The Development of the DSM-5 Cultural Formulation Interview-Fidelity Instrument (CFI-FI): A Pilot Study

    Authors

    N. K. Aggarwal; A. Glass; A. Tirado; M. Boiler; A. Nicasio; M. Alegria; M. Wall;R. Lewis-Fernandez

    Comments

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    Abbreviated Journal Title

    J. Health Care Poor Underserved

    Keywords

    Cultural psychiatry; cultural formulation; fidelity; cultural; competence; health disparities; MENTAL-HEALTH TREATMENT; ADHERENCE/COMPETENCE RATING-SCALE; OF-THE-LITERATURE; PSYCHIATRIC-DIAGNOSIS; DEPRESSION TREATMENT; ETHNIC; DISPARITIES; RACIAL-DIFFERENCES; UNITED-STATES; STAGE MODEL; COMPETENCE; Health Policy & Services; Public, Environmental & Occupational Health

    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.

    Journal Title

    Journal of Health Care for the Poor and Underserved

    Volume

    25

    Issue/Number

    3

    Publication Date

    1-1-2014

    Document Type

    Article

    Language

    English

    First Page

    1397

    Last Page

    1417

    WOS Identifier

    WOS:000340306300033

    ISSN

    1049-2089

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