Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions

Walton, Holly

doi:10.1136/bmjqs-2023-016592

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…12 It serves as a key moderator between the intervention and its intended outcomes, which is why fidelity measures are needed to assess the effect of a QI intervention. 13 Implementation fidelity encompasses several dimensions including faithfulness to the intervention's design, the effectiveness of training, the proper delivery of the intervention (ie, if it was executed as intended), the participants' comprehension and utilisation of the intervention, and the incorporation of the newly acquired practice in daily routine. 13 Measuring implementation fidelity enables the interpretation of intervention effectiveness 13 and may mitigate potentially false conclusions being drawn about an intervention's effectiveness.…”

Section: Implementation Fidelity Is the Key Variable For Surgical Che...mentioning

confidence: 99%

Lost in translation: does measuring ‘adherence’ to the Surgical Safety Checklist indicate true implementation fidelity?

Gillespie,

Ziemba

2024

BMJ Qual Saf

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Section: Implementation Fidelity Is the Key Variable For Surgical Che...mentioning

confidence: 99%

Lost in translation: does measuring ‘adherence’ to the Surgical Safety Checklist indicate true implementation fidelity?

Gillespie,

Ziemba

2024

BMJ Qual Saf

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The effect of pressure injury prevention care bundles on pressure injuries in hospital patients: A complex intervention systematic review and meta-analysis

Chaboyer,

Latimer,

Priyadarshani

et al. 2024

International Journal of Nursing Studies

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Scoping review of fidelity strategies used in behaviour change trials delivered in primary dental care settings

Lowers,

Kirby,

Young

et al. 2024

Trials

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Background Primary dental care settings are strategically important locations where randomised controlled trials (RCTs) of behaviour change interventions (BCIs) can be tested to tackle oral diseases. Findings have so far produced equivocal results. Improving treatment fidelity is posed as a mechanism to improve scientific rigour, consistency and implementation of BCIs. The National Institutes of Health Behaviour Change Consortium (NIH BCC) developed a tool to assess and evaluate treatment fidelity in health behaviour change interventions, which has yet to be applied to the primary dental care BCI literature. Method We conducted a scoping review of RCTs delivered in primary dental care by dental team members (in real-world settings) between 1980 and 2023. Eligible studies were coded using the NIH BCC checklist to determine the presence of reported fidelity strategies across domains: design, training, delivery, receipt and enactment. Results We included 34 eligible articles, reporting 21 RCTs. Fidelity reporting variations were found both between and within NIH BCC domains: strategy reporting ranged from 9.5 to 85.7% in design, 9.5 to 57.1% in training, 0 to 66.7% in delivery, 14.3 to 36.8% in receipt and 13.3 to 33.3% in enactment. The most reported domain was design (M = 0.45), and the least reported domain was delivery (M = 0.21). Only one study reported over 50% of the recommended strategies in every domain. Conclusions This review revealed inconsistencies in fidelity reporting with no evidence that fidelity guidelines or frameworks were being used within primary dental care trials. This has highlighted issues with interpretability, reliability and reproducibility of research findings. Recommendations are proposed to assist primary dental care trialists with embedding fidelity strategies into future research.

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Towards comprehensive fidelity evaluations: consideration of enactment measures in quality improvement interventions

Cited by 4 publications

References 20 publications

Lost in translation: does measuring ‘adherence’ to the Surgical Safety Checklist indicate true implementation fidelity?

Lost in translation: does measuring ‘adherence’ to the Surgical Safety Checklist indicate true implementation fidelity?

The effect of pressure injury prevention care bundles on pressure injuries in hospital patients: A complex intervention systematic review and meta-analysis

Scoping review of fidelity strategies used in behaviour change trials delivered in primary dental care settings

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