Maintaining Intervention Fidelity When Using Technology Delivery Across Studies
Maintaining Intervention Fidelity When Using Technology Delivery Across Studies
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DOI：
10.1097/cin.0000000000000625
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发表时间：
2020-08-01
影响因子：
1.3
通讯作者：
Smith, Carol E.
中科院分区：
文献类型：
--
作者：
Bonar, Jaime Rachelle M.;Wright, Shawna;Smith, Carol E.
医疗保健研究的当前标准是保持任何正在测试的干预措施的科学保真度。忠诚度被定义为一致地提供干预措施，确保为所有参与者提供相同的信息、指导和/或材料。值得注意的是，确保干预实施保真度的方法也必须一致。本文介绍了我们用于确保一致性的干预和技术交付保真度检查表。这些检查表由经过培训的护士观察员完成，他们对干预措施的实施和技术交付进行了评估。在我们的临床试验和试点研究中，保真度分数被制成表格并进行比较。干预信息和材料通过各种设备提供，包括远程医疗监视器、可视电话和/或 iPad。每个设备都允许办公室的医疗专业人员与家中的患者和参与者之间进行视听连接。我们的检查表指导技术交付保真度的监控。我们研究中的总体清单评级表明了一致的干预、实施和技术交付方法。独特的是，保真度检查表可验证干预人员是否正确使用技术设备，以确保一致的视听传输。确保干预保真度和技术交付的清单方法是重要的研究程序，可以调整以供跨学科的研究人员使用。
The current standard in healthcare research is to maintain scientific fidelity of any intervention being tested. Fidelity is defined as the consistent delivery of interventions that ensures that all participants are provided the same information, guidance, and/or materials. Notably, the methods for ensuring fidelity of intervention delivery must also be consistent. This article describes our Intervention and Technology Delivery Fidelity Checklists used to ensure consistency. These checklists were completed by trained nurse observers who rated the intervention implementation and the technology delivery. Across our clinical trials and pilot studies, the fidelity scores were tabulated and compared. Intervention information and materials were delivered by a variety of devices including telehealth monitors, videophones, and/or iPads. Each of the devices allows audiovisual connections between health professionals from their offices and patients and participants in their homes. Our checklists guide the monitoring of fidelity of technology delivery. Overall checklist ratings across our studies demonstrate consistent intervention, implementation, and technology delivery approaches. Uniquely, the fidelity checklist verifies the interventionist's correct use of the technology devices to ensure consistent audiovisual delivery. Checklist methods to ensure intervention fidelity and technology delivery are essential research procedures, which can be adapted for use by researchers across multiple disciplines.