The fidelity of treatment delivery can be assessed in treatment outcome studies: a successful illustration from behavioral medicine

Journal of Clinical Epidemiology
M LeeuwJohan W S Vlaeyen

Abstract

Treatment outcome studies ought to assess the fidelity of their treatments, including treatment delivery, but practical guidelines and examples for this are lacking. Based on general recommendations in available literature, this study proposes and illustrates the design and application of a Method of Assessing Treatment Delivery (MATD) in a behavioral medicine trial comparing two treatments for chronic low back pain. In designing MATD, two experts identified several feasible treatment elements. Agreement between the experts in classifying these elements into five categories (essential and unique, essential but not unique, unique but not essential, compatible, prohibited) was assessed. In applying MATD, treatment recordings were evaluated by two independent raters, who coded the (non)-occurrence of MATD elements and who categorized each session as belonging to one of the two treatments. MATDs content validity was supported by adequate agreement between the experts' classifications of the treatment elements. MATDs interrater reliability was good. Comprehensive illustrations of designing and applying MATD may encourage the verification of treatment delivery as a partial reflection of treatment fidelity in forthcoming treatment out...Continue Reading

References

Aug 1, 1993·Journal of Consulting and Clinical Psychology·J WaltzN S Jacobson
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
Nov 17, 2005·Journal of Consulting and Clinical Psychology·Belinda BorrelliDenise Orwig
Dec 21, 2006·Journal of Behavioral Medicine·Maaike LeeuwJohan W S Vlaeyen

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Citations

Jan 21, 2012·Current Pain and Headache Reports·Rena GatzounisJohan W S Vlaeyen
Jan 29, 2013·BMC Health Services Research·Annemarie J B M de VosAnna P Nieboer
Feb 14, 2016·Worldviews on Evidence-based Nursing·Nienke BleijenbergMarieke J Schuurmans
Oct 1, 2009·Journal of Clinical Epidemiology·Derick T WadeJeanine A Verbunt
Jun 17, 2014·Journal of Science and Medicine in Sport·Lauren V FortingtonCaroline F Finch
Jul 5, 2016·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Angela ClarkErin L Winstanley
Sep 1, 2016·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Nahla TayyibPeter A Lewis
Oct 11, 2017·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Linda IrvineSheila Allan
Nov 3, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Phyllis N ButowBelinda Thewes
Oct 16, 2018·European Journal of Pain : EJP·Lea SchemerJulia Anna Glombiewski
Apr 29, 2010·Journal of Advanced Nursing·Mi-Kyung SongMargarete Sandelowski
Mar 14, 2019·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Rachel FerranteJill Heathcock
Oct 12, 2013·Annals of Medical and Health Sciences Research·Tc OkekeLc Ikeako
Nov 16, 2012·The Cochrane Database of Systematic Reviews·Amanda C de C WilliamsStephen Morley
Dec 18, 2019·Journal of Science and Medicine in Sport·Nirmala K P Perera, Martin Hägglund
Jun 7, 2021·International Journal of Mental Health Systems·Alan MaddockPaul Best

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