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Table 5 Methods of assessment and enhancement of fidelity of receipt

From: Methods used to address fidelity of receipt in health intervention research: a citation analysis and systematic review

Reference (first author)

Intervention recipients

Brief intervention description

BCC definitions of receipt

Other

Methods used to address receipt

Understanding

Performance of skill

  

Assess

Enhance

Assess

Enhance

Multicultural factors

Other assessment of receipt

1Asenlof [44]

People with Pain

Individually tailored behavioural medicine intervention

   

 

Intervention content

Intervention session records collected

Participants’ individual working sheets collected to examine session content

2Battaglia [65]

People with PTSD

Telehealth tobacco cessation program + PTSD Health Buddy program + motivational interviewing telephone counselling

 

  

Satisfaction

Self-report Questionnaire

3 Blaakman [66]

Caregivers of children with asthma

Tailored nurse led Motivational Interviewing intervention

     

Engagement

Review of audiotapes and of nurses’ field notes

Satisfaction

Questionnaire to assess satisfaction

4 Black [25]

Adult caregivers

Program to promote caregiver capacity to manage future goals

   

Behavioural change

Documentation of changes in care plan

Verbal verification of understanding of changes

Self-monitoring of behaviour changes

5 Bruckenthal [47]

Patients with chronic knee pain

Coping skills training for pain

 

 

Homework completion

Demonstration and practice of skills reviewed during intervention sessions

6 Carpenter [48]

Adult menopausal women

Deep breathing training and practice supported with CD or DVD

 

Successful attempts to contact participants

Number of participants not reached

Number of participants requiring media player to play intervention materials

Availability of hardware to play intervention materials

Observation of demonstration of breathing behaviours

Acceptability

Assessment of ability to complete practice log

7 Chee [28]

Caregivers of people with dementia

Skill-building intervention

     

Contacts with participants

Log of contacts

Log of problem areas addressed

Problem areas addressed in intervention

8 Culloty [75]

Mental health professionals

Cognitive-behavioural therapy supervisor training

 

  

Acceptability

Direct observations (video-taped) of sessions delivered rated by evaluator against Process

Evaluation of Training and Supervision (PETS) form

Training Acceptability Rating Scale (TARS) questionnaire

Focus group interviews (1/7 questions on receipt)

9 Delaney [61]

Homecare professionals

Training on late life depression screening and interventions

    

Self-efficacy (with regards to performance of intervention skills)

Knowledge, self-efficacy, attitude questionnaires in relation to intervention content

Attitude following workshop

 

10 Dyas [50]

Adult patients with difficulty sleeping and healthcare professionals

Training practitioners to deliver problem-focused therapy, patients’ needs and preferences, and sleep consultation video

    

Intervention received

Individual interviews on experiences using intervention, intervention received and understanding

11 Eaton [51]

Adult breast cancer survivors

Web-based cognitive behavioural stress management (CBSM) intervention

  

  

Use of intervention materials

Website monitoring of chapter completion

Self reported computer skills

12 Ford [29]

African American, Latina, and Arab women

Education on breast and cervical cancer

   

 

Individual questionnaire items

13 Kilanowski [31]

Children

Education on healthy eating and physical activity

   

Attendance

Attendance log

Knowledge of nutrition/physical activity questionnaire (CATCH)

14 Michie [54]

Adults at increased risk of diabetes

Multi-faceted intervention to increase physical activity

  

  

Behaviour change and/or maintenance

Self-report (audiotapes)

15 Millear [77]

Adult employees

Strengths-based resilience-building programme.

     

Receptivity to carrying out intervention skills in daily life

Self-report (questionnaire items)

16 Minnick [67]

Medical practices

The intervention, involved: 1. Joining/forming the team, 2. Assessment, 3. Population focused, care, 4. Process, standardisation,5. Team building, 6. Advanced VIP activities, 7. Ongoing VIP work, 8. Second assessment

    

Accuracy of recall of intervention content (comparison of participants’ recall with deliverers’ recall)

Self-report of intervention content (reports and interviews)

17 Pretzer-Aboff [33]

People with Parkinson’s

Based on social cognitive theory. Aim to increase self-efficacy and outcome expectations, improve physical functioning and activity and ultimately mood and quality of life.

 

   

Direct observation of participants

18 Resnick [36]

Residents and nurses in Assisted Living communities

Intervention components: (1) Environment and policy/procedure assessments; (2) Education; (3). Developing function-focused goals; and (4). Mentoring and motivating

 

  

Perceived effects of exposure to intervention

Focus groups and meetings

19 Resnick [37]

Residents and direct care workers (DCW) in Assisted Living communities

Intervention components: (1) Environment and policy/procedure assessments; (2) Education; (3) Developing function-focused goals; and (4) Mentoring and motivating

     

Self-report of knowledge of intervention content (questionnaire)

20 Resnick [35]

Nursing assistants (NAs) and nursing home residents

Educational programme: sessions addressed the philosophy of restorative care, taught ways to integrate restorative care into daily functional tasks with residents (e.g., bathing, dressing), taught the NAs how to motivate residents to engage in restorative care activities, and defined for the NAs a restorative care interaction and taught them how to document restorative care activities on a daily basis.

 

   

Self-report of knowledge of intervention content (questionnaire)

21 Resnick [34]

Older women post hip fracture

The Exercise Plus Program is a self-efficacy-based intervention to increase exercise. The trainer identifies short- and long-term goals, provides verbal encouragement, and education about exercise

 

   

Direct observation of participants by evaluator using checklist

22 Resnick [56]

Adult stroke patients

Task orientated treadmill based aerobic exercise intervention

 

Attendance

Attendance log

Direct observation of participants with checklist

23 Robb [57]

Adolescents/young adults (AYA) undergoing stem cell transplant

Therapeutic music video intervention that uses song writing and video production to encourage self-reflection and communication skills

 

Engagement

Active questioning

Observation of behavioural indicators of participant engagement

24 Robbins [73]

School girls not meeting national guidelines for physical activity

Motivational interviewing counselling sessions to increase physical activity

    

Attendance

Attendance logs

Engagement

Audio recordings of all counselling sessions; content evaluated against checklist

25 Shaw [63]

Adults attending a weight management programme

SMS text messaging intervention to promote sustained weight loss following a structured weight loss programme

     

Acceptability

Self-report of acceptability on intervention via semi-structured interviews

26 Smith [58]

Patients with type 2 diabetes

Peer support intervention with suggested themes and small structured components

     

Attendance

Attendance logs

27 Stevens [39]

Rehabilitation team

Rehabilitation team-training intervention to help members of the rehabilitation team gain knowledge and use the new team-functioning skills. Involved: (1) general skills training in team process (e.g., team effectiveness and problem solving strategies) (2) informational feedback (e.g., action plans to address team-process problems and a summary of team-functioning characteristics), and (3) telephone and videoconference consultation (e.g., advice on implementation of action plans and facilitation of team-process skills)

  

 

Active participation in workshop exercises and discussions

Notes and comments based on observation of sessions

Confirmation of receipt of materials from intervention sites

Receipt of written intervention materials

Self-report in feedback evaluation forms

Feedback on workshop

28 Teri [78]

Direct care and leadership staff

Training program designed to teach direct care staff in assisted living facilities to improve care of residents with dementia. Staff are taught to use the activators, behaviours, and consequences (ABC) approach to reduce affective and behavioural problems in residents with dementia by identifying factors within the environment and staff-resident interactions that can altered.

 

   

Checklists and notes

29 Waxmonsky [64]

Providers at community based clinical practices

Standard REP includes an intervention package consisting of an outline, a treatment manual and implementation guide, a standard training program, and as-needed technical assistance. Enhanced REP added customisation of the treatment manual and ongoing, proactive technical assistance from internal and external facilitators.

    

Attendance

Attendance logs

Contacts

Record of intervention contacts (number and length)

30 Weinstein [41]

Women and their live born children

The interventions utilised either brief

 

 

 

Satisfaction

Self-report in a feedback questionnaire

Motivational Interviewing

(MI) or traditional Health Education (HE) to provide oral health education, assist women to adopt behaviours associated with optimal oral health, and to seek professional dental care for themselves and their young children.

Use of standardised protocols/manuals to enhance understanding and performance (no assessment)

31 Yamada [42]

Council members and the health care professionals employed in the NICU

Using knowledge transfer strategies to improve use of pain management strategies in hospitalised infants in neo-natal ICU

     

Acceptability

Self-report of usefulness of implemented intervention strategies (questionnaire)

Barriers and facilitators to implementation of intervention strategies (meetings)

32 Yates [43]

Adult CABG patients and spouses participating in Cardiac Rehabilitation (CR)

Patients in both groups participated in the full CR program (comprehensive risk reduction, exercise sessions, and educational classes). Spouses/partners in the PaTH intervention group attended CR with the patient and participated in exercise sessions and educational classes to make the same positive changes in exercise and diet (Therapeutic Lifestyle Change [TLC] Diet recommended by the American Heart Association). Spouses in the usual care group were invited to attend the educational sessions that were part of the CR program.

     

Attendance

Attendance logs

33 Zauszniewski [45]

Grandmothers who were raising grandchildren

Personal and social resourcefulness skills training.

 

  

Use of skills learnt during intervention

Self-report of use of resourcefulness skills (questionnaire)

Self-report of skills learnt and used (qualitative- daily journals/voice recordings)

34 Arends [68]

Workers aged between 18–63 years, diagnosed with a common mental disorder.

Evidence-based guideline directed at structuring physicians’ treatment to help sick-listed workers with mental health problems to return to work, using strategies such as problem-solving.

     

Intervention components completed

Self-report of number of assignments completed (questionnaire)

Intervention content received

Self-report of topics discussed (questionnaire)

35 Bjelland [59]

11–12 year olds

Intervention aimed at reducing intake of sugarsweetened beverages and sedentary behaviour in adolescent school children.

     

Exposure

Self-report of awareness of intervention components, receipt of and exposure to intervention materials (questionnaire)

Satisfaction

Self-report of satisfaction (questionnaire)

Receipt of intervention materials

36 Boschman [60]

Construction workers

Intervention aimed at detecting signs of workrelated health problems, reduced work capacity and/or reduced work functioning.

    

Recall of intervention-related advice

Self-report (questionnaire)

Intention to act on intervention advice

37 Branscum [26]

YMCA-sponsored after school programs

Knowledge and theory-based childhood obesity prevention intervention implemented in afterschool programs. The knowledge-based intervention chose program activities to mediate behaviour change solely based on building awareness and knowledge, such as being aware of the recommended number of servings of fruits and vegetables. The theory- based intervention used theory-oriented program activities to mediate behaviour change such as taking small achievable steps for learning and mastering new skills. Both interventions also included aspects of making and reading comic books “Comics for Health.”

     

Feasibility

Self-report (questionnaire)

Acceptability

38 Brice [27]

Families with recent live births

Infant and child safety focused intervention targeting fire risks, water temperature, electricity, crib hazards, and firearms, as well as potential injuries associated with stairways, pools, and cars. Intervention strategies included the home safety assessment, one-on-one education and counseling, on-site home modifications, further recommendations, and referrals.

    

Satisfaction

Self-report (questionnaire)

39 Broekhuizen [46]

Individuals with familial hypercholesterolemia

Tailored lifestyle intervention aiming to reduce cardiovascular disease (CVD) risk by promoting a healthy lifestyle. Included: improving awareness of CVD risk, motivational interviewing, and computer-tailored lifestyle advice.

     

Use of (Web) materials

Logins

Website monitoring of module completion

40 Coffeng [74]

Employees

Group motivational interviewing combined with environmental changes to the physical workplace.

     

Attendance

Self-report of attendance to intervention sessions and use of intervention components (questionnaire)

Use of intervention components

 

41 Cosgrove [49]

Patients with a primary diagnosis of COPD

Pulmonary rehabilitation programme that provides patients with disease-specific information and teaches self-management skills through the practical application of activities. Includes: educational materials and resources for both health professionals and patients).

    

Acceptability

Self-report of acceptability of intervention (questionnaire)

Satisfaction

Self-report of satisfaction with educational component (questionnaire)

42 Devine [69]

Female employees

Locally adapted obesity prevention intervention involving goal setting, self-monitoring, modelling, and feedback on behaviour.

     

Intervention content received

Self-report of experiences with intervention and influencing factors (semi-structured interviews and focus groups)

43 Fagan [62]

Youth communities

The Communities That Care (CTC) operating system provides a planned and structured framework for diverse community partners to utilise advances in prevention science. Includes:, (a) assessing community readiness to undertake collaborative prevention efforts; (b) forming diverse and representative prevention coalitions); (c) using community-level epidemiologic data to assess prevention needs; (d) choosing evidence-based prevention policies, practices, and programs and (e) implementing new innovations with fidelity.

    

Responsiveness

Self-report of understanding and participation (questionnaire)

44 Gitlin [70]

Caregivers for patients with dementia

Occupational therapists assess specific needs, concerns, and challenges of caregivers, the physical and social environment, caregiver management approaches, and dementia patient functionality. Involves environmental simplification, communication, task simplification, engaging patient in activities, and stress reduction, and five key treatment principles: client centered; problem solving; tailoring; action-oriented and cultural relevance.

 

  

Adequate number of sessions received and skills learnt

Self-report (questionnaire)

Treatment received with respect

 

45 Goenka [30]

Adolescent Students (6th and 8th Grade)

Intervention involving multiple education sessions, school posters, and parent postcards focused on imparting behavioral skills and contextual knowledge to decrease children’s susceptibility to taking up tobacco in the future.

   

Enjoyment and communication skills during intervention delivery

Self-report of enjoyment in teaching, communication skills with participants, ease of use of handbook materials, confidence in using intervention strategies (questionnaire)

Confidence in using intervention materials and principles

Self-report on participants’ enjoyment, ease of use of materials, participation and absorption (questionnaire)

Students’ absorption, engagement, participation, ease of use of program materials

46 Jonkers [52]

Chronically ill elderly patients

Minimal psychological intervention to reduce depression in chronically ill elderly persons involving self-monitoring, exploration of links between cognition, mood and behaviour, and action-planning.

     

Engagement

Self-report of ability to understand and implement intervention principles (questionnaire)

Intention to implement intervention

Self-report of adherence to previous intervention commitments (checklist)

Adherence to commitments made

Self-report of intention to implement intervention behaviours in daily life (questionnaire)

Satisfaction

Self-report of satisfaction with intervention (questionnaire)

47 Lee-Kwan [71]

Customers of restaurants serving unhealthy foods in deprived areas

A culturally appropriate health eating health promotion intervention in restaurants serving foods high in calories in low-income urban areas.

  

 

Exposure to intervention materials

Self-report of exposure to intervention (survey) examining whether intervention materials were seen and whether this impacted behaviour

Behavioural change following exposure

 

48 Lisha [76]

Adolescent high school Students

A drug prevention programme, with and without combined motivation interviewing.

     

Attendance

Attendance records

49 McCreary [53]

HIV patients

The six-session intervention was delivered to small groups of 10–12 participants by 85 trained volunteer peer leaders working in pairs

     

Engagement in group sessions

Observations of group sessions and ratings assigned on indicators of engagement (checklist items)

Self-report on observations (qualitative comments)

50 Nakkash [55]

Currently married women, aged 18–49, reporting symptoms of medically unexplained vaginal discharge and low to moderate common mental disorders

Psychosocial intervention package targeting the reporting of medically unexplained vaginal discharge and common mental disorders (depression and/or anxiety). Involves progressive muscle relaxation/guided imagery exercises and weekly structured support groups.

     

Satisfaction

Self-report of participants’ involvement and participation in intervention sessions (questionnaire)

Level of involvement

Self-report of satisfaction with intervention (questionnaire)

51 Naven [84]

Health visitors

Distribution programmes involved the distribution of free fluoride toothpaste and a toothbrush to all children in Scotland at the age of 8 months, and targeted distribution to ‘at risk’ children aged 1–3 years in areas of deprivation

     

Receipt of information on intervention requirements

Self-report of receipt of information on intervention requirements (item in survey)

52 Pbert [72]

Adolescent (13-17years) smokers/non-smokers/former smokers

Smoking prevention and cessation intervention tailored to the stage of smoking acquisition of adolescents combined, with peer counselling focusing on the social aspects of smoking and development of the ability to resist social pressures to smoking.

     

Occurrence of possible intervention steps

Self-report of intervention steps received

53 Potter [32]

Students

Increase children’s exposure to a variety of fruit and vegetables by distributing free fresh or dried fruit and fresh vegetable snacks to all students during the school day. Teachers and school staff were allowed to eat the snacks to serve as role models. Nutrition education and promotion activities were encouraged but not required.

     

Reactions to program

Self-report of reactions to program (focus groups with separate groups)

54 Skara [38]

Adolescent high school Students

Combined cognitive perception information and behavioural skills curriculum in a high school to prevent drug abuse.

     

Responsiveness to program

Self-report of responsiveness to program (questionnaire)

55 Teel [40]

Older spouse caregivers of individuals with dementia

Intervention targeting healthy habits, selfesteem, communication, and self-care strategies in older adults. Included practicing healthy habits, building self-esteem, focusing on the positive, avoiding role overload, communicating, and building meaning. Specific self-care strategies were explored in the context of an individual’s experiences, relationships, and condition.

    

Adequacy of communication methods used in intervention

Self-report on helpfulness of intervention to assess understanding of intervention content (interviews)

Self-report on adequacy of communication methods used (questionnaire)