Assessment of fidelity in individual level behaviour change interventions promoting physical activity among adults: a systematic review
Research output: Contribution to journal › Review article
Colleges, School and Institutes
- University of Exeter Medical School, St Luke's Campus, Magdalen Road, Exeter, EX1 2LU, UK. firstname.lastname@example.org.
- Clinical Education, Development and Research (CEDAR); Psychology, University of Exeter, Exeter, EX4 4QG, UK.
- Department for Health, University of Bath, Wessex House 6.9, Claverton, Bath, BA2 7AY, UK.
- Centre for Exercise, Nutrition and Health Sciences, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK.
- Plymouth University, N6, ITTC, Tamar Science Park, Plymouth, Devon, PL6 8BX, UK.
BACKGROUND: Behaviour change interventions that promote physical activity have major implications for health and well-being. Measuring intervention fidelity is crucial in determining the extent to which an intervention is delivered as intended, therefore increasing scientific confidence about effectiveness. However, we lack a clear overview of how well intervention fidelity is typically assessed in physical activity trials.
METHODS: A systematic literature search was conducted to identify peer - reviewed physical activity promotion trials that explicitly measured intervention fidelity. Methods used to assess intervention fidelity were categorised, narratively synthesised and critiqued using assessment criteria from NIH Behaviour Change Consortium (BCC) Treatment Fidelity Framework (design, training, delivery, receipt and enactment).
RESULTS: Twenty eight articles reporting of twenty one studies used a wide variety of approaches to measure intervention fidelity. Delivery was the most common domain of intervention fidelity measured. Approaches used to measure fidelity across all domains varied from researcher coding of observational data (using checklists or scales) to participant self-report measures. There was considerable heterogeneity of methodological approaches to data collection with respect to instruments used, attention to psychometric properties, rater-selection, observational method and sampling strategies.
CONCLUSIONS: In the field of physical activity interventions, fidelity measurement is highly heterogeneous both conceptually and methodologically. Clearer articulation of the core domains of intervention fidelity, along with appropriate measurement approaches for each domain are needed to improve the methodological quality of fidelity assessment in physical activity interventions. Recommendations are provided on how this situation can be improved.
|Number of pages||13|
|Journal||BMC Public Health|
|Publication status||Published - 2 Oct 2017|
- Adult, Exercise/psychology, Health Promotion/methods, Humans, Individuality, Program Evaluation