Title

The Development Of The Dsm-5 Cultural Formulation Interview-Fidelity Instrument (Cfi-Fi): A Pilot Study

Keywords

Cultural competence; Cultural formulation; Cultural psychiatry; Fidelity; Health disparities

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. © Meharry Medical College.

Publication Date

1-1-2014

Publication Title

Journal of Health Care for the Poor and Underserved

Volume

25

Issue

3

Number of Pages

1397-1417

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1353/hpu.2014.0132

Socpus ID

84906057932 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84906057932

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