Does establishing fidelity of treatment help in understanding treatment efficacy? Comment on Bellg et al. (2004)

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Howard Leventhal, Michael A Friedman

Abstract

Comments on the article by Bellg et al (see record 2004-18051-001). To test the effects of a behavioral change on specific health outcomes, the Behavior Change Consortium insists on strict adherence to fidelity at 5 steps in behavioral trials: study design, provider training, treatment delivery, treatment receipt, and enactment of treatment skills. The authors argue that the demand for fidelity at every step ignores 2 critical sets of factors: (a) there are few theoretically grounded empirical studies of the processes involved in successful transitions in this sequence and (b) trials with perfect fidelity absent a theoretical model of transitions will produce evidence for interventions that lack a conceptual basis for adaptation to differences among diseases, treatments, patients, practitioners, medical institutions, and cultures and that therefore cannot be implemented in clinical practice.

References

Feb 8, 2002·The New England Journal of Medicine·William C KnowlerUNKNOWN Diabetes Prevention Program Research Group
Aug 21, 2002·Circulation·Robert M Califf, David L DeMets
Aug 28, 2002·Circulation·Robert M Califf, David L DeMets
Oct 9, 2002·Archives of General Psychiatry·Helena Chmura KraemerW Stewart Agras
Dec 4, 2003·Social Science & Medicine·Carol R HorowitzHoward Leventhal
Sep 16, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Albert J BellgUNKNOWN Treatment Fidelity Workgroup of the NIH Behavior Change Consortium

❮ Previous
Next ❯

Citations

Sep 28, 2010·Chinese Journal of Integrative Medicine·Yu QiuDong-yan Zhao
Jun 15, 2010·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Charles W GivenRuth McCorkle
Jul 28, 2005·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Susan Michie
Aug 5, 2009·The Journal of Cardiovascular Nursing·Barbara ResnickChanel Agness
Aug 6, 2010·Journal of Nursing Care Quality·Barbara ResnickStacy Trotman
Dec 12, 2012·Nursing Research·Janet S CarpenterDiane Von Ah
Oct 28, 2006·Implementation Science : IS·Karen M PerrinMelinda S Forthofer
Apr 6, 2013·Implementation Science : IS·Fabiana LorencattoSusan Michie
Jun 29, 2006·Home Health Care Services Quarterly·Gretchen E Alkema, Dennee Frey
Feb 27, 2014·Family & Community Health·Barbara ResnickErin Vigne
Aug 11, 2011·Journal of Evidence-based Social Work·Michèle Preyde, Priscilla V Burnham
Oct 3, 2007·Journal of Advanced Nursing·Valerie SpillaneMargaret E Cupples
Apr 26, 2006·Journal for Specialists in Pediatric Nursing : JSPN·Sharon HornerRosamar Torres
Dec 23, 2011·Journal for Specialists in Pediatric Nursing : JSPN·Melissa Spezia Faulkner
Apr 19, 2011·Journal of Public Health Dentistry·Belinda Borrelli
Apr 29, 2010·Journal of Advanced Nursing·Mi-Kyung SongMargarete Sandelowski
Aug 1, 2006·Applied Nursing Research : ANR·Margaret H Kearney, M Colleen Simonelli
Jun 10, 2015·Behaviour Research and Therapy·Leonie S BroseFabiana Lorencatto
Sep 4, 2015·Tobacco Induced Diseases·Sonia A DuffyUNKNOWN Consortium of Hospitals Advancing Research on Tobacco (CHART)
Apr 29, 2006·Evaluation & the Health Professions·Julie SolomonRobert M Malow
Apr 1, 2013·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Barbara ResnickSheryl Zimmerman
Oct 11, 2013·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Jill F Kilanowski, Li Lin
Oct 9, 2015·Revista latino-americana de enfermagem·Sophie BoisvertMaria Cecilia Gallani
May 26, 2018·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Elaine ToomeyUNKNOWN Choosing Healthy Eating for Infant Health (CHErIsH) study team

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Albert J BellgTreatment Fidelity Workgroup of the NIH Behavior Change Consortium
Western Journal of Nursing Research
Kyra WhitmerAndrea Barsevick
Nursing Research
Sheila Judge SantacroceMargaret Grey
Western Journal of Nursing Research
Violet H BarkauskasBrenda L Eakin
Health Education Research
Geoffrey C WilliamsEdward L Deci
© 2021 Meta ULC. All rights reserved