Monitoring Fidelity to Promote Research Integrity

描述(由申请人提供)： 干预保真度是指干预者始终如一地提供干预 研究计划和专业标准。缺乏对保真度的关注可能会导致对干预行为和效果的虚假陈述，并破坏研究的完整性，特别是对于以难以表达、控制和评估而闻名的行为干预。系统干预保真度监测可以促进研究的完整性。耶鲁大学遵守和能力量表(YACS)是一种监测干预忠诚度的通用系统，已被用于精神病学的行为研究，以促进研究的完整性。虽然护理也关注行为干预措施的开发和测试，但没有证据表明系统干预保真度监测正在护理研究中进行。这项研究的目的是检验在护理中应用YACS作为促进研究完整性的一种手段的效用和结果。YACS将适用于护理，然后将对录制的干预会话和联邦资助的2项针对青少年1型糖尿病的护理行为干预研究的结果数据进行二次分析：评估适应后的YACS的心理测量表现，评估干预保真度对主要研究参与者结果的影响，并探索对行为干预会话或参与者子集的干预保真度评级与整个样本进行比较时对结果的影响。验证性因子分析和混合模型分析将是主要的分析方法。这项拟议研究的结果将被用来为适应的YACS的使用提供信息，以促进在未来护理干预措施的发展中的研究完整性，以改善慢性健康状况患者的结果。

DESCRIPTION (provided by applicant): Intervention fidelity is the consistent delivery of an intervention by an interventionist according to a research plan and professional standards. Lack of attention to fidelity can lead to false statements about intervention conduct and effects, and undermine research integrity particularly for behavioral interventions which are notoriously hard to articulate, control and evaluate. Systematic intervention fidelity monitoring can promote research integrity. The Yale Adherence and Competence Scale (YACS), a general system for monitoring intervention fidelity, has been used in behavioral research in psychiatry to promote research integrity. Although nursing is also concerned with the development and testing of behavioral interventions, there is no evidence that systematic intervention fidelity monitoring is being performed in nursing research. The purpose of this study is to examine the utility and outcomes of applying the YACS in nursing as a means to promote research integrity. The YACS will be adapted to be applicable to nursing, and then secondary analysis of taped intervention sessions and outcome data from 2 federally funded nursing behavioral intervention studies for youth with type 1 diabetes will be conducted to: evaluate the psychometric performance of the adapted YACS, assess the effect of intervention fidelity on outcomes for the primary study participants, and explore the impact on outcomes when the analyses are conducted on intervention fidelity ratings for subsets of behavioral intervention sessions or participants compared to the whole sample. Confirmatory factor analysis and mixed models analysis will be the main analytic procedures. The results of the proposed study will be used to inform use of the adapted YACS to promote research integrity in the future development of nursing interventions to improve outcomes for people with chronic health conditions.