The Assessment, Monitoring, and Enhancement of Treatment Fidelity In Public Health Clinical Trials

By B. Borrelli. Journal of Public Health Dentistry, 2011

856 citations recorded by the source corpus.

Objectives To discuss methods of preservation of treatment fidelity in health behavior change trials conducted in public health contexts. Methods The treatment fidelity framework provided by the NIH’s Behavioral Change Consortium (BCC) (1) 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. Results 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. Conclusions 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.

Subfields: Applied Psychology, Developmental and Educational Psychology, General Health Professions

View Paper: https://www.semanticscholar.org/paper/50f49ea19e772bb7cae2d707c080ac46887ebcf4

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In Applied Psychology

In Developmental and Educational Psychology

In General Health Professions

Citations in the corpus

A tutorial on sensitivity analyses in clinical trials: the what, why, when and how (2013, neutral): “intervention fidelity) [21,22].”
Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis (2016, background): “A further distinction has been made between Bintervention receipt^, which refers to the extent to which participants understand and can perform the skills taught, and Benactment of intervention skills^, which refers to the extent to which participants use these skills [146, 147].”
A Systematic Review of Teacher-Delivered Behavior-Specific Praise on K–12 Student Performance (2019, positive): “We believe this is an important QI to ensure treatment fidelity, as well-trained teachers would be more likely to follow intervention procedures and more likely to have greater competency delivering the intervention (Borrelli, 2011).”
The Deterrence Spectrum: Explaining Why Police Body-Worn Cameras ‘Work’ or ‘Backfire’ in Aggressive Police–Public Encounters (2018, background): “In methodological languages, these scenarios show the importance of treatment fidelity in experimental research (Borrelli, 2011; Neyroud, 2015).”