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Randomized Controlled Trial
. 2011 Nov-Dec;60(6):430-5.
doi: 10.1097/NNR.0b013e31823386aa.

Establishing treatment fidelity in a web-based behavioral intervention study

Linda H Eaton  1 , Ardith Z Doorenbos, Krisann L Schmitz, Kelly M Carpenter, Bonnie A McGregor
Affiliations
Randomized Controlled Trial

Establishing treatment fidelity in a web-based behavioral intervention study

Linda H Eaton et al. Nurs Res. 2011 Nov-Dec.

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.

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