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Leon Poltawski1, Meriel Norris, Sarah Dean

  • 1, University of Exeter Medical School, St Luke's Campus, Magdalen Rd, Exeter EX1 2LU, United Kingdom. L.Poltawski@exeter.ac.uk.

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|June 19, 2014
PubMed
Summary
This summary is machine-generated.

Ensuring intervention fidelity is crucial for credible rehabilitation research. This study proposes a model and strategies to maximize and measure fidelity in stroke rehabilitation trials.

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Area of Science:

  • Rehabilitation Science
  • Clinical Trials
  • Intervention Fidelity

Background:

  • Intervention fidelity, the extent interventions are implemented as intended, is vital for study credibility.
  • Little attention has been given to intervention fidelity within the rehabilitation literature.
  • This study addresses fidelity in the development of a rehabilitation clinical trial.

Purpose of the Study:

  • To describe experiences addressing intervention fidelity in a rehabilitation clinical trial.
  • To explore the application of an existing psychological model to rehabilitation research.
  • To propose a model for maximizing and measuring intervention fidelity in rehabilitation.

Main Methods:

  • Utilized a psychological model and methods to investigate fidelity maximization in stroke rehabilitation trial planning.
  • Considered fidelity in intervention design, provider training, and provider/participant behavior.
  • Evaluated methods for assessing fidelity during a clinical trial.

Main Results:

  • Identified strategies to address fidelity in the trial protocol, noting strengths and limitations.
  • Incorporated these strategies into a fidelity model tailored for rehabilitation.
  • Developed a model of fidelity suitable for rehabilitation concepts and language.

Conclusions:

  • Multiple strategies can maximize and measure intervention fidelity in rehabilitation research.
  • A proposed model and recommendations are based on practical experiences in a stroke trial.
  • These findings aim to inform the growing body of literature on intervention fidelity in rehabilitation.