Development of an audit checklist to evaluate treatment fidelity of a complex rehabilitation intervention.
The process of examining treatment fidelity is critical to the successful implementation of rehabilitation interventions. Videotaping is considered the 'gold standard' assessment; however, may be considered resource-intensive and intrusive for intervention providers and patients. An audit checklist...
| Publicado en: | Disability & Rehabilitation Vol. 45; no. 7; pp. 1131 - 1139 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162431992&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162431992 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Apr2023 vid: 45 iid: 7 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 162431992 156041344 162431992 162431992 10.1080/09638288.2022.2052977 162431992 ppf: 1131 ppct: 8 formats: tig: atl: Development of an audit checklist to evaluate treatment fidelity of a complex rehabilitation intervention. aug: au: Nielsen, Brittni Tse, Tamara Haslam, Brendon Carey, Leeanne M. affil: Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia sug: subj: Somatosensory Disorders Rehabilitation Upper Extremity Physiopathology Documentation Audit Checklists Stroke Patients Treatment Outcomes Evaluation Program Development Health Care Delivery Methods Human Exploratory Research Consensus Expert Clinicians Content Analysis Pilot Studies Implementation Science Workflow Feedback Intrarater Reliability Study Design Descriptive Statistics Retrospective Design Record Review Funding Source ab: The process of examining treatment fidelity is critical to the successful implementation of rehabilitation interventions. Videotaping is considered the 'gold standard' assessment; however, may be considered resource-intensive and intrusive for intervention providers and patients. An audit checklist is an alternative approach recommended in the literature. The purpose of this study was to develop a documentation audit checklist for assessing treatment fidelity during delivery of SENSe therapy, a complex rehabilitation intervention targeting upper limb somatosensory impairment post-stroke. Checklist development comprised: content determination and design; checklist testing via audit of 38 therapy records from an existing data set; and exploration of rater agreement between two assessors, using a subset of 10 therapy records. The developed audit checklist comprised 29 components core to the delivery of SENSe therapy. Six SENSe therapy records were delivered with high fidelity (>80% adherence to core components), and 32 with moderate fidelity (51–79%). Rater agreement was 80% across the subset of 10 records. Findings highlight the importance of using a theoretically-guided approach to checklist development, with the use of rater agreement to identify areas for refinement. A documentation audit checklist was developed that can be used to evaluate treatment fidelity of complex rehabilitation interventions. Development of an audit checklist that evaluates clinician documentation of therapy delivery, is feasible as one strategy to measure and enhance the treatment fidelity of complex rehabilitation interventions. The process of audit checklist development should be structured and based on conceptual frameworks, to ensure it accurately measures quality of delivery and adherence to core intervention components. Audit checklists can be used to support clinicians delivering complex rehabilitation interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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