Fidelity Assessment in Implementation
Fidelity Assessment is the systematic measurement of the degree to which an intervention is delivered as designed in real-world practice. Formalized by the National Institutes of Health Behavior Change Consortium (Bellg et al. 2004) and expanded in MRC guidance (Moore et al. 2015), fidelity assessment is critical to implementation science because it answers: 'Did we deliver the intervention correctly?' A clinical trial may show a treatment works, but if delivered poorly in practice, benefits disappear. Fidelity assessment prevents misattribution of failure (was the intervention weak, or was implementation poor?) and guides coaching to improve quality.
源记录
引文逐字复制自方法源记录。这些引文不代表任何层级的验证。
- Bellg, A. J., Borrelli, B., Resnick, B., Hecht, J., Minicucci, D. S., Ory, M., ... & Treatment Fidelity Workgroup of the National Institutes of Health Behavior Change Consortium. (2004). Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the NIH Behavior Change Consortium. Health Psychology, 23(5), 443-451. · DOI 10.1037/0278-6133.23.5.443
- Moore, G. F., Audrey, S., Barker, M., Bond, L., Bonell, C., Hardeman, W., ... & Baird, J. (2015). Process evaluation of complex interventions: Medical Research Council guidance. BMJ, 350, h1258. · DOI 10.1136/bmj.h1258
- Schoenwald, S. K., & Garland, A. F. (2013). A review of treatment adherence measurement methods. Psychological Assessment, 25(1), 146-156. · DOI 10.1037/a0029715
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