A Meta-Evaluation: The Role of Treatment Fidelity within Psychosocial Interventions during the Last Decade

Prowse, Phuong-Tu; Nagel, Tricia

doi:10.4172/psychiatry.1000251

Cited by 19 publications

(20 citation statements)

References 41 publications

(68 reference statements)

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“…Ensuring constructs are clearly labelled and differentiated from others is recommended for future work. A recent meta-evaluation of fidelity work in psychosocial intervention research supports our reviews’ findings as it found that there was strong variation in whether authors defined fidelity, that the use of different fidelity frameworks and terminology tended to generate confusion and make comparisons difficult, and that the operationalisation of receipt varied greatly [94]. The BCC framework was an attempt to build consistency in the science of fidelity, but ten years later this attempt does not appear to have been entirely successful.…”

Section: Discussionsupporting

confidence: 54%

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Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Rixon

Baron

McGale

et al. 2016

BMC Health Serv Res

114

104

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BackgroundThe American Behaviour Change Consortium (BCC) framework acknowledges patients as active participants and supports the need to investigate the fidelity with which they receive interventions, i.e. receipt. According to this framework, addressing receipt consists in using strategies to assess or enhance participants’ understanding and/or performance of intervention skills. This systematic review aims to establish the frequency with which receipt is addressed as defined in the BCC framework in health research, and to describe the methods used in papers informed by the BCC framework and in the wider literature.MethodsA forward citation search on papers presenting the BCC framework was performed to determine the frequency with which receipt as defined in this framework was addressed. A second electronic database search, including search terms pertaining to fidelity, receipt, health and process evaluations was performed to identify papers reporting on receipt in the wider literature and irrespective of the framework used. These results were combined with forward citation search results to review methods to assess receipt. Eligibility criteria and data extraction forms were developed and applied to papers. Results are described in a narrative synthesis.Results19.6% of 33 studies identified from the forward citation search to report on fidelity were found to address receipt. In 60.6% of these, receipt was assessed in relation to understanding and in 42.4% in relation to performance of skill. Strategies to enhance these were present in 12.1% and 21.1% of studies, respectively. Fifty-five studies were included in the review of the wider literature. Several frameworks and operationalisations of receipt were reported, but the latter were not always consistent with the guiding framework. Receipt was most frequently operationalised in relation to intervention content (16.4%), satisfaction (14.5%), engagement (14.5%), and attendance (14.5%). The majority of studies (90.0%) included subjective assessments of receipt. These relied on quantitative (76.0%) rather than qualitative (42.0%) methods and studies collected data on intervention recipients (50.0%), intervention deliverers (28.0%), or both (22.0%). Few studies (26.0%) reported on the reliability or validity of methods used.ConclusionsReceipt is infrequently addressed in health research and improvements to methods of assessment and reporting are required.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1904-6) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 54%

“…The BCC framework was an attempt to build consistency in the science of fidelity, but ten years later this attempt does not appear to have been entirely successful. As was underlined by Prowse and colleagues [94] there is a need for standardisation in the field of fidelity, but this must not increase complexity.…”

Section: Discussionmentioning

confidence: 99%

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Rixon

Baron

McGale

et al. 2016

BMC Health Serv Res

114

104

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“…Healthcare provider behaviour change interventions (Slaughter et al, 2015) . Psychosocial interventions (Prowse & Nagel, 2015) . Physiotherapy behaviour change interventions (O'Shea et al, 2016) .…”

Section: Issues With Intervention Fidelitywhat Is Not Being Done Andmentioning

confidence: 99%

Focusing on fidelity: narrative review and recommendations for improving intervention fidelity within trials of health behaviour change interventions

Toomey

Hardeman

Hankonen

et al. 2020

Health Psychology and Behavioral Medicine

128

131

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Background: Interventions to change behaviour have substantial potential to impact positively on individual and overall public health. Despite an increasing focus on health behaviour change intervention research, interventions do not always have the desired effect on outcomes, while others have diluted effects once implemented into real-life settings. There is little investment into understanding how or why such interventions work or do not work. Methodological inadequacies of trials of behavioural interventions have been previously suggested as a barrier to the quality and advancement of behavioural research, with intervention fidelity acknowledged as a key area for improvement. However, there is much ambiguity regarding the terminology and conceptualisation of intervention fidelity and a lack of practical guidance regarding how to address it sufficiently, particularly within trials of complex behavioural interventions. Objectives: This article outlines specific issues concerning intervention fidelity within trials of health behaviour change interventions and suggests practical considerations and specific recommendations for researchers, with examples from the literature presented. Conclusions: Recommendations pertain to (1) clarifying how fidelity is defined and conceptualised, (2) considering fidelity beyond intervention delivery, (3) considering strategies to both enhance and assess fidelity, (4) making use of existing frameworks and guidance, (5) considering the quality and comprehensiveness of fidelity assessment strategies, (6) considering the balance between fidelity and adaptation and (7) reporting the use of fidelity enhancement and assessment strategies and their results. Suggestions for future research to improve our understanding of, and ability to, address fidelity in behaviour change interventions are also provided. ARTICLE HISTORY

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“…This failing in behavioral research needs attending to in future studies [36]. And when TF is measured, key recommendations in relation to good practice and consistency should be observed [37,38].…”

Section: Comparison With Other Programsmentioning

confidence: 99%

“…In the present investigation, all TF was measured via the 1-1 coded sessions, with supplementary observations carried out for the groups. Those carrying out research in MI groups should ensure that ongoing reflection, coding and supervision are fundamental components of interventions [37,38].…”

Section: Implications For Practitioner Trainingmentioning

confidence: 99%

Group motivational interviewing in the Small Changes weight management project: a quasi-experimental trial

Simper¹,

Breckon²,

Kilner³

2016

J Behav Health

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A Meta-Evaluation: The Role of Treatment Fidelity within Psychosocial Interventions during the Last Decade

Cited by 19 publications

References 41 publications

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Focusing on fidelity: narrative review and recommendations for improving intervention fidelity within trials of health behaviour change interventions

Group motivational interviewing in the Small Changes weight management project: a quasi-experimental trial

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