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Apr 1, 2018 · An accurate assessment of fidelity, combined with a high degree of fidelity to the intervention, is critical to the reliability, validity, replicability, and scale-up of the results of an ...
- Field Guide to Fidelity Measurement
- Pathways Triple p Case Study
- Implications For Research
- Implications For Practice
- Limitations
The Field Guide describes a sequential five-step process displayed in Fig. 1. The steps are: 1. 1. defining the purpose and scope of the fidelity assessment used for evaluation of the intervention; 2. 2. identifying the essential components of the fidelity monitoring system; 3. 3. developing the fidelity tool; 4. 4. monitoring fidelity during the s...
Inter-rater Reliability
The same two raters were used consistently across sessions. This is a fully crossed design (Shrout & Fleiss, 1979) and Cohen’s kappa was used to calculate kappa. A kappa score was calculated for each session because each session had a different content measure. The kappa values ranged from 0.44 to 0.97 with all but one session scoring over 0.65—an indication that inter rater reliability was in the good or substantial range (Altman, 1991; Landis & Koch, 1977). For the process scores a two-way...
Fidelity Score in Analyses
This project has data on content fidelity, process fidelity and dose, all of which can be included as moderators in the analyses. The average content delivered across sessions was 77.2% and the average process score was 7.56 out of a possible score of 10. This means that, on average, about 77% of the content was delivered and that the practitioners followed the PTP process model about 75% of the time.
Dose in Analyses
Dose was used as a continuous independent variable to understand the relationship between the number of sessions completed and the parent and child outcomes.
Understanding and replicating the circumstances in which an intervention resulted in successful outcomes for clients or patients is critical to replicating the positive outcomes and delivering effective services to clients (Miller & Rollnick, 2014). More transparent and consistent systems of assessing and monitoring fidelity, that are developed usi...
For administrators and practitioners, information about the assessment of fidelity should be scrutinized as carefully as the results of the intervention. To achieve the positive results for clients in usual care that were demonstrated in a research study, monitoring and maintaining fidelity must be built into the estimated cost of delivering the in...
The Field Guide system has a few limitations, as do the measures that were developed for the study. The PTP materials include detailed information about the intended process and content of the intervention in the training and manuals. This provided a good starting point and direction from which to develop the intervention measurement tool. However,...
- Megan Feely, Kristen D. Seay, Paul Lanier, Wendy Auslander, Patricia L. Kohl
- 2018
Mar 12, 2020 · 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 ...
- Elaine C. Toomey, Wendy Hardeman, N. Hankonen, M. Byrne, Jenny McSharry, Karen Matvienko-Sikar, F. L...
- 2020
A five-step process to define the scope, identify components, develop tools, monitor fidelity, and analyze outcomes to develop a comprehensive fidelity measurement system for an intervention is described. An accurate assessment of fidelity, combined with a high degree of fidelity to the intervention, is critical to the reliability, validity, replicability, and scale-up of the results of an ...
Feb 1, 2011 · Twenty-four (n = 24) meta-analyses and review articles focusing on fidelity were identified in a systematic literature search over the past 30 years. A comprehensive review and fidelity guide outlining four required components of intervention research (design, training, monitoring of intervention delivery, and intervention receipt) was developed, with special consideration given to threats and ...
- Robin Edward Gearing, Nabila El-Bassel, Angela Ghesquiere, Susanna Baldwin, John Gillies, Evelyn Nge...
- 2011
Fidelity may be defined as the extent to which delivery of an intervention adheres to the protocol or program model originally developed. Fidelity measurement has increasing significance for evaluation, treatment effectiveness research, and service administration.
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literature review known as a scoping review. The 77 documents included in this review (1) defined fidelity by the degree with which a plan is implemented as planned, and (2) discussed fidelity as a concept, definition, conceptualization, facet, dimension, conceptual framework, model, or theoretical model. The
