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- Title
The Development of the DSM-5 Cultural Formulation Interview-Fidelity Instrument (CFI-FI): A Pilot Study.
- Authors
Aggarwal, Neil Krishan; Glass, Andrew; Tirado, Amilcar; Boiler, Marit; Nicasio, Andel; Alegria, Margarita; Wall, Melanie; Lewis-Fernandez, Roberto
- Abstract
This paper reports on the development of the Cultural Formulation Interview-Fidelity Instrument (CFI-FI) which assesses clinician fidelity to the DSM-5 Cultural Formulation Interview (CFI). The CFI consists of a manualized set of standard questions that can precede every psychiatric evaluation. It is based on the DSM-IV Outline for Cultural Formulation, the cross-cultural assessment with the most evidence in psychiatric training. Using the New York sample of the DSM-5 CFI field trial, two independent raters created and finalized items for the CFI-FI based on six audio-taped and transcribed interviews. The raters then used the final CFI-FI to rate the remaining 23 interviews. Inter-rater reliability ranged from .73 to 1 for adherence items and .52 to 1 for competence items. The development of the CFI-FI can help researchers and administrators determine whether the CFI has been implemented with fidelity, permitting future intervention research.
- Subjects
NEW York (State); LEGAL compliance; EXPERIMENTAL design; INTERVIEWING; RESEARCH methodology; MENTAL health personnel; CLASSIFICATION of mental disorders; PROFESSIONS; RESEARCH funding; SCALE analysis (Psychology); STATISTICS; PILOT projects; DATA analysis; FIELD research; CULTURAL competence; INTER-observer reliability
- Publication
Journal of Health Care for the Poor & Underserved, 2014, Vol 25, Issue 3, p1397
- ISSN
1049-2089
- Publication type
Article
- DOI
10.1353/hpu.2014.0132