Chapter 6 152 Results for the IT-IS High- and low-scoring IMR groups Fidelity assessment for the IT-IS of participants in 15 IMR groups yielded an average total competence score of satisfactory (M = 3.29, SD = 0.29; range: 2.88–3.88). All groups except one (93%) had a satisfactory total score (range: 3.00–3.88). One group (7%) had an unsatisfactory total score of 2.88. Table 3 Implementation of Critical Elements in 15 IMR-Groups rated on the IMR Treatment Integrity Scale (IT-IS) Item M SD Min Max % of IMRgroups with ≥ satisfactory item rating1 Items with average rating of very good Use of Structured IMR Curriculum 4,87 0,35 4,00 5,00 15 (100%) Educational Strategies 4,67 0,49 4,00 5,00 15 (100%) Therapeutic Relationship 4,60 0,51 4,00 5,00 15 (100%) Involving All Members of the Group 4,47 0,64 3,00 5,00 15 (100%) Recovery Orientation 4,13 0,52 3,00 5,00 15 (100%) Items with average rating of satisfactory Enlisting Support Between Group Members 3,93 0,59 3,00 5,00 15 (100%) Goals 3,47 1,25 2,00 5,00 11 (73,3%) Motivational Enhancement Strategies 3,40 0,83 2,00 5,00 13 (86,7%) Structure/Efficient Use of Time 3,13 0,92 2,00 5,00 12 (80,0%) Items with average rating of needs improvement Relapse Prevention Training 2,83 1,06 2,00 5,00 6 (40,0%) Behavioral Tailoring for Medication 2,52 0,72 1,00 4,00 7 (46,7%) Weekly Action Planning 2,40 0,83 1,00 4,00 7 (46,7%) Coping Skills Training 2,28 0,59 1,00 3,00 5 (33,3%) Cognitive-Behavioral Techniques 2,13 0,35 2,00 3,00 2 (13,3%) Action Plan Review 2,07 0,88 1,00 3,00 6 (40,0%) Item with average rating of unsatisfactory Involvement of Significant Others 1,73 1,10 1,00 5,00 2 (13,3%) Total 3,29 1,05 1 The number (%) of IMR groups with at least a satisfactory rating of ≥ 3 on this item. High- and low-scoring IMR elements The degree of implementation success of the various competence elements of IMR varied widely (M = 3.29, SD = 1.05). In Table 3, the items of the IT-IS are ranked across all groups in descending order of mean scores per item. This table shows a division above and below the cut-off score of 3 for nine satisfactory and higher scoring items (range of mean scores: 3.13–4.87), six needs improvement scoring
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