Implementing NIH Behavior Change Consortium Treatment Fidelity Recommendations in a Multi-Site Randomized Controlled Trial of an Active Music Engagement Intervention for Young Children with Cancer and Parents.
Implementing NIH Behavior Change Consortium Treatment Fidelity Recommendations in a Multi-Site Randomized Controlled Trial of an Active Music Engagement Intervention for Young Children with Cancer and Parents.
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DOI：
10.1177/15347354221140491
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发表时间：
2022-01
影响因子：
2.9
通讯作者：
Robb, Sheri L.
中科院分区：
文献类型：
--
作者：
MacLean, Jessica A.;Stegenga, Kristin A.;Henley, Amanda K.;Robb, Sheri L.
治疗保真度是指使用方法学策略来监测和提高行为干预试验的可靠性和有效性。尽管有指南和检查表，治疗保真度仍然被低估，阻碍了评估，解释和跨研究比较。考虑到音乐刺激的固有复杂性和定制交付所需的灵活性，治疗保真度对音乐干预尤为重要。本文的目的是定义和描述治疗保真度的策略，我们的试验的音乐为基础的游戏干预的幼儿癌症和父母接地在美国国立卫生研究院行为改变联盟治疗保真度建议。我们报告了所有5个方面的策略：研究设计，培训提供者，治疗提供，治疗接受和制定治疗技能。我们还讨论了我们的团队遇到的4个挑战，包括：（1）标准化现场音乐提供，（2）定义定制干预提供的边界，（3）管理参与者之间的延长时间，以及（4）最大限度地减少偏见风险。本文扩展了目前的保真度文献，并可能提供一个工作模式，为其他研究人员检查二元和/或积极的音乐干预。
Treatment fidelity is the use of methodological strategies to monitor and enhance reliability and validity of behavioral intervention trials. Despite availability of guidelines and checklists, treatment fidelity remains underreported, hindering evaluation, interpretation, and cross-study comparisons. Treatment fidelity is particularly important for music interventions given the inherent complexity of musical stimuli and flexibility required for tailored delivery. The purpose of this paper is to define and describe treatment fidelity strategies for our trial of a music-based play intervention for young children with cancer and parents grounded in the NIH Behavior Change Consortium Treatment Fidelity Recommendations. We report strategies for all 5 areas: study design, training providers, delivery of treatment, receipt of treatment, and enactment of treatment skills. We also discuss 4 challenges our team encountered, including: (1) standardizing live music delivery, (2) defining boundaries for tailored intervention delivery, (3) managing extended time between participants, and (4) minimizing risk for bias. This paper expands on current fidelity literature and may provide a working model for other investigators examining dyadic and/or active music interventions.
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