1. A Hybrid Process Fidelity Assessment in a Home-based Randomized Clinical Trial
- Author
-
Eileen Fairbanks, Mary H. Wilde, Eileen Scheid, James M. McMahon, Shivani Shah, Paula Wilson, Margaret V. McDonald, Margaret Lash, Judith Brasch, Feng Zhang, and Dianne V. Liebel
- Subjects
Male ,Process (engineering) ,media_common.quotation_subject ,Fidelity ,Context (language use) ,Article ,law.invention ,Treatment and control groups ,Catheters, Indwelling ,Nursing ,Randomized controlled trial ,law ,Intervention (counseling) ,Medicine ,Humans ,media_common ,Community and Home Care ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,Home based ,Home Care Services ,Self Care ,Outcome and Process Assessment, Health Care ,Intervention research ,Female ,business - Abstract
A process fidelity assessment was conducted as a nested study within a home-based randomized clinical trial teaching self-management to 101 long-term indwelling urinary catheter users in the treatment group. Our hybrid model combined external assessments (outside observations and tape recordings) with internal evaluation methods (through study nurse forms and notes) for a comprehensive process fidelity assessment. Barriers, patient-related issues, and nurse perspectives were identified demonstrating the complexity in home care intervention research. The complementary and synergistic approaches provided in-depth information about the context of the delivery and the impact of the intervention on study outcomes.
- Published
- 2015