A New Tool to Assess Treatment Fidelity and Evaluation of Treatment Fidelity Across Ten Years of Health Behavior Research.

B. Borrelli, D. Sepinwall, D. Ernst, A.J. Bellg, S. Czajkowski, R. Breger, C. DeFrancesco, C. Levesque, D.S. Sharp, G. Ogedegbe, B. Resnick, D. Orwig

    Research output: Contribution to journalArticlepeer-review

    Abstract

    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. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
    Original languageEnglish
    Pages (from-to)852-860
    JournalJournal of Consulting and Clinical Psychology
    Volume73
    Issue number5
    Publication statusPublished - Oct 2005

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