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Establishing treatment fidelity in a web-based behavioral intervention study.
Linda H Eaton1, Ardith Z Doorenbos, Krisann L Schmitz
1Biobehavioral Nursing and Health Systems, University of Washington, Seattle, USA. lineaton@uw.edu
Nursing Research
|November 4, 2011
Summary
Ensuring treatment fidelity in web-based behavioral interventions is crucial. This study outlines a methodology for maintaining reliability and validity in online stress management programs for cancer survivors.
Area of Science:
- Behavioral Science
- Digital Health
- Intervention Fidelity
Background:
- Treatment fidelity ensures the reliability and validity of behavioral interventions.
- Web-based interventions require different fidelity strategies compared to in-person delivery.
Purpose of the Study:
- To describe a methodology for ensuring treatment fidelity in a web-based cognitive behavioral stress management intervention.
Main Methods:
- The study involved 123 breast cancer survivors in a randomized controlled trial.
- The 'Coping With Cancer Workbook' was adapted for web-based delivery.
- Treatment fidelity strategies were implemented and assessed.
Main Results:
- The National Institutes of Health Behavior Change Consortium Treatment Fidelity Guidelines were applicable to this web-based intervention.
Conclusions:
- Web-based interventions present unique challenges and opportunities for treatment fidelity.
- Researchers must actively implement strategies to monitor and enhance fidelity in digital behavioral interventions.
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