Treatment Fidelity Among Family Health Promoters Delivering a Physical Activity and Nutrition Intervention to Immigrant and Refugee Families.
Lack of treatment fidelity can be an important source of variation affecting the credibility and utility of outcomes from behavioral intervention research. Development and implementation of a well-designed treatment fidelity plan, especially with research involving underserved populations, requires careful conceptualization of study needs in conjunction with what is feasible in the population. The purpose of this article is to review a fidelity-monitoring plan consistent with the National Institutes of Health Behavior Change Consortium guidelines (e.g., design, training, delivery, receipt, and enactment) for an intervention trial designed to improve physical activity and nutrition among immigrant and refugee families. Description of the fidelity monitoring plan is provided and challenges related to monitoring treatment fidelity in a community-based participatory intervention for immigrant and refugee families are discussed.
1 Minneapolis VA Health Care System, Minneapolis, MN, USA.
Carrie A
CA
Bronars
2 Mayo Clinic, Rochester, MN, USA.
Marcelo M
MM
Hanza
3 Winona State University, Rochester, MN, USA.
Sonja J
SJ
Meiers
4 Mayo Clinic College of Medicine, Rochester, MN, USA.
Christi A
CA
Patten
4 Mayo Clinic College of Medicine, Rochester, MN, USA.
Matthew M
MM
Clark
5 Hawthorne Education Center, Rochester, MN, USA.
Julie A
JA
Nigon
2 Mayo Clinic, Rochester, MN, USA.
Jennifer A
JA
Weis
2 Mayo Clinic, Rochester, MN, USA.
Mark L
ML
Wieland
2 Mayo Clinic, Rochester, MN, USA.
Irene G
IG
Sia
D055812:Community-Based Participatory Research; D000072001:Diet, Healthy; D054242:Emigrants and Immigrants; D015444:Exercise; D005192:Family Health; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D012036:Refugees; D012107:Research Design
community-based participatory research; family health; health disparities; immigration health; nutrition; physical activity/exercise