Nursing Research

Skip Navigation LinksHome > November/December 2011 - Volume 60 - Issue 6 > Establishing Treatment Fidelity in a Web-Based Behavioral In...
Nursing Research:
doi: 10.1097/NNR.0b013e31823386aa
Methods

Establishing Treatment Fidelity in a Web-Based Behavioral Intervention Study

Eaton, Linda H.; Doorenbos, Ardith Z.; Schmitz, KrisAnn L.; Carpenter, Kelly M.; McGregor, Bonnie A.

Supplemental Author Material
Collapse Box

Abstract

Background: Treatment fidelity pertains to the methodological strategies used to monitor and enhance the reliability and validity of behavioral interventions. Approaches to establishing treatment fidelity in Web-based interventions differ from those used in interventions that are delivered in person.

Objective: The aim of this study was to describe a methodology for ensuring treatment fidelity in a Web-based cognitive behavioral stress management intervention.

Methods: The intervention Coping With Cancer Workbook, adapted for Web-based delivery from an in-person intervention, was tested in a randomized controlled trial with 123 breast cancer survivors. Strategies for ensuring treatment fidelity were implemented and assessed.

Results: The National Institutes of Health Behavior Change Consortium Treatment Fidelity Guidelines were relevant to establishing treatment fidelity for the Web-based intervention.

Discussion: Web-based delivery of behavioral interventions is both a strength and a threat to treatment fidelity. Investigators must be cognizant of the elements of treatment fidelity and implement strategies to monitor and improve the reliability and validity of Web-based interventions.

© 2011 Lippincott Williams & Wilkins, Inc.

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.