2.50
Hdl Handle:
http://hdl.handle.net/10755/165760
Category:
Abstract
Type:
Presentation
Title:
Strategies to Maintain the Integrity of Nursing Interventions
Author(s):
Whitmer, Kyra
Author Details:
Kyra Whitmer, PhD, Associate Professor, University of Cincinnati, College of Nursing, Cincinnati, Ohio, USA, email: Kyra.Whitmer@UC.Edu
Abstract:
In the conduct of a randomized clinical trial, a critical problem is how to maintain the integrity of the intervention over time and across personnel. This problem is compounded when the intervention requires behavioral interaction between research staff and participant. This presentation will describe the methods used to maintain the integrity of an energy conservation/activity management (ECAM) intervention for cancer-related fatigue that was tested for efficacy in a randomized clinical trial. Principles of experimental design guided the development of methods to guard integrity. A training program was developed for the nurses who carried out the intervention. Training activities included the discussion of assigned readings and discussion about cancer-related fatigue and energy conservation; the use of an intervention script to standardize the content to be presented; and role-play of intervention scenarios including typical problems encountered during the pilot study. During the conduct of the study, the investigator conducted monthly meetings with staff to discuss problems administering the intervention and reinforce expectations of uniformity. In addition, all interventions were tape-recorded and a percentage was evaluated against a checklist of essential content of the intervention. The checklist was developed by the investigators and determined to have face validity. Inter-rater reliability also was established. The checklist was used to provide staff members with personalized feedback about the degree to which they adhered to the content of the intervention. The data from the checklists was also summarized to quantify adherence to the experimental intervention. Quarterly summary reports about intervention adherence were provided to all staff and investigators. Accrual to this clinical trial will be completed October 31, 2001, and, to date, has maintained greater than 90% adherence to the experimental intervention. The methods used in this study provide evidence of the integrity of the experimental intervention. These methods can be adapted to other behavioral studies to address the problem of adherence to the intervention.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleStrategies to Maintain the Integrity of Nursing Interventionsen_GB
dc.contributor.authorWhitmer, Kyraen_US
dc.author.detailsKyra Whitmer, PhD, Associate Professor, University of Cincinnati, College of Nursing, Cincinnati, Ohio, USA, email: Kyra.Whitmer@UC.Eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165760-
dc.description.abstractIn the conduct of a randomized clinical trial, a critical problem is how to maintain the integrity of the intervention over time and across personnel. This problem is compounded when the intervention requires behavioral interaction between research staff and participant. This presentation will describe the methods used to maintain the integrity of an energy conservation/activity management (ECAM) intervention for cancer-related fatigue that was tested for efficacy in a randomized clinical trial. Principles of experimental design guided the development of methods to guard integrity. A training program was developed for the nurses who carried out the intervention. Training activities included the discussion of assigned readings and discussion about cancer-related fatigue and energy conservation; the use of an intervention script to standardize the content to be presented; and role-play of intervention scenarios including typical problems encountered during the pilot study. During the conduct of the study, the investigator conducted monthly meetings with staff to discuss problems administering the intervention and reinforce expectations of uniformity. In addition, all interventions were tape-recorded and a percentage was evaluated against a checklist of essential content of the intervention. The checklist was developed by the investigators and determined to have face validity. Inter-rater reliability also was established. The checklist was used to provide staff members with personalized feedback about the degree to which they adhered to the content of the intervention. The data from the checklists was also summarized to quantify adherence to the experimental intervention. Quarterly summary reports about intervention adherence were provided to all staff and investigators. Accrual to this clinical trial will be completed October 31, 2001, and, to date, has maintained greater than 90% adherence to the experimental intervention. The methods used in this study provide evidence of the integrity of the experimental intervention. These methods can be adapted to other behavioral studies to address the problem of adherence to the intervention.en_GB
dc.date.available2011-10-27T12:24:24Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:24:24Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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