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Measuring fidelity to a culturally adapted HIV prevention intervention for men in substance abuse treatment.


ABSTRACT: A fidelity measure was developed for use with Real Men Are Safe-Culturally Adapted (REMAS-CA), an HIV prevention intervention for ethnically diverse men in substance abuse treatment. The aims of this analysis were to: 1) assess the reliability of the Fidelity Rating and Skill Evaluation (FRASE); 2) measure improvement in therapist competence and adherence over time while delivering REMAS-CA; and 3) identify which modules of REMAS-CA were most difficult to deliver. Results showed that, 1) the FRASE was a reliable instrument; 2) therapists achieved adequate adherence and competence after training and demonstrated significant improvement over time in Global Empathy; and 3) Sessions 4 and 5 of REMAS-CA contained the most challenging modules for therapists to deliver. Recommendations for future REMAS-CA therapist trainings and fidelity monitoring are made.

SUBMITTER: Hatch-Maillette M 

PROVIDER: S-EPMC3742658 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature

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Measuring fidelity to a culturally adapted HIV prevention intervention for men in substance abuse treatment.

Hatch-Maillette Mary M   Burlew A Kathleen AK   Turnbull Sharriann S   Robinson Michael M   Calsyn Donald A DA  

Journal of substance abuse treatment 20130627 4


A fidelity measure was developed for use with Real Men Are Safe-Culturally Adapted (REMAS-CA), an HIV prevention intervention for ethnically diverse men in substance abuse treatment. The aims of this analysis were to: 1) assess the reliability of the Fidelity Rating and Skill Evaluation (FRASE); 2) measure improvement in therapist competence and adherence over time while delivering REMAS-CA; and 3) identify which modules of REMAS-CA were most difficult to deliver. Results showed that, 1) the FRA  ...[more]

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