Challenges of applying a comprehensive model of intervention fidelity.

Challenges of applying a comprehensive model of intervention fidelity.
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DOI:
10.1177/0193945911403774
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发表时间:
2012-06
影响因子:
1.8
通讯作者:
Yates B
Yates B
中科院分区:
医学4区
文献类型:
--
作者:
Bosak KA;Pozehl B;Yates B

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对信息通信技术(ICT)提供的干预措施应用全面的保真度模型面临多重挑战。在干预的设计、实施、评估和报告中必须考虑到保真度。保真度策略必须解决技术的独特方面,包括培训提供者指导参与者使用技术并提供标准化反馈,而不是亲自进行干预。其他挑战包括参与者在互联网提供的干预措施中访问意外内容所产生的非特异性影响。信息通信技术允许通过电子证据而不是亲自观察来评估参与者对干预技能的接收和制定。使用信息通信技术(如互联网)的干预措施是独特的,对参与者与各种电子元件的互动控制较少。监测参与者的使用情况,并为接受和实施干预技能提供标准化反馈,是确保干预保真度的关键。最后的挑战包括评估和报告保真度。
Applying a comprehensive model of fidelity to interventions delivered by Information and Communication Technology (ICT) has multiple challenges. Fidelity must be considered in the design, implementation, evaluation, and reporting of the intervention. The fidelity strategies must address the unique aspects of the technology, including training providers to instruct participants to use the technology and to provide standardized feedback, rather than deliver the intervention in-person. Other challenges include the nonspecific effects resulting from participants accessing unintended content in interventions delivered by the Internet. ICT allows participant receipt and enactment of intervention skills to be assessed by electronic evidence, rather than in-person observation. Interventions using ICT, such as the Internet are unique, and there is less control of participant interaction with various electronic components. Monitoring participant use and providing standardized feedback for receipt and enactment of intervention skills is key to ensuring intervention fidelity. The final challenges involve evaluating and reporting fidelity.
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