A pragmatic assessment of treatment fidelity, in a community based physical activity intervention for COPD
ISPAH ePoster Library. Frith G. 10/15/18; 225191; 433
Ms. Gabbi Frith
Ms. Gabbi Frith
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Abstract
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Abstract Background:<\b>
Chronic pulmonary disease (COPD) is a progressive disease associated with reduced physical activity (PA). 'Keep Active Keep Well' (KAKW) is a theoretically underpinned, PA behaviour change programme. This programme uses motivational interviewing (MI) techniques to promote PA maintenance in COPD patients. Treatment Fidelity (TF) refers to methodological strategies that enhance reliability and validity of behavioural interventions and are rarely incorporated in community based programmes. Methods:<\b>
To ensure a robust TF criterion, the Behaviour Change Consortium (BCC) TF framework was adhered to and mapped against a checklist. This was embedded into the programme from the outset, allowing for complete independent assessment from design through to treatment delivery. Intervention design, provider training, intervention delivery, intervention receipt and patient enactment were all assessed. Two commissioned prototype sites were observed delivering the KAKW programme. The patient's receipt of the intervention was assessed, using the Client Experience of Motivational Interviewing (CEMI). This was given to patients and used to rate instructor compliance to MI. Results:<\b>
Both sites adhered highly to the TF checklist criteria (>80%). The mean CEMI score for site 1 was 54.42 (SD = 7.32); mean CEMI score for site 2 was 55.28 (SD= 5.70). Conclusion:<\b>
There is paucity across the literature in reporting methods of TF in community based PA programmes. The following programme embeds TF and offers a useful insight into the pragmatic assessment of TF in community based settings. External funding details Sheffield Hallam University are commissioned by the BLF as the evaluation partner for the KAKW programme.
Abstract Background:<\b>
Chronic pulmonary disease (COPD) is a progressive disease associated with reduced physical activity (PA). 'Keep Active Keep Well' (KAKW) is a theoretically underpinned, PA behaviour change programme. This programme uses motivational interviewing (MI) techniques to promote PA maintenance in COPD patients. Treatment Fidelity (TF) refers to methodological strategies that enhance reliability and validity of behavioural interventions and are rarely incorporated in community based programmes. Methods:<\b>
To ensure a robust TF criterion, the Behaviour Change Consortium (BCC) TF framework was adhered to and mapped against a checklist. This was embedded into the programme from the outset, allowing for complete independent assessment from design through to treatment delivery. Intervention design, provider training, intervention delivery, intervention receipt and patient enactment were all assessed. Two commissioned prototype sites were observed delivering the KAKW programme. The patient's receipt of the intervention was assessed, using the Client Experience of Motivational Interviewing (CEMI). This was given to patients and used to rate instructor compliance to MI. Results:<\b>
Both sites adhered highly to the TF checklist criteria (>80%). The mean CEMI score for site 1 was 54.42 (SD = 7.32); mean CEMI score for site 2 was 55.28 (SD= 5.70). Conclusion:<\b>
There is paucity across the literature in reporting methods of TF in community based PA programmes. The following programme embeds TF and offers a useful insight into the pragmatic assessment of TF in community based settings. External funding details Sheffield Hallam University are commissioned by the BLF as the evaluation partner for the KAKW programme.
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