A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research

Belinda Borrelli, Deborah Sepinwall, Albert J. Bellg, Rosemary Breger, Carol DeFrancesco, Daryl L. Sharp, Denise Ernst, Susan Czajkowski, Chantal Levesque, Gbenga Ogedegbe, Barbara Resnick, Denise 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.

Original languageEnglish (US)
Pages (from-to)852-860
Number of pages9
JournalJournal of consulting and clinical psychology
Volume73
Issue number5
DOIs
StatePublished - Oct 2005

Keywords

  • Clinical trials
  • Health behavior change
  • Internal validity
  • Treatment fidelity

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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