Monitoring Fidelity to Promote Research Integrity

描述（由申请人提供）： 干预保真度是指干预者根据一个 研究计划和专业标准。缺乏对保真度的关注可能会导致有关干预行为和效果的错误陈述，并破坏研究的完整性，特别是对于行为干预措施，这些措施非常难以表达，控制和评估。系统干预保真度监测可以促进研究的完整性。耶鲁依从性和能力量表（YACS），一个监测干预保真度的通用系统，已被用于精神病学行为研究，以促进研究的完整性。虽然护理也与行为干预的发展和测试有关，但没有证据表明在护理研究中正在进行系统的干预保真度监测。 本研究的目的是探讨应用YACS在护理作为一种手段，以促进研究的完整性的效用和结果。将对YACS进行调整，使其适用于护理，然后对来自2项联邦资助的1型糖尿病青年护理行为干预研究的录音干预会议和结果数据进行二次分析，以：评估适应YACS的心理测量性能，评估干预保真度对主要研究参与者结局的影响，并探讨当对行为干预会话的子集或参与者进行干预保真度评级分析时，与整个样本相比，对结果的影响。主要分析方法为实证因素分析和混合模型分析。拟议研究的结果将用于通知使用适应YACS，以促进研究的完整性，在未来的护理干预措施的发展，以改善慢性健康状况的人的结果。

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.