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A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research.

2005; American Psychological Association; Volume: 73; Issue: 5 Linguagem: Inglês

10.1037/0022-006x.73.5.852

1939-2117

Belinda Borrelli, Deborah Sepinwall, Denise Ernst, Albert J. Bellg, Susan M. Czajkowski, Rosemary Breger, Carol DeFrancesco, Chantal Lévesque, Daryl Sharp, Gbenga Ogedegbe, Barbara Resnick, Denise Orwig,

Behavioral Health and Interventions

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.