchored scales and aggregating them into an overall fidelity score. The approach was established by the Dartmouth tradition of Teague, Bond, and Drake, whose Assertive Community Treatment fidelity scale became the template for measuring whether a program is delivering its model in practice or only in name.
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