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Apr 1, 2018 · An accurate assessment of fidelity, combined with a high degree of fidelity to the intervention, is critical to the reliability, validity, replicability, and scale-up of the results of an ...
Yet few published studies using fidelity criteria provide details on the construction of a valid fidelity index. The purpose of this review article is to outline steps in the development, measurement, and validation of fidelity criteria, providing examples from health and education literatures.
- Carol T. Mowbray, Mark C. Holter, Gregory B. Teague, Deborah Bybee
- 2003
- Field Guide to Fidelity Measurement
- Pathways Triple p Case Study
- Implications For Research
- Implications For Practice
- Limitations
The Field Guide describes a sequential five-step process displayed in Fig. 1. The steps are: 1. 1. defining the purpose and scope of the fidelity assessment used for evaluation of the intervention; 2. 2. identifying the essential components of the fidelity monitoring system; 3. 3. developing the fidelity tool; 4. 4. monitoring fidelity during the s...
Inter-rater Reliability
The same two raters were used consistently across sessions. This is a fully crossed design (Shrout & Fleiss, 1979) and Cohen’s kappa was used to calculate kappa. A kappa score was calculated for each session because each session had a different content measure. The kappa values ranged from 0.44 to 0.97 with all but one session scoring over 0.65—an indication that inter rater reliability was in the good or substantial range (Altman, 1991; Landis & Koch, 1977). For the process scores a two-way...
Fidelity Score in Analyses
This project has data on content fidelity, process fidelity and dose, all of which can be included as moderators in the analyses. The average content delivered across sessions was 77.2% and the average process score was 7.56 out of a possible score of 10. This means that, on average, about 77% of the content was delivered and that the practitioners followed the PTP process model about 75% of the time.
Dose in Analyses
Dose was used as a continuous independent variable to understand the relationship between the number of sessions completed and the parent and child outcomes.
Understanding and replicating the circumstances in which an intervention resulted in successful outcomes for clients or patients is critical to replicating the positive outcomes and delivering effective services to clients (Miller & Rollnick, 2014). More transparent and consistent systems of assessing and monitoring fidelity, that are developed usi...
For administrators and practitioners, information about the assessment of fidelity should be scrutinized as carefully as the results of the intervention. To achieve the positive results for clients in usual care that were demonstrated in a research study, monitoring and maintaining fidelity must be built into the estimated cost of delivering the in...
The Field Guide system has a few limitations, as do the measures that were developed for the study. The PTP materials include detailed information about the intended process and content of the intervention in the training and manuals. This provided a good starting point and direction from which to develop the intervention measurement tool. However,...
- Megan Feely, Kristen D. Seay, Paul Lanier, Wendy Auslander, Patricia L. Kohl
- 2018
Jun 4, 2020 · Fidelity scales are indispensable in the pursuit of evidence-based mental healthcare. Without fidelity checks, treatment remains a mysterious black box. The aim of this article is to comment on the studies in this special section, and to discuss some general issues with regard to fidelity assessment.
- Jaap van Weeghel
- 2020
Sep 1, 2003 · The first scale developed to assess fidelity to ACT principles, in fact, followed the expert opinion method for fidelity development approach (2) above: reviewing published descriptions of the model, constructing a list of proposed critical ingredients, then having ACT experts (academics and practitioners) rate the importance of each ingredient (McGrew et al., 1994).
- Carol T. Mowbray, Mark C. Holter, Gregory B. Teague, Deborah Bybee
- 2003
Nov 5, 2019 · Fidelity scales that are lengthy or require extensive training are less usable (Dumas and Redish 1999). A final step is establishing benchmark standards. Benchmark standards for fidelity scales are useful for communicating overall performance of a program or group of programs, for both research and quality improvement purposes.
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What is Fidelity? • The extent to which a treatment or intervention is delivered as intended. – In other words, “doing it right”. – Achieving. positive outcomes. – Involves. assessment of. • Knowledge, skills, model adherence and the ability to deliver the model within the context in which the model is being implemented.
