[article] 
inThe British Journal of Occupational Therapy > Vol. 82 Issue 5 (Mai 2019) . - p. 261-262

Titre :	Treatment fidelity
Type de document :	texte imprimé
Auteurs :	Mary W. Hildebrand
Année de publication :	2019
Article en page(s) :	p. 261-262
Note générale :	doi.org/10.1177/0308022618816602
Langues :	Anglais (eng)
Résumé :	Occupational therapy interventions are difficult to evaluate because they are complex and dependent on therapist and client interactions. Psychotherapy and health behavior change interventions are similar in this respect, but to improve credibility for evidence-based interventions, over the previous few decades these fields have made significant progress in requiring that outcomes research incorporate and report treatment fidelity methods. Treatment fidelity is simply the degree to which an intervention was delivered as designed. However, health behavior change research has identified multiple components of treatment fidelity in outcomes research (Bellg et al., 2004). Leaders in these fields have urged researchers to measure and report the following components for achieving treatment fidelity: define specific characteristics or active ingredients of the intervention so that it is replicable (treatment design); provide standardized training of the clinicians to ensure the accuracy and consistency of delivery of the intervention over time (treatment integrity); ensure that the experimental and control treatment conditions are distinct from one another (treatment differentiation); assess how well the subjects understand the treatment (treatment receipt); and determine if the subjects apply the intervention (treatment enactment). These concepts and techniques can be incorporated into occupational therapy research and, as in psychotherapy and behavior change interventions, can lead to increased confidence that the outcomes of a study are attributable to the active ingredients of the intervention and not to extraneous variables or differences in practitioners who deliver the intervention (Bellg et al., 2004).
Permalink :	./index.php?lvl=notice_display&id=80411

[article] Treatment fidelity [texte imprimé] / Mary W. Hildebrand . - 2019 . - p. 261-262.
doi.org/10.1177/0308022618816602
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 5 (Mai 2019) . - p. 261-262

Résumé :

Occupational therapy interventions are difficult to evaluate because they are complex and dependent on therapist and client interactions. Psychotherapy and health behavior change interventions are similar in this respect, but to improve credibility for evidence-based interventions, over the previous few decades these fields have made significant progress in requiring that outcomes research incorporate and report treatment fidelity methods. Treatment fidelity is simply the degree to which an intervention was delivered as designed. However, health behavior change research has identified multiple components of treatment fidelity in outcomes research (Bellg et al., 2004). Leaders in these fields have urged researchers to measure and report the following components for achieving treatment fidelity: define specific characteristics or active ingredients of the intervention so that it is replicable (treatment design); provide standardized training of the clinicians to ensure the accuracy and consistency of delivery of the intervention over time (treatment integrity); ensure that the experimental and control treatment conditions are distinct from one another (treatment differentiation); assess how well the subjects understand the treatment (treatment receipt); and determine if the subjects apply the intervention (treatment enactment). These concepts and techniques can be incorporated into occupational therapy research and, as in psychotherapy and behavior change interventions, can lead to increased confidence that the outcomes of a study are attributable to the active ingredients of the intervention and not to extraneous variables or differences in practitioners who deliver the intervention (Bellg et al., 2004).

Permalink :

./index.php?lvl=notice_display&id=80411