A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research
A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research
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DOI：
10.1037/0022-006x.73.5.852
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发表时间：
2005-10-01
影响因子：
5.9
通讯作者：
Orwig, D
中科院分区：
文献类型：
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作者：
Borrelli, B;Sepinwall, D;Orwig, D
A.Bellg，B.Borrelli，et al.(2004)以前制定了一个框架，其中包括加强健康行为干预措施的治疗保真度的战略。本研究使用这一框架来(A)开发一种治疗保真度的衡量标准，以及(B)使用该衡量标准来评估在过去10年中在5种期刊上发表的文章中的治疗保真度。342篇文章符合纳入标准；22%的文章报告了保持提供者技能的策略，27%的文章报告了检查遵守方案的情况，35%的文章报告使用了治疗手册，54%的文章报告没有使用这些策略，12%的文章报告使用了所有三种策略。坚持治疗保真度策略的平均比例为0.55；15.5%的文章达到或等于0.80。该工具可能对研究人员、基金审查员和编辑计划和评估试验很有用。
A. Bellg, B. Borrelli, et al. (2004) previously developed a framework that consisted of strategies to enhance treatment fidelity of health behavior interventions. The present study used this framework to (a) develop a measure of treatment fidelity and (b) use the measure to evaluate treatment fidelity in articles published in 5 journals over 10 years. Three hundred forty-two articles met inclusion criteria; 22% reported strategies to maintain provider skills, 27% reported checking adherence to protocol, 35% reported using a treatment manual, 54% reported using none of these strategies, and 12% reported using all 3 strategies. The mean proportion adherence to treatment fidelity strategies was .55; 15.5% of articles achieved greater than or equal to .80. This tool may be useful for researchers, grant reviewers, and editors planning and evaluating trials.