Assessing the Fidelity of an Affirmative Cognitive Behavioral Group Intervention.

IF 1.7 4区社会学 Q1 SOCIAL WORK Research on Social Work Practice Pub Date : 2023-05-01 DOI:10.1177/10497315221110865

Shelley L Craig, Rachael V Pascoe, Gio Iacono, Nelson Pang, Ali Pearson

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引用次数: 1

Abstract

Purpose: Support implementation fidelity in intervention research with lesbian, gay, bisexual, transgender, queer, and sexual and gender diverse (LGBTQ+) populations, this study explores the systematic development of a fidelity process for AFFIRM, an evidence-based, affirmative cognitive behavioral therapy group intervention for LGBTQ+ youth and adults.

Method: As part of a clinical trial, the AFFIRM fidelity checklist was designed to assess clinician adherence. A total of 151 audio-recorded group sessions were coded by four trained raters.

Results: Adherence was high with a mean fidelity score of 84.13 (SD = 12.50). Inter-rater reliability was 81%, suggesting substantial agreement. Qualitative thematic analysis of low-rated sessions identified deviations from the manual and difficulties in group facilitation, while high-rated sessions specified affirmative and effective clinical responses.

Discussion: Findings were integrated into clinical training and coaching. The fidelity process provides insights into the challenges of implementing social work interventions effectively with LGBTQ+ populations in community settings.

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积极认知行为群体干预的保真度评估。

目的:支持对女同性恋、男同性恋、双性恋、跨性别、酷儿和性与性别多样性(LGBTQ+)人群干预研究的实施保真度，本研究探讨了AFFIRM(一项针对LGBTQ+青年和成人的循证肯定性认知行为治疗团体干预)的系统开发过程。方法:作为临床试验的一部分，我们设计了AFFIRM保真度检查表来评估临床医生的依从性。共有151个录音小组会议由四名训练有素的评分员进行编码。结果:依从性高，平均忠实度评分为84.13 (SD = 12.50)。评估者之间的信度为81%，表明基本一致。定性专题分析的低评级会议确定偏离手册和困难的小组促进，而高评级会议明确肯定和有效的临床反应。讨论:研究结果被纳入临床培训和指导。忠诚过程提供了对社区环境中LGBTQ+人群有效实施社会工作干预的挑战的见解。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.