![]() ![]() framework focuses on the fidelity of implementation strategies aligned with the care provider. Moreover, the health behavior change of the BCC focuses on fidelity of the treatment aligned with diverse patient populations, while Dusenbury’s et al. Others have since cited these five elements however, not everyone agrees that each of these components should be included in an evaluation of fidelity. argued that the process of identifying core program elements for program differentiation has serious limitations. , adopted from Dane and Schneider, acknowledges that five loosely connected elements have been associated with a holistic picture of implementation fidelity: adherence, dose, program delivery, participant engagement, and program differentiation, noting that program differentiation never seemed to be measured. This Behavior Change Consortium (BCC) recommended five categories of treatment fidelity strategies with the first three categories (study design, provider training, and treatment delivery) focusing on the provider and the last two categories (receipt of treatment and enactment of treatment skills) focusing on the patient.Īt the other end of the spectrum, there are measures that offer a more flexible approach to assessment of care provider behavior. Health behavior change researchers, in collaboration with the National Institutes of Health, developed a comprehensive approach to the fidelity of health behavior change interventions. Without it, accurate conclusions about an intervention cannot be drawn as unknown factors may have influenced the outcome(s). Implementation fidelity is critical to the internal and external validity of implementation research. The importance in the distinction of these terms is discussed later. It is recognized as a key component to evaluating evidence-informed interventions at the “implementer-level” such as clinical practice guidelines and to evaluating implementation strategies at the “programmatic-level” such as educational or financial support. ![]() Implementation fidelity is generally defined as the degree to which a program is implemented as it was intended in the original program model or protocol however, definitions vary across disciplines making shared understanding of approaches and findings difficult. Using linear regression, we assessed the fidelity scores in relation to the publication year. ![]() ![]() We conducted inter-rater reliability checks for all of the independently scored articles. Data extraction pertaining to the quality of reporting the fidelity of implementation strategies was facilitated with an “Implementation Strategy Fidelity Checklist” based on definitions adapted from Dusenbury et al. In addition, we summarized implementation strategies using the EPOC categories. Using a data extraction tool, we organized retrieved article data from these three journals. We organized the retrieved articles from the systematic reviews by journal and selected the three journals with the largest number of retrieved articles. EPOC’s primary focus, implementation strategies influencing provider behavior change, optimized our ability to identify articles for inclusion. Studies were identified from the outputs of the Effective Practice and Organization of Care (EPOC) review group within the Cochrane Database of Systematic Reviews. A six-stage methodological framework for scoping studies guided our work. ![]()
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