![]() Mental health conditions are the leading cause of pregnancy-related maternal mortality due to suicide and drug overdose. It's a mid-maturity program that is responding to behavioral health needs of pregnant women, and has recently expanded to newborn virtual home visitation for all mothers with births in the hospital. The technology vendors are REDCap and Twillio. The program is called Listening to Women and Pregnant and Postpartum People, or LTWP. Archives of Internal Medicine, 150, 1664–1668.The Medical University of South Carolina Medical Center in Charleston has a unique telemedicine program in place to help pregnant and postpartum women. A randomized trial to improve self‐management practices of adults with asthma. Drug and Alcohol Dependence, 87, 107–118. Training and fidelity monitoring of behavioral interventions in multi‐site addictions research. Social Science and Medicine, 100, 123–132. Process evaluation of a problem solving intervention to prevent recurrent sickness absence in workers with common mental disorders. Journal of Allergy and Clinical Immunology, 128, 516–523. Problem solving to improve adherence and asthma outcomes in urban adults with moderate or severe asthma: A randomized controlled trial. International Journal of Law and Psychiatry, 37, 490–500. Engagement processes in model programs for community reentry from prison for people with serious mental illness. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.Īngell, B. Statement of contribution What is already known on this subject? Evidence of fidelity and engagement is needed to understand effectiveness of complex interventions Evidence of fidelity and engagement are rarely reported High-quality measures are needed to measure fidelity and engagement What does this study add? Evidence that indicators of quality of measures are reported in some studies Evidence that psychometric qualities are reported more frequently than implementation qualities A recommendation for intervention evaluations to report indicators of quality of fidelity and engagement measures.īehaviour change complex intervention engagement fidelity of delivery health implementation measures psychometric quality. Interpretation of intervention outcomes from fidelity of delivery and engagement measurements may be limited due to a lack of reporting of psychometric and implementation qualities. More studies reported psychometric qualities than implementation qualities. Fifty-one studies (77%) reported at least one psychometric or implementation quality 49 studies (74.2%) reported at least one psychometric quality, and 17 studies (25.8%) reported at least one implementation quality.įewer than half of the reviewed studies measured both fidelity of delivery of, and engagement with complex, face-to-face health behaviour change interventions. Measures of engagement included self-report (n = 18 39.1%), intervention records (n = 11 24%), or multiple measures (n = 17 37%). Measures of fidelity of delivery included observation (n = 17 38.6%), self-report (n = 15 34%), quantitatively rated qualitative interviews (n = 1 2.3%), or multiple measures (n = 11 25%). Sixty-six studies were included: 24 measured both fidelity of delivery and engagement, 20 measured fidelity of delivery, and 22 measured engagement. ![]() ![]() Data on interventions, measures, and psychometric and implementation qualities were extracted and synthesized using narrative analysis. Studies that quantitatively measured fidelity of delivery of, and/or engagement with, a complex, face-to-face health behaviour change intervention for adults were included. ![]() This systematic review aimed to (1) identify the types of measures used to monitor fidelity of delivery of, and engagement with, complex, face-to-face health behaviour change interventions and (2) describe the reporting of psychometric and implementation qualities.Įlectronic databases were searched, systematic reviews and reference lists were hand-searched, and 21 experts were contacted to identify articles. Understanding the effectiveness of complex, face-to-face health behaviour change interventions requires high-quality measures to assess fidelity of delivery and engagement. ![]()
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