2.50
Hdl Handle:
http://hdl.handle.net/10755/158567
Type:
Presentation
Title:
Fidelity in Tailored Interventions: Methodological Issues
Abstract:
Fidelity in Tailored Interventions: Methodological Issues
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Lauver, Diane, PhD, APRN
P.I. Institution Name:University of Wisconsin - Madison
Title:Professor
Contact Address:School of Nursing, 600 Highland Avenue, Madison, WI, 53792-2455, USA
Contact Telephone:608-5286
The purpose of this paper is to present methodological approaches to maintaining fidelity in tailored interventions (TI). Fidelity refers to the internal validity of design and the consistency in delivery of interventions in assigned groups. Specifically, the aims are to: a) elaborate on the role of theory in guiding methods; b) discuss design issues regarding the intervention, including treatment integrity and treatment differentiation; and c) address how the receipt and enactment of a treatment can be examined to assess fidelity. As background, some scholars are skeptical about the worth of tailored interventions, and other patient-centered interventions, because they are not standardized. Some think that a tailored intervention lacks fidelity and that its key dimensions cannot be identified. To counter such thinking, approaches to maintaining fidelity in tailored interventions will be presented. The paper aims will be addressed by drawing upon current literature, principles of rigorous experimental designs, and examples from recent research. The role of theory in directly guiding key dimensions of interventions will be elaborated. Using examples from the author's completed, tailored intervention (regarding women's cancer screening behaviors), theoretically-based, key dimensions of the intervention will be elucidated. Issues in the integrity and differentiation of treatment will be discussed, including the training and monitoring of interveners, and supplemented with examples from the author's current studies. How one could measure the receipt and enactment of behavioral interventions will be addressed and supported with examples from recent research. If nurse-researchers can design and test more tailored interventions with fidelity, and if we can demonstrate positive effects of such interventions on health behaviors, then we can advance the science of tailored interventions, and hopefully, improve health behaviors.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFidelity in Tailored Interventions: Methodological Issuesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158567-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Fidelity in Tailored Interventions: Methodological Issues</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lauver, Diane, PhD, APRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin - Madison</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 600 Highland Avenue, Madison, WI, 53792-2455, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">608-5286</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">drlauver@wisc.edu</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this paper is to present methodological approaches to maintaining fidelity in tailored interventions (TI). Fidelity refers to the internal validity of design and the consistency in delivery of interventions in assigned groups. Specifically, the aims are to: a) elaborate on the role of theory in guiding methods; b) discuss design issues regarding the intervention, including treatment integrity and treatment differentiation; and c) address how the receipt and enactment of a treatment can be examined to assess fidelity. As background, some scholars are skeptical about the worth of tailored interventions, and other patient-centered interventions, because they are not standardized. Some think that a tailored intervention lacks fidelity and that its key dimensions cannot be identified. To counter such thinking, approaches to maintaining fidelity in tailored interventions will be presented. The paper aims will be addressed by drawing upon current literature, principles of rigorous experimental designs, and examples from recent research. The role of theory in directly guiding key dimensions of interventions will be elaborated. Using examples from the author's completed, tailored intervention (regarding women's cancer screening behaviors), theoretically-based, key dimensions of the intervention will be elucidated. Issues in the integrity and differentiation of treatment will be discussed, including the training and monitoring of interveners, and supplemented with examples from the author's current studies. How one could measure the receipt and enactment of behavioral interventions will be addressed and supported with examples from recent research. If nurse-researchers can design and test more tailored interventions with fidelity, and if we can demonstrate positive effects of such interventions on health behaviors, then we can advance the science of tailored interventions, and hopefully, improve health behaviors.</td></tr></table>en_GB
dc.date.available2011-10-26T21:11:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:11:00Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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