The Assessment, Monitoring, and Enhancement of Treatment Fidelity In Public Health Clinical Trials.
The Assessment, Monitoring, and Enhancement of Treatment Fidelity In Public Health Clinical Trials.
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DOI：
10.1111/j.1752-7325.2011.00233.x
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发表时间：
2011
影响因子：
2.3
通讯作者：
Borrelli B
中科院分区：
文献类型：
--
作者：
Borrelli B
讨论在公共卫生背景下进行的健康行为改变试验中保持治疗保真度的方法。由NIH行为改变联盟（BCC）提供的治疗保真度框架包括五个治疗保真度领域（研究设计，培训，交付，接收和环境）。先前使用这些类别开发并验证了治疗保真度的测量。评估，监测和提高治疗保真度的五个治疗保真度域内的每一个的策略进行了讨论。更新了先前创建的治疗保真度测量，以包括关于选择提供者的其他项目、其他混杂因素、理论检验和多元文化考虑。实施治疗保真度计划可能需要额外的工作人员时间和成本。然而，缺乏对治疗保真度的关注的经济和科学成本远远大于治疗保真度的实施成本。公共卫生试验的目标是根据环境、提供者和患者灵活调整，保持高水平的治疗保真度。
To discuss methods of preservation of treatment fidelity in health behavior change trials conducted in public health contexts. The treatment fidelity framework provided by the NIH’s Behavioral Change Consortium (BCC) includes five domains of treatment fidelity (Study Design, Training, Delivery, Receipt, and Enactment). A measure of treatment fidelity was previously developed and validated using these categories. Strategies for assessment, monitoring, and enhancing treatment fidelity within each of the five treatment fidelity domains are discussed. The previously created measure of treatment fidelity is updated to include additional items on selecting providers, additional confounders, theory testing, and multicultural considerations. Implementation of a treatment fidelity plan may require extra staff time and costs. However, the economic and scientific costs of lack of attention to treatment fidelity are far greater than the costs of treatment fidelity implementation. Maintaining high levels of treatment fidelity with flexible adaptation according to setting, provider, and patient is the goal for public health trials.
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