Strategies used and data obtained during treatment fidelity monitoring.
Strategies used and data obtained during treatment fidelity monitoring.
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DOI：
10.1097/nnr.0b013e31827614fd
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发表时间：
2013-01
期刊：
影响因子：
2.5
通讯作者：
Von Ah D
中科院分区：
文献类型：
--
作者：
Carpenter JS;Burns DS;Wu J;Yu M;Ryker K;Tallman E;Von Ah D
治疗保真度，又称干预保真度，是检验治疗效果的重要组成部分。尽管在几份已发表的报告中提供了解决治疗保真度所需的策略示例，但省略了描述可能影响疗效检测的变化的数据。描述护理临床试验背景下的治疗保真度监测策略和数据。一项三组、随机、对照试验比较了干预（起搏呼吸）、注意力控制（快速、浅呼吸）和常规护理对潮热和其他更年期症状的管理。收集工作人员和参与者的数据以评估治疗保真度。工作人员的治疗措施表明，对方案的遵守情况良好。参与者的期望和可信度评分在干预和注意力控制之间没有统计学差异;然而，注意力控制明显更容易接受（p <0.05）。干预参与者数据表明，治疗接受和实施良好，每个时间点的平均呼吸频率均在目标范围内。干预和注意力控制的实践日志数据表明，每天一次的坚持率较低，而不是每天两次的实践。尽管忠诚度监测的优势，确定了一些挑战，对其他类似的干预研究的影响。
Treatment fidelity, also called intervention fidelity, is an important component of testing treatment efficacy. Although examples of strategies needed to address treatment fidelity have been provided in several published reports, data describing variations that might compromise efficacy testing have been omitted. To describe treatment fidelity monitoring strategies and data within the context of a nursing clinical trial. A three-group, randomized, controlled trial compared intervention (paced respiration) to attention control (fast, shallow breathing) to usual care for management of hot flashes and other menopausal symptoms. Data from both staff and participants were collected to assess treatment fidelity. Staff measures for treatment delivery indicated good adherence to protocols. Participant ratings of expectancy and credibility were not statistically different between intervention and attention control; however, the attention control was significantly more acceptable (p < .05). Intervention participant data indicated good treatment receipt and enactment with mean breath rates at each time point falling within the target range. Practice log data for both intervention and attention control indicated lower adherence of once daily, rather than twice-daily practice. Despite strengths in fidelity monitoring, some challenges were identified that have implications for other similar intervention studies.