title: A hybrid process fidelity assessment in a home-based randomized clinical trial.
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.
authors.affiliation: a School of Nursing , University of Rochester , Rochester , New York , USA.
authors.forename: Mary H
authors.initials: MH
authors.lastname: Wilde
authors.forename: Dianne
authors.initials: D
authors.lastname: Liebel
authors.forename: Eileen
authors.initials: E
authors.lastname: Fairbanks
authors.forename: Paula
authors.initials: P
authors.lastname: Wilson
authors.forename: Margaret
authors.initials: M
authors.lastname: Lash
authors.forename: Shivani
authors.initials: S
authors.lastname: Shah
authors.forename: Margaret V
authors.initials: MV
authors.lastname: McDonald
authors.forename: Judith
authors.initials: J
authors.lastname: Brasch
authors.forename: Feng
authors.initials: F
authors.lastname: Zhang
authors.forename: Eileen
authors.initials: E
authors.lastname: Scheid
authors.forename: James M
authors.initials: JM
authors.lastname: McMahon
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care / Q000379:methods; D012648:Self Care / Q000379:methods / Q000706:statistics & numerical data
keywords: home health care; intervention research; nursing; process fidelity; urinary catheterization