Belinda Borrelli
The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials
Miriam Hospital|Brown University|Providence College
objectives discuss methods preservation treatment fidelity health behavior change trials conducted public health contexts methods treatment fidelity framework provided nihs behavioral change consortium bcc 1 includes five domains treatment fidelity study design training delivery receipt enactment measure treatment fidelity previously developed validated using categories results strategies assessment monitoring enhancing treatment fidelity within five treatment fidelity domains discussed previously created measure treatment fidelity updated include additional items selecting providers additional confounders theory testing multicultural considerations conclusions implementation treatment fidelity plan may require extra staff time costs however economic scientific costs lack attention treatment fidelity far greater costs treatment fidelity implementation maintaining high levels treatment fidelity flexible adaptation according setting provider patient goal public health trials