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首页> 外文期刊>Journal of public health dentistry >The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials
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The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials

机译：公共卫生临床试验中治疗保真度的评估，监测和加强

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Objectives: To discuss methods of preservation of treatment fidelity in health behavior change trials conducted in public health contexts.Methods: The treatment fidelity framework provided by the National Institutes of Health's Behavioral Change Consortium includes five domains of treatment fidelity (Study Design, Training, Delivery, Receipt, and Enactment). A measure of treatment fidelity was previously developed and validated using these categories. Results: Strategies for assessment, monitoring, and enhancing treatment fidelity within each of the five treatment fidelity domains are discussed. The previously created measure of treatment fidelity is updated to include additional items on selecting providers, additional confounders, theory testing, and multicultural considerations.Conclusions: Implementation of a treatment fidelity plan may require extra staff time and costs. However, the economic and scientific costs of lack of attention to treatment fidelity are far greater than the costs of treatment fidelity implementation. Maintaining high levels of treatment fidelity with flexible adaptation according to setting, provider, and patient is the goal for public health trials.
机译：目的：讨论在公共卫生上下文中进行健康行为改变试验的治疗保真方法的方法。 ，收据和制定）。先前使用这些类别开发和验证了治疗保真度的衡量标准。结果：讨论了评估，监测和增强治疗保真度的策略，在五个治疗霸权中的每一个内。更新了先前创建的治疗程度的治疗衡量标准，包括在选择提供商，额外的混乱，理论测试和多元文化考虑方面的其他项目。结论：执行治疗保真计划可能需要额外的员工时间和成本。然而，缺乏关注治疗保真度的经济和科学成本远远大于治疗保真实施的成本。根据设置，提供商和患者维持灵活适应的高水平治疗保真度是公共卫生试验的目标。

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