Scholarlink

Purpose <p>Treatment fidelity is important for both research and clinical practice, including adapting new approaches for group delivery of Brief Cognitive Behavioral Therapy (G-BCBT) for suicide prevention. This study describes the initial development and preliminary field test of 12 fidelity assessment instruments (FAIs) for G-BCBT, for use in a non-inferiority trial comparing G-BCBT to Dialectical Behavioral Therapy (DBT) skills group.</p> Method <p>This study included 141 active-duty service members (69 male, 72 female). Participants were randomized to one of two conditions with a total of 10 G-BCBT and 10 DBT group therapy cohorts. Twelve G-BCBT FAIs were developed (one per session) and used by two expert raters to evaluate G-BCBT fidelity.</p> Results <p>Range of percent agreement was high among expert raters, with 86.3% of agreement scores exceeding 85%. Results for inter-rater reliability were mixed with several scores reflecting perfect agreement and others achieving fair to moderate levels of agreement. However, most inter-rater reliability metrics demonstrated less than chance levels of agreement, suggesting possible halo or ceiling effects.</p> Conclusion <p>Initial field testing of G-BCBT FAIs provided mixed support for use. Recommendations to improve FAI use and inter-rater reliability metrics are discussed as well as directions for future research.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Initial Development of Group Brief Cognitive Behavioral Therapy Fidelity Assessment Instruments

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月15日

查看全文
  • Justin C. Baker,
  • Shannon Cain,
  • Skyler D. Prowten,
  • Laura H. Gunn,
  • Sean Williams,
  • Cindy Charles,
  • Heather Rikli,
  • Shawna Grover,
  • Robert J. Cramer,
  • Lauren R. Khazem

摘要

Purpose

Treatment fidelity is important for both research and clinical practice, including adapting new approaches for group delivery of Brief Cognitive Behavioral Therapy (G-BCBT) for suicide prevention. This study describes the initial development and preliminary field test of 12 fidelity assessment instruments (FAIs) for G-BCBT, for use in a non-inferiority trial comparing G-BCBT to Dialectical Behavioral Therapy (DBT) skills group.

Method

This study included 141 active-duty service members (69 male, 72 female). Participants were randomized to one of two conditions with a total of 10 G-BCBT and 10 DBT group therapy cohorts. Twelve G-BCBT FAIs were developed (one per session) and used by two expert raters to evaluate G-BCBT fidelity.

Results

Range of percent agreement was high among expert raters, with 86.3% of agreement scores exceeding 85%. Results for inter-rater reliability were mixed with several scores reflecting perfect agreement and others achieving fair to moderate levels of agreement. However, most inter-rater reliability metrics demonstrated less than chance levels of agreement, suggesting possible halo or ceiling effects.

Conclusion

Initial field testing of G-BCBT FAIs provided mixed support for use. Recommendations to improve FAI use and inter-rater reliability metrics are discussed as well as directions for future research.