Table 3.
Definitions, framework and commonly measured components in systematic reviews on fidelity of healthcare interventions (n = 41)
| Frameworks (used in N = 34 reviews) | N (%) |
|---|---|
|
• Dane & Schneider (1998) Fidelity of intervention should include a measure of adherence to the program, dose, quality of program delivery, participant responsiveness and program differentiation. |
7 (21) |
|
• Borrelli et al., (2005). National Institute of Health Behavioral Change Consortium Treatment fidelity should be assessed using 5 categories including design, training, delivery, receipt and enactment. |
19 (56) |
|
• Carroll et al., (2007) Implementation fidelity should include the measurement of adherence (content, frequency, duration and coverage) and moderators (intervention complexity, facilitation strategies, quality of delivery and participant responsiveness). |
2 (6) |
|
• Steckler & Linnan (2002) Public health interventions should be measured and evaluated against seven different components including context, reach, dose delivered, dose received, fidelity, implementation and recruitment. |
2 (6) |
|
• Moncher & Prinz (1991) Fidelity requires a clear definition of the treatment, training in delivery of the protocol, treatment manuals, supervision and adherence to the treatment protocol through treatment verification. |
2 (6) |
|
• Sidani & Sechrest (1999) Fidelity of implementation should include conceptualisation of the problem, operationalisation of the theory and specification of mediating processes and outcome variables. |
1 (3) |
|
• Perepletchikova, Treat & Kazdin (2007). Implementation of Treatment Integrity Procedures Scale (ITIPS) Evaluation of treatment integrity in psychotherapy research should include four domains: establishing, assessing, evaluating and reporting fidelity along with therapist treatment adherence and competence |
1 (3) |
| Commonly measured components | |
| • Dosage | 31 (76) |
| • Adherence/compliance | 31 (76) |
| • Quality | 9 (22) |
| • Responsiveness | 31 (76) |
| • Training | 20 (49) |
| • Other (program differentiation, supervision, treatment manual, environmental design, therapist qualifications, theory) | 11 (27) |