Strategies Used and Data Obtained During Treatment Fidelity Monitoring

dc.contributor.authorCarpenter, Janet S.
dc.contributor.authorBurns, Debra S.
dc.contributor.authorWu, Jingwei
dc.contributor.authorYu, Menggang
dc.contributor.authorRyker, Kristin
dc.contributor.authorTallman, Eileen
dc.contributor.authorVon Ah, Diane
dc.contributor.departmentSchool of Nursing
dc.date.accessioned2025-06-06T11:13:05Z
dc.date.available2025-06-06T11:13:05Z
dc.date.issued2013
dc.description.abstractBackground: Treatment fidelity, also called intervention fidelity, is an important component of testing treatment efficacy. Although examples of strategies needed to address treatment fidelity have been provided in several published reports, data describing variations that might compromise efficacy testing have been omitted. Objectives: The aim of this study is to describe treatment fidelity monitoring strategies and data within the context of a nursing clinical trial. Methods: A three-group, randomized, controlled trial compared intervention (paced respiration) to attention control (fast, shallow breathing) to usual care for management of hot flashes and other menopausal symptoms. Data from both staff and participants were collected to assess treatment fidelity. Results: Staff measures for treatment delivery indicated good adherence to protocols. Participant ratings of expectancy and credibility were not statistically different between intervention and attention control; however, the attention control was significantly more acceptable (p < .05). Intervention participant data indicated good treatment receipt and enactment with mean breath rates at each time point falling within the target range. Practice log data for both intervention and attention control indicated lower adherence of once-daily rather than twice-daily practice. Discussion: Despite strengths in fidelity monitoring, some challenges were identified that have implications for other similar intervention studies.
dc.eprint.versionAuthor's manuscript
dc.identifier.citationCarpenter JS, Burns DS, Wu J, et al. Strategies used and data obtained during treatment fidelity monitoring. Nurs Res. 2013;62(1):59-65. doi:10.1097/NNR.0b013e31827614fd
dc.identifier.urihttps://hdl.handle.net/1805/48534
dc.language.isoen_US
dc.publisherWolters Kluwer
dc.relation.isversionof10.1097/NNR.0b013e31827614fd
dc.relation.journalNursing Research
dc.rightsPublisher Policy
dc.sourcePMC
dc.subjectClinical trials as topic/standards
dc.subjectReproducibility of results
dc.subjectResearch design
dc.subjectHealth behavior
dc.titleStrategies Used and Data Obtained During Treatment Fidelity Monitoring
dc.typeArticle
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Carpenter2013Strategies-AAM.pdf
Size:
504 KB
Format:
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2.04 KB
Format:
Item-specific license agreed upon to submission
Description: