Treatment fidelity in eating disorders and psychological research: Current status and future directions.
adherence
assessment
competence
eating disorders
evidence-based treatment
treatment fidelity; treatment integrity
Journal
The International journal of eating disorders
ISSN: 1098-108X
Titre abrégé: Int J Eat Disord
Pays: United States
ID NLM: 8111226
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
revised:
26
09
2021
received:
18
02
2021
accepted:
27
09
2021
pubmed:
9
10
2021
medline:
2
4
2022
entrez:
8
10
2021
Statut:
ppublish
Résumé
The evaluation and use of treatment fidelity procedures are rare in the development and implementation of psychological interventions. This article aims to review the construct of treatment fidelity, highlight limitations to currently available measures, and introduce a conceptual framework for studying and adapting fidelity measures in clinical research and practice using eating disorders as an example. As treatment fidelity assesses whether an intervention was delivered as intended, we operationalized this construct as: (a) treatment adherence, (b) therapist competence, and (c) treatment differentiation. There is a significant gap in the literature assessing and documenting treatment fidelity. Available studies indicate that existing adherence measures can be time consuming, costly, and are not widely used in the field. Furthermore, therapist competence is a complex and context-dependent construct that is challenging to measure. Finally, treatment differentiation is often inferred by ensuring adherence. The development of simplified formal tests of treatment fidelity would help draw conclusions about treatment efficacy and improve the dissemination and implementation of interventions to promote optimal clinical outcomes.
Identifiants
pubmed: 34622960
doi: 10.1002/eat.23624
pmc: PMC8719268
mid: NIHMS1765273
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2121-2131Subventions
Organisme : NIMH NIH HHS
ID : R01 MH109639
Pays : United States
Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Behav Res Ther. 2015 Jul;70:64-71
pubmed: 26000757
Aust N Z J Psychiatry. 2008 Dec;42(12):1013-20
pubmed: 19016089
Psychol Med. 2014 Feb;44(3):543-53
pubmed: 23701891
J Consult Clin Psychol. 2005 Dec;73(6):1097-107
pubmed: 16392983
Psychother Res. 2015;25(4):420-34
pubmed: 24689912
J Consult Clin Psychol. 2007 Dec;75(6):829-41
pubmed: 18085901
Psychother Res. 2011 Nov;21(6):658-69
pubmed: 21793688
Implement Sci. 2007 Nov 30;2:40
pubmed: 18053122
Cogn Behav Ther. 2018 Jan;47(1):76-89
pubmed: 28793834
Psychol Med. 2013 Dec;43(12):2501-11
pubmed: 23642330
Eat Disord. 2018 Mar-Apr;26(2):149-163
pubmed: 28569604
J Consult Clin Psychol. 1993 Aug;61(4):620-30
pubmed: 8370857
Health Psychol. 2004 Sep;23(5):443-51
pubmed: 15367063
J Consult Clin Psychol. 2009 Apr;77(2):212-8
pubmed: 19309181
Ment Health Serv Res. 1999 Sep;1(3):171-84
pubmed: 11258740
J Am Acad Child Adolesc Psychiatry. 2005 Jul;44(7):632-9
pubmed: 15968231
Ment Health Serv Res. 2000 Jun;2(2):107-13
pubmed: 11256717
J Consult Clin Psychol. 2000 Jun;68(3):451-67
pubmed: 10883562
J Consult Clin Psychol. 2009 Jun;77(3):383-96
pubmed: 19485581
Eur Eat Disord Rev. 2020 Jan;28(1):55-65
pubmed: 31297906
Behav Res Ther. 2009 Jul;47(7):628-35
pubmed: 19446793
Arch Gen Psychiatry. 1991 Dec;48(12):1053-9
pubmed: 1845438
Arch Gen Psychiatry. 2002 Aug;59(8):713-21
pubmed: 12150647
J Appl Behav Anal. 1982 Winter;15(4):477-92
pubmed: 7153187
J Consult Clin Psychol. 1986 Feb;54(1):95-105
pubmed: 3958306
Psychol Med. 1996 May;26(3):461-75
pubmed: 8733205
Behav Res Ther. 2014 Oct;61:55-60
pubmed: 25133855
Int J Eat Disord. 2015 Dec;48(8):1170-5
pubmed: 26769445
J Subst Abuse Treat. 2008 Sep;35(2):137-47
pubmed: 17997268
Psychol Med. 2015 Jan;45(2):415-27
pubmed: 25017941
J Public Health Dent. 2011 Winter;71 Suppl 1:S52-63
pubmed: 21656954
Int J Eat Disord. 2015 Jan;48(1):91-9
pubmed: 25142619
J Consult Clin Psychol. 2010 Apr;78(2):200-11
pubmed: 20350031
Transl Behav Med. 2021 Feb 11;11(1):64-73
pubmed: 31747024
Ment Health Serv Res. 2000 Jun;2(2):75-87
pubmed: 11256719
Health Psychol Behav Med. 2020 Mar 12;8(1):132-151
pubmed: 34040865
Eat Disord. 2010 May-Jun;18(3):199-209
pubmed: 20419524
JAMA Psychiatry. 2014 Nov;71(11):1279-86
pubmed: 25250660
J Consult Clin Psychol. 1997 Oct;65(5):821-33
pubmed: 9337501
Am J Psychiatry. 2007 Apr;164(4):591-8
pubmed: 17403972
Clin Psychol (New York). 2018 Dec;25(4):
pubmed: 30643355
Fam Process. 2002 Spring;41(1):123-31
pubmed: 11924080
Am Psychol. 2010 Feb-Mar;65(2):73-84
pubmed: 20141263
Behav Res Ther. 2011 Jun;49(6-7):373-8
pubmed: 21492829
Arch Gen Psychiatry. 2007 Sep;64(9):1049-56
pubmed: 17768270