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Developing an implementation fidelity checklist for a vocational rehabilitation intervention

BACKGROUND: Despite growing numbers of studies reporting the efficacy of complex interventions and their implementation, many studies fail to report information on implementation fidelity or describe how fidelity measures used within the study were developed. This study aimed to develop a fidelity c...

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Autores principales: Powers, Katie, Clarke, Sara, Phillips, Julie, Holmes, Jain A., Cripps, Rachel, Craven, Kristelle, Farrin, Amanda, das Nair, Roshan, Radford, Kathryn A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9628165/
https://www.ncbi.nlm.nih.gov/pubmed/36324137
http://dx.doi.org/10.1186/s40814-022-01194-x
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author Powers, Katie
Clarke, Sara
Phillips, Julie
Holmes, Jain A.
Cripps, Rachel
Craven, Kristelle
Farrin, Amanda
das Nair, Roshan
Radford, Kathryn A.
author_facet Powers, Katie
Clarke, Sara
Phillips, Julie
Holmes, Jain A.
Cripps, Rachel
Craven, Kristelle
Farrin, Amanda
das Nair, Roshan
Radford, Kathryn A.
author_sort Powers, Katie
collection PubMed
description BACKGROUND: Despite growing numbers of studies reporting the efficacy of complex interventions and their implementation, many studies fail to report information on implementation fidelity or describe how fidelity measures used within the study were developed. This study aimed to develop a fidelity checklist for measuring the implementation fidelity of an early, stroke-specialist vocational rehabilitation intervention (ESSVR) in the RETAKE trial. METHODS: To develop the fidelity measure, previous checklists were reviewed to inform the assessment structure, and core intervention components were extracted from intervention descriptions into a checklist, which was ratified by eight experts in fidelity measurement and complex interventions. Guidance notes were generated to assist with checklist completion. To test the measure, two researchers independently applied the checklist to fifteen stroke survivor intervention case notes using retrospective observational case review. The scoring was assessed for interrater reliability. RESULTS: A fidelity checklist containing 21 core components and 6 desirable components across 4 stages of intervention delivery was developed with corresponding guidance notes. Interrater reliability of each checklist item ranged from moderate to perfect (Cohen’s kappa 0.69–1). CONCLUSIONS: The resulting checklist to assess implementation fidelity is fit for assessing the delivery of vocational rehabilitation for stroke survivors using retrospective observational case review. The checklist proved its utility as a measure of fidelity and may be used to inform the design of future implementation strategies. TRIAL REGISTRATION: ISRCTN, ISRCTN12464275. Registered on 13 March 2018. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40814-022-01194-x.
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spelling pubmed-96281652022-11-03 Developing an implementation fidelity checklist for a vocational rehabilitation intervention Powers, Katie Clarke, Sara Phillips, Julie Holmes, Jain A. Cripps, Rachel Craven, Kristelle Farrin, Amanda das Nair, Roshan Radford, Kathryn A. Pilot Feasibility Stud Methodology BACKGROUND: Despite growing numbers of studies reporting the efficacy of complex interventions and their implementation, many studies fail to report information on implementation fidelity or describe how fidelity measures used within the study were developed. This study aimed to develop a fidelity checklist for measuring the implementation fidelity of an early, stroke-specialist vocational rehabilitation intervention (ESSVR) in the RETAKE trial. METHODS: To develop the fidelity measure, previous checklists were reviewed to inform the assessment structure, and core intervention components were extracted from intervention descriptions into a checklist, which was ratified by eight experts in fidelity measurement and complex interventions. Guidance notes were generated to assist with checklist completion. To test the measure, two researchers independently applied the checklist to fifteen stroke survivor intervention case notes using retrospective observational case review. The scoring was assessed for interrater reliability. RESULTS: A fidelity checklist containing 21 core components and 6 desirable components across 4 stages of intervention delivery was developed with corresponding guidance notes. Interrater reliability of each checklist item ranged from moderate to perfect (Cohen’s kappa 0.69–1). CONCLUSIONS: The resulting checklist to assess implementation fidelity is fit for assessing the delivery of vocational rehabilitation for stroke survivors using retrospective observational case review. The checklist proved its utility as a measure of fidelity and may be used to inform the design of future implementation strategies. TRIAL REGISTRATION: ISRCTN, ISRCTN12464275. Registered on 13 March 2018. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40814-022-01194-x. BioMed Central 2022-11-02 /pmc/articles/PMC9628165/ /pubmed/36324137 http://dx.doi.org/10.1186/s40814-022-01194-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Methodology
Powers, Katie
Clarke, Sara
Phillips, Julie
Holmes, Jain A.
Cripps, Rachel
Craven, Kristelle
Farrin, Amanda
das Nair, Roshan
Radford, Kathryn A.
Developing an implementation fidelity checklist for a vocational rehabilitation intervention
title Developing an implementation fidelity checklist for a vocational rehabilitation intervention
title_full Developing an implementation fidelity checklist for a vocational rehabilitation intervention
title_fullStr Developing an implementation fidelity checklist for a vocational rehabilitation intervention
title_full_unstemmed Developing an implementation fidelity checklist for a vocational rehabilitation intervention
title_short Developing an implementation fidelity checklist for a vocational rehabilitation intervention
title_sort developing an implementation fidelity checklist for a vocational rehabilitation intervention
topic Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9628165/
https://www.ncbi.nlm.nih.gov/pubmed/36324137
http://dx.doi.org/10.1186/s40814-022-01194-x
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