A pragmatic assessment of treatment fidelity, in a community based physical activity intervention for COPD
PHE ePoster Library. Frith G. Sep 12, 2017; 186592; 24
Ms. Gabbi Frith
Ms. Gabbi Frith
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Abstract Purpose'Keep Active Keep Well' (KAKW) is a theoretically underpinned, 12 week physical activity (PA) behaviour change programme, using motivational interviewing techniques to promote PA maintenance in COPD patients. Treatment Fidelity refers to methodological strategies that enhance reliability and validity of behavioural interventions (Belg et al, 2005) and are rarely incorporated in community based PA programmes. The evaluation and maintenance of treatment fidelity is an important methodological consideration in intervention research.Aim To pragmatically assess the treatment fidelity of a community based intervention at two prototype sites.MethodTreatment fidelity was evaluated based on design, provider training, intervention delivery, intervention receipt and enactment utilising a checklist to embed treatment fidelity (Borelli, 2011). Results were mapped according to a treatment fidelity checklist based on observational accounts.ResultsBoth sites adhered highly to the treatment fidelity checklist criteria (>80%).Conclusion There is paucity across the literature in reporting methods of treatment fidelity in community based PA programmes. The following programme utilises a checklist to embed treatment fidelity and offers a useful insight into the pragmatic assessment of treatment fidelity in community based settings. External funding details Funding was secured from the British Lung Foundation via Sport England.
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