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Assessing fidelity: balancing methodology and reality in jail interventions
BACKGROUND: While fidelity to research protocols is important to ensure generalizable outcomes, interventions in criminal justice settings present unique challenges to uniform implementation. The goal of this paper is to describe the fidelity methods and outcomes for a sexual health intervention imp...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057049/ https://www.ncbi.nlm.nih.gov/pubmed/30037333 http://dx.doi.org/10.1186/s12905-018-0617-x |
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author | Kelly, Patricia J. Emerson, Amanda Fair, Chelsea Ramaswamy, Megha |
author_facet | Kelly, Patricia J. Emerson, Amanda Fair, Chelsea Ramaswamy, Megha |
author_sort | Kelly, Patricia J. |
collection | PubMed |
description | BACKGROUND: While fidelity to research protocols is important to ensure generalizable outcomes, interventions in criminal justice settings present unique challenges to uniform implementation. The goal of this paper is to describe the fidelity methods and outcomes for a sexual health intervention implemented in three local county jails. METHODS: As part of a longitudinal cohort study, four trained fidelity assessors observed 25 of the 230 sessions presented (including both intervention and comparison groups) at three separate times during the 29 months of the intervention. Assessment methods included the assessors’ field notes, a nine-item facilitator quality scale and a content inclusion scale with 6–13 items specific for each of the five sessions. RESULTS: Facilitator quality score ranged from 87.6 to 99.2%. Content inclusion scores ranged from 77.3 to 88%. Specific challenges to fidelity were found in two areas: the jail environment and the participants’ response to content. CONCLUSIONS: The realities of conducting research in jails and prisons must be addressed in real time by adjusting program content to fit both unexpected facility and participant situations. Skilled facilitators are essential to this effort. |
format | Online Article Text |
id | pubmed-6057049 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-60570492018-07-30 Assessing fidelity: balancing methodology and reality in jail interventions Kelly, Patricia J. Emerson, Amanda Fair, Chelsea Ramaswamy, Megha BMC Womens Health Research Article BACKGROUND: While fidelity to research protocols is important to ensure generalizable outcomes, interventions in criminal justice settings present unique challenges to uniform implementation. The goal of this paper is to describe the fidelity methods and outcomes for a sexual health intervention implemented in three local county jails. METHODS: As part of a longitudinal cohort study, four trained fidelity assessors observed 25 of the 230 sessions presented (including both intervention and comparison groups) at three separate times during the 29 months of the intervention. Assessment methods included the assessors’ field notes, a nine-item facilitator quality scale and a content inclusion scale with 6–13 items specific for each of the five sessions. RESULTS: Facilitator quality score ranged from 87.6 to 99.2%. Content inclusion scores ranged from 77.3 to 88%. Specific challenges to fidelity were found in two areas: the jail environment and the participants’ response to content. CONCLUSIONS: The realities of conducting research in jails and prisons must be addressed in real time by adjusting program content to fit both unexpected facility and participant situations. Skilled facilitators are essential to this effort. BioMed Central 2018-07-23 /pmc/articles/PMC6057049/ /pubmed/30037333 http://dx.doi.org/10.1186/s12905-018-0617-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Kelly, Patricia J. Emerson, Amanda Fair, Chelsea Ramaswamy, Megha Assessing fidelity: balancing methodology and reality in jail interventions |
title | Assessing fidelity: balancing methodology and reality in jail interventions |
title_full | Assessing fidelity: balancing methodology and reality in jail interventions |
title_fullStr | Assessing fidelity: balancing methodology and reality in jail interventions |
title_full_unstemmed | Assessing fidelity: balancing methodology and reality in jail interventions |
title_short | Assessing fidelity: balancing methodology and reality in jail interventions |
title_sort | assessing fidelity: balancing methodology and reality in jail interventions |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057049/ https://www.ncbi.nlm.nih.gov/pubmed/30037333 http://dx.doi.org/10.1186/s12905-018-0617-x |
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