OBJECTIVE Regularly administering outcome measures, measurement-based care (MBC), informs clinical decision-making and improves youth mental health. Understanding predictors of high-fidelity MBC delivery helps ensure all youth can benefit from this evidence-based practice. Research on client and clinician predictors of MBC fidelity has mixed findings. METHOD Participants included 53 clinicians and 115 adolescents from a randomized controlled effectiveness trial with MBC only and MBC + Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Adolescents (UPA) conditions. Clients and clinicians reported demographic information. Clinicians completed broad- and narrow-band attitude measures. MBC fidelity was operationalized using the implementation index, combining rates of administering and viewing questionnaires, using objective MBC data. RESULTS AND DISCUSSION The average MBC fidelity was 56.75% (SD = 30.36) and was significantly higher in the MBC only condition (M = 67.46%, SD = 27.63%) than in MBC + UPA condition (M = 46.58%, SD = 29.52%; p = .012). Clients identifying as White received significantly higher MBC fidelity than youth not identifying as White. Youth ethnicity, family income, age, severity, and number of sessions did not significantly predict MBC fidelity. Clinicians with less experience at their agency, less confidence, and who found manualized treatments less appealing, had significantly higher MBC fidelity than other clinicians. These results can inform future efforts to increase fidelity and equity in MBC delivery.

中文翻译：

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青少年客户和临床医生在社区心理健康环境中基于测量的护理保真度的预测因子。


目的 定期进行结果测量、基于测量的护理 （MBC） 为临床决策提供信息并改善青少年心理健康。了解高保真 MBC 交付的预测因素有助于确保所有青少年都能从这种循证实践中受益。对 MBC 保真度的客户和临床医生预测因子的研究结果喜忧参半。方法 参与者包括来自一项仅 MBC 和 MBC + 青少年跨诊断治疗青少年情绪障碍 （UPA） 条件的随机对照有效性试验的 53 名临床医生和 115 名青少年。客户和临床医生报告了人口统计信息。临床医生完成了宽带和窄带态度测量。使用客观的 MBC 数据，结合管理和查看问卷的比率，使用实施指数来操作 MBC 保真度。结果与讨论 平均 MBC 保真度为 56.75% （SD = 30.36），在仅 MBC 条件下 （M = 67.46%，SD = 27.63%） 显著高于 MBC + UPA 条件下 （M = 46.58%，SD = 29.52%;p = .012）。与不认为是白人的青少年相比，白人客户获得的 MBC 保真度明显更高。青年种族、家庭收入、年龄、严重程度和会话次数不能显著预测 MBC 保真度。在其机构中经验较少、信心较低且发现手动治疗吸引力较小的临床医生比其他临床医生具有显着更高的 MBC 保真度。这些结果可以为未来提高 MBC 交付的保真度和公平性的努力提供信息。