What Really Works in Intervention? Using Fidelity Measures to Support Optimal Outcomes

Author:

An Mihee1,Dusing Stacey C2,Harbourne Regina T3,Sheridan Susan M4,

Affiliation:

1. Department of Physical Therapy, Duquesne University, Pittsburgh, Pennsylvania

2. Department of Physical Therapy, Virginia Commonwealth University, Richmond, Virginia

3. FAPTA, Department of Physical Therapy, Duquesne University, 600 Forbes Avenue, Pittsburgh, PA 15282 (USA)

4. Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, Nebraska

Abstract

Abstract A critical factor to move the field of physical therapy forward is the measurement of fidelity during comparisons of interventions. Fidelity translates as “faithfulness”; thus, fidelity of intervention means faithful and correct implementation of the key components of a defined intervention. Fidelity measurement guards against deviations from, or drift in, the delivery of a targeted intervention, a process necessary for evaluating the efficacy of rehabilitation approaches. Importantly, attention to fidelity measurement differentiates rehabilitation approaches from each other. However, earlier research comparing physical therapist interventions often reported findings without careful attention to fidelity measurement. The purpose of this paper is 2-fold: (1) to support the development of intervention-specific fidelity measures in physical therapy research as the gold standard for translating research findings to clinical practice, and (2) to describe the process of creating a multi-dimensional fidelity measurement instrument in rehabilitation intervention. Improved attention to fidelity measurement will allow the rehabilitation field to communicate interventions clearly with a direct link to outcomes and target the implementation of our improved intervention for the right patient problem with the right dose and the right ingredients at the right time.

Funder

Institute of Education Sciences

US Department of Education

Publisher

Oxford University Press (OUP)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

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