Program integrity in primary and early secondary prevention: Are implementation effects out of control
Program integrity in primary and early secondary prevention: Are implementation effects out of control
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DOI：
10.1016/s0272-7358(97)00043-3
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发表时间：
1998-01-01
影响因子：
12.8
通讯作者：
Schneider, BH
中科院分区：
文献类型：
--
作者：
Dane, AV;Schneider, BH
我们研究了1980年至1994年间发表的初级和早期二级预防项目评估中，项目完整性（即项目按计划实施的程度）得到验证和促进的程度。162项结果研究中，只有39项对保真度的记录有具体的程序。其中只有13个在分析项目效果时考虑了完整性的变化。较低的方案依从性通常与较差的结果相关。剂量效应的证据好坏参半。完整性数据的缺失，特别是依从性的测量，可能会损害预防文献中结果研究的内部有效性。我们不认为完整性核查程序与使干预措施适应接收社区的需要不一致。1998爱思唯尔科学有限公司
We examined the extent to which program integrity (i.e. the degree to which programs were implemented as planned) was verified and promoted in evaluations of primary and early secondary prevention programs published between 1980 and 1994. Only 39 of 162 outcome studies featured specified procedures for the documentation of fidelity. Of these only 13 considered variations in integrity in analyzing the effects of the program. Lowered adherence to protocol was often associated with poorer outcome. There was mixed evidence of dosage effects. The omission of integrity data, particularly measures of adherence, may compromise the internal validity of outcome studies in the prevention literature. We do not view procedures for integrity verification as inconsistent with the adaptation of interventions to the needs of receiving communities. (C) 1998 Elsevier Science Ltd.