Chapter 6 150 Results IMR elements assessed with each scale There appeared to be considerable overlap because eight IMR elements were measured using both scales. However, five elements were only assessed by the IMR Fidelity Scale, and eight elements were only assessed by the IT-IS (Table 1). Table 1 IMR-elements assessed with the IMR fidelity scale and the IMR Treatment Integrity Scale (IT-IS) Elements assessed with both scales Elements assessed only with the IMR fidelity scale Elements assessed only with the IT-IS Comprehensiveness of the Curriculum Educational Techniques Motivation-Based Strategies Relapse Prevention Training Coping Skills Training Cognitive-Behavioral Techniques Behavioral Tailoring for Medication Involvement of Significant Others Program Length Provision of Educational Handouts Number of People in a Session or Group IMR Goal Setting IMR Goal Follow-up Weekly Action Planning Action Plan Review Structure/Efficient Use of Time Involving All Members of the Group Recovery Orientation Therapeutic Relationship Enlisting Support Between Group Members Goals The eight elements assessed by both scales included seven clinical elements and one structural element. The five elements assessed only by the IMR Fidelity Scale included three structural elements and two clinical elements related to IMR participants’ personal goals. The eight clinical elements assessed only by the IT-IS involved four so-called general items and four IMR-specific elements. The IT-IS item “goals” combined the items “IMR goal setting” and “IMR goal follow-up” from the IMR Fidelity Scale. Therefore, in total, 20 different IMR elements were included. Results for the IMR Fidelity Scale High- and low-scoring IMR groups Fidelity assessment for the IMR Fidelity Scale of participants in 15 IMR groups produced an average moderate group score of 3.94 (SD = 0.29). Eight groups (53%)
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