The Development of the DSM-5 Cultural Formulation Interview-Fidelity Instrument (CFI-FI): A Pilot Study
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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.
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The CFI-Fidelity Instrument represents a first step toward quantifying fidelity in implementation of the CFI.
“The CFI-Fidelity Instrument represents a first step toward quantifying fidelity in implementation of the CFI.”
From Update on the Cultural Formulation Interview (2020) · cites this paper as [9]
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- Authors
- Aggarwal, N. K., Glass, A., Tirado, A., Boiler, M., Nicasio, A., Alegría, M., Wall, M., & Lewis-Fernández, R.
- Affiliations
- University of Central Florida (US)
- Corresponding author
- Aggarwal, Neil Krishan
- Venue
- Journal of Health Care for the Poor and Underserved
- Publisher
- Project MUSE
- Published
- 2014-08
- Volume
- 25
- Issue
- 3
- Pages
- 1397-1417
- ISSN
- 1049-2089 (ISSN-L)
- 1548-6869
- PMC
- PMC4306341
- OpenAlex
- W2043883897
- Cited by
- 90
- References
- 86
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 3 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 4 · 2017: 37 · 2016: 3 · 2015: 1 · 2014: 1 · 2012: 2
- FWCI
- 45.63
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Health Care for the Poor and Underserved (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Project Muse (Johns Hopkins University) (submittedVersion)
- Journal of International Crisis and Risk Communication Research (submittedVersion)
- Funders
- New York State Office of Mental Health
- National Institute of Mental Health (T32MH015144)
- Topics
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Keywords
- Cultural Formulation Interview, DSM-5, cross-cultural assessment, inter-rater reliability, psychiatric assessment, cultural competence, instrument development
- MeSH terms
- Adult, Aged, Mental Disorders, Female, Humans, Interview, Psychological, Male, Middle Aged, New York, Pilot Projects, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders, Cultural Competency
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