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Focusing on fidelity: narrative review and recommendations for improving intervention fidelity within trials of health behaviour change interventions

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Show simple item record Toomey, Elaine C. Hardeman, Wendy Hankonen, Nelli Byrne, M. McSharry, Jenny Matvienko-Sikar, Karen Lorencatto, Fabiana 2020-11-03T15:27:23Z 2020-11-03T15:27:23Z 2020
dc.identifier.issn 2164-2850
dc.description peer-reviewed en_US
dc.description.abstract Background: Interventions to change behaviour have substantial potential to impact positively on individual and overall public health. Despite an increasing focus on health behaviour change intervention research, interventions do not always have the desired effect on outcomes, while others have diluted effects once implemented into real-life settings. There is little investment into understanding how or why such interventions work or do not work. Methodological inadequacies of trials of behavioural interventions have been previously suggested as a barrier to the quality and advancement of behavioural research, with intervention fidelity acknowledged as a key area for improvement. However, there is much ambiguity regarding the terminology and conceptualisation of intervention fidelity and a lack of practical guidance regarding how to address it sufficiently, particularly within trials of complex behavioural interventions. Objectives: This article outlines specific issues concerning intervention fidelity within trials of health behaviour change interventions and suggests practical considerations and specific recommendations for researchers, with examples from the literature presented. Conclusions: Recommendations pertain to (1) clarifying how fidelity is defined and conceptualised, (2) considering fidelity beyond intervention delivery, (3) considering strategies to both enhance and assess fidelity, (4) making use of existing frameworks and guidance, (5) considering the quality and comprehensiveness of fidelity assessment strategies, (6) considering the balance between fidelity and adaptation and (7) reporting the use of fidelity enhancement and assessment strategies and their results. Suggestions for future research to improve our understanding of, and ability to, address fidelity in behaviour change interventions are also provided. en_US
dc.language.iso eng en_US
dc.publisher Taylor and Francis en_US
dc.relation.ispartofseries Health Psychology and Behavioral Medicine;8 (1), pp. 132-151
dc.subject complex interventions en_US
dc.subject Health behaviour change en_US
dc.subject implementation science en_US
dc.subject intervention fidelity en_US
dc.subject trial methodology en_US
dc.title Focusing on fidelity: narrative review and recommendations for improving intervention fidelity within trials of health behaviour change interventions en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US 2020-11-03T15:22:20Z
dc.description.version PUBLISHED
dc.identifier.doi 10.1080/21642850.2020.1738935
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2974719
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Health Psychology And Behavioral Medicine
dc.description.status peer-reviewed

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