Establishing treatment fidelity in a web-based behavioral intervention study.
Establishing treatment fidelity in a web-based behavioral intervention study.
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DOI:
10.1097/nnr.0b013e31823386aa
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发表时间:
2011-11
期刊:
影响因子:
2.5
通讯作者:
McGregor BA
中科院分区:
文献类型:
--
作者:
Eaton LH;Doorenbos AZ;Schmitz KL;Carpenter KM;McGregor BA
Treatment fidelity pertains to the methodological strategies used to monitor and enhance the reliability and validity of behavioral interventions. Approaches to establishing treatment fidelity in Web-based interventions differ from those used in interventions that are delivered in person. To describe a methodology for ensuring treatment fidelity in a Web-based cognitive behavioral stress management intervention. The intervention Coping with Cancer Workbook, adapted for Web-based delivery from an in-person intervention, was tested in a randomized controlled trial with 123 breast cancer survivors. Strategies for ensuring treatment fidelity were implemented and assessed. The National Institutes of Health Behavior Change Consortium Treatment Fidelity Guidelines were relevant to establishing treatment fidelity for the Web-based intervention. Web-based delivery of behavioral interventions is both a strength and a threat to treatment fidelity. Investigators must be cognizant of the elements of treatment fidelity and implement strategies to monitor and improve the reliability and validity of Web-based interventions.