Treatment fidelity in psychosocial intervention for children and adolescents with comorbid problems

McArthur, Brae Anne; Riosa, Priscilla Burnham; Preyde, Michèle

doi:10.1111/j.1475-3588.2011.00635.x

Cited by 23 publications

(20 citation statements)

References 31 publications

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“…Preyde et al [17] for example focused only on RCTs and quasi-experimental designs, whilst Garbacz et al [14] required the presence of a comparison or control group. Similarly, McArthur et al [16] included only RCTs and control groups. In contrast, our review was inclusive of all study designs and a considerable proportion was for example, pilot or feasibility studies (27.3%).…”

Section: Discussionmentioning

confidence: 99%

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Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Rixon

Baron

McGale

et al. 2016

BMC Health Serv Res

114

104

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BackgroundThe American Behaviour Change Consortium (BCC) framework acknowledges patients as active participants and supports the need to investigate the fidelity with which they receive interventions, i.e. receipt. According to this framework, addressing receipt consists in using strategies to assess or enhance participants’ understanding and/or performance of intervention skills. This systematic review aims to establish the frequency with which receipt is addressed as defined in the BCC framework in health research, and to describe the methods used in papers informed by the BCC framework and in the wider literature.MethodsA forward citation search on papers presenting the BCC framework was performed to determine the frequency with which receipt as defined in this framework was addressed. A second electronic database search, including search terms pertaining to fidelity, receipt, health and process evaluations was performed to identify papers reporting on receipt in the wider literature and irrespective of the framework used. These results were combined with forward citation search results to review methods to assess receipt. Eligibility criteria and data extraction forms were developed and applied to papers. Results are described in a narrative synthesis.Results19.6% of 33 studies identified from the forward citation search to report on fidelity were found to address receipt. In 60.6% of these, receipt was assessed in relation to understanding and in 42.4% in relation to performance of skill. Strategies to enhance these were present in 12.1% and 21.1% of studies, respectively. Fifty-five studies were included in the review of the wider literature. Several frameworks and operationalisations of receipt were reported, but the latter were not always consistent with the guiding framework. Receipt was most frequently operationalised in relation to intervention content (16.4%), satisfaction (14.5%), engagement (14.5%), and attendance (14.5%). The majority of studies (90.0%) included subjective assessments of receipt. These relied on quantitative (76.0%) rather than qualitative (42.0%) methods and studies collected data on intervention recipients (50.0%), intervention deliverers (28.0%), or both (22.0%). Few studies (26.0%) reported on the reliability or validity of methods used.ConclusionsReceipt is infrequently addressed in health research and improvements to methods of assessment and reporting are required.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1904-6) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…Previous reviews on fidelity have focused on specific fields of intervention research and populations (e.g. second-hand smoking [15], mental health [16], and psychosocial oncology [17]. Although Borrelli and colleagues [10] examined a broad range of interventions, their review was published over 10 years ago.…”

Section: Discussionmentioning

confidence: 99%

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Rixon

Baron

McGale

et al. 2016

BMC Health Serv Res

114

104

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“…Clinical psychology, behaviour therapy (Moncher & Prinz, 1991) . Mental health, child and adolescent psychosocial interventions (McArthur, Riosa, & Preyde, 2012) . Mental health parent training interventions (Garbacz, Brown, Spee, Polo, & Budd, 2014) .…”

Section: Issues With Intervention Fidelitywhat Is Not Being Done Andmentioning

confidence: 99%

Focusing on fidelity: narrative review and recommendations for improving intervention fidelity within trials of health behaviour change interventions

Toomey

Hardeman

Hankonen

et al. 2020

Health Psychology and Behavioral Medicine

120

131

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Background: Interventions to change behaviour have substantial potential to impact positively on individual and overall public health. Despite an increasing focus on health behaviour change intervention research, interventions do not always have the desired effect on outcomes, while others have diluted effects once implemented into real-life settings. There is little investment into understanding how or why such interventions work or do not work. Methodological inadequacies of trials of behavioural interventions have been previously suggested as a barrier to the quality and advancement of behavioural research, with intervention fidelity acknowledged as a key area for improvement. However, there is much ambiguity regarding the terminology and conceptualisation of intervention fidelity and a lack of practical guidance regarding how to address it sufficiently, particularly within trials of complex behavioural interventions. Objectives: This article outlines specific issues concerning intervention fidelity within trials of health behaviour change interventions and suggests practical considerations and specific recommendations for researchers, with examples from the literature presented. 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 fidelity and adaptation and (7) reporting the use of fidelity enhancement and assessment strategies and their results. Suggestions for future research to improve our understanding of, and ability to, address fidelity in behaviour change interventions are also provided. ARTICLE HISTORY

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“…Treatment fidelity, or adherence to treatment implementation, can be shown to play a key role in interpretation of the findings of intervention studies (McArthur et al . ; Mandell et al . ).…”

Section: Measuring Adherencementioning

confidence: 99%

Building capacity for rigorous controlled trials in autism: the importance of measuring treatment adherence

McConachie

Fletcher‐Watson

2014

Child

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Research groups across Europe have been networking to share information and ideas about research on preschool children with autism. The paper describes preliminary work to develop capacity for future multi-site randomized controlled trials of early intervention, with a specific focus on the need to measure treatment adherence where parents deliver therapy. The paper includes a review of randomized and controlled studies of parent-mediated early intervention from two sources, a recent Cochrane Collaboration review and a mapping of European early intervention studies in autism published since 2002. The data extracted focused on methods for describing parent adherence, that is, how and to what extent parents carry out the strategies taught them by therapists. Less than half of the 32 studies reviewed included any measure of parent adherence. Only seven included a direct assessment method. The challenges of developing pan-European early intervention evaluation studies are discussed, including choice of intervention model and of important outcomes, the need for translation of measurement tools and achievement of joint training to reliability of assessors. Measurement of parent-child interaction style and of adherence to strategies taught need further study.bs_bs_banner Child: care, health and development

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Treatment fidelity in psychosocial intervention for children and adolescents with comorbid problems

Cited by 23 publications

References 31 publications

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Focusing on fidelity: narrative review and recommendations for improving intervention fidelity within trials of health behaviour change interventions

Building capacity for rigorous controlled trials in autism: the importance of measuring treatment adherence

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