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Updated: Jan 7, 2026

Employing the Forced Oscillation Technique for the Assessment of Respiratory Mechanics in Adults
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Promoting and Measuring Fidelity of Occupational Therapy Interventions: A Scoping Review.

Tullia Blackburn1, Louise Gustafsson1, Matthew Molineux1

  • 1Griffith University, Nathan, QLD, Australia.

OTJR : Occupation, Participation and Health
|December 30, 2025
PubMed
Summary

Promoting and monitoring occupational therapy intervention fidelity in clinical practice requires multiple strategies. Checklists and supervision discussions are identified as sustainable methods for ensuring treatment fidelity.

Keywords:
auditchecklistclinical practiceevidence-based practicetrainingtreatment

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Area of Science:

  • Occupational Therapy
  • Clinical Practice
  • Intervention Fidelity

Background:

  • Intervention fidelity is crucial for research validity but poorly understood in clinical settings.
  • Methods for promoting and monitoring intervention fidelity in occupational therapy practice need clarification.

Purpose of the Study:

  • To identify and synthesize methods used to promote and monitor the fidelity of occupational therapy interventions in clinical practice.
  • To provide insights into effective strategies for maintaining intervention integrity.

Main Methods:

  • A scoping review was conducted following Arksey and O'Malley's (2005) framework.
  • Four databases were searched for articles focusing on occupational therapy intervention fidelity in clinical practice.
  • Fifty-nine articles were included in the review.

Main Results:

  • Commonly reported supports included therapist training (39 articles), manuals/protocols (24 articles), supervision/mentoring (24 articles), checklists/rating scales (46 articles), and video/audio recordings (18 articles).
  • Checklists and rating scales were the most frequently described methods for monitoring fidelity.
  • Therapist training and manuals were key methods for promoting fidelity.

Conclusions:

  • Ensuring implementation fidelity in occupational therapy requires a multifaceted approach.
  • Utilizing checklists and incorporating supervisory discussions are recommended as sustainable strategies for maintaining intervention fidelity in clinical settings.