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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Methods for streamlining intervention fidelity checklists: an example from the chronic disease self-management

SangNam Ahn¹, Matthew Lee Smith², Mary Altpeter³

¹Division of Health Systems Management and Policy, School of Public Health, The University of Memphis , Memphis, TN , USA ; Department of Health Promotion and Community Health Sciences, Texas A&M Health Science Center, School of Public Health , College Station, TX , USA.

Frontiers in Public Health

|May 13, 2015

Summary

This summary is machine-generated.

Developing shorter intervention fidelity checklists is crucial for quality assurance in evidence-based programs (EBP). This study created concise versions of the Chronic Disease Self-Management Program (CDSMP) checklist, aiding broader program implementation and monitoring.

Keywords:

Chronic Disease Self-Management Program aging evidence-based programs expert consensus intervention fidelity quality assurance

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Published on: August 1, 2019

Area of Science:

Health Services Research
Program Evaluation
Gerontology

Background:

Programmatic quality assurance (QA) necessitates maintaining intervention fidelity.
Original fidelity checklists, like the Stanford Chronic Disease Self-Management Program (CDSMP) 157-item checklist, can be lengthy and difficult to implement widely.
Shorter, feasible checklists are needed for effective QA in community-based programs for older adults.

Purpose of the Study:

To demonstrate heuristic procedures for generating shorter fidelity checklists from an original, lengthy instrument.
To adapt the Stanford CDSMP fidelity checklist for easier application in diverse settings.
To inform future QA efforts for evidence-based programs (EBP) through streamlined fidelity assessment.

Main Methods:

An expert consensus approach involving active master trainers from the Stanford University Patient Education Research Center.
Three sequential surveys and one expert group teleconference call were conducted.
Statistical and methodological criteria were used to generate three shorter versions (34, 20, and 12 items) of the CDSMP fidelity checklist.

Main Results:

Unanimous agreement among national experts on the utility of the three generated shorter versions of the fidelity checklist.
The final versions (34, 20, and 12 items) were deemed appropriate for varying purposes and resources.
The study successfully generated shorter, heuristic fidelity checklists applicable to the CDSMP and potentially other EBPs.

Conclusions:

Shorter fidelity checklists can be effectively generated using expert consensus and methodological criteria.
The availability of multiple checklist lengths (e.g., 34, 20, 12 items) enhances flexibility for QA in different settings.
This methodology provides a valuable tool for improving the quality assurance and implementation of EBPs for older adults in community settings.