Skip to content

Research at St Andrews

Development and testing of a novel measure to assess fidelity of implementation: example of the mini-AFTERc Intervention

Research output: Contribution to journalArticlepeer-review

Abstract

Background Fidelity of implementation (FOI) reflects whether an intervention was implemented in clinical practice according to the originally developed manual and is a key aspect in understanding intervention effectiveness. To illustrate this process of developing a fidelity measure, this study uses the Mini-AFTERc, a brief psychological intervention aimed at managing breast cancer patients’ fear of cancer recurrence, as an example. 
Objectives To illustrate the development of an FOI measure through (1) applying this process to the Mini-AFTERc intervention, by including the design of a scoring system and rating criteria; (2) content validating the FOI measure using thematic framework analysis as a qualitative approach; (3) testing consistency of the FOI measure using interrater reliability.
Methods The FOI measure was developed, its scoring system modified and the rating criteria defined. Thematic framework analysis was conducted to content validate the FOI measure using nine intervention discussions between four specialist cancer nurses and four breast cancer patients, and one simulated breast cancer patient. Intraclass-correlation was conducted to assess interrater reliability. 
Results The qualitative findings suggested that the Mini-AFTERc FOI measure has content validity as it was able to measure all five components of the Mini-AFTERc intervention. The interrater reliability suggested a moderate to excellent degree of reliability among three raters, rICC = 0.84, 95% CI [0.51, 0.96]. 
Conclusion The study has illustrated the steps that an FOI measure can be developed through a systematic approach applied to the Mini-AFTERc intervention. The FOI measure was found to have content validity and was consistently applied, independently, by three researchers familiar with the Mini-AFTERc intervention. Future studies should determine whether similar levels of interrater reliability can be obtained by distributing written and/or video instructions to researchers who are unfamiliar with the FOI measure, using a larger sample. Employing developed and validated FOI measures such as the one presented for the Mini-AFTERc would facilitate implementation of interventions in the FCR field in clinical practice as intended.
Close

Details

Original languageEnglish
Article number601813
Number of pages13
JournalFrontiers in Psychology
Volume11
DOIs
Publication statusPublished - 25 Nov 2020

    Research areas

  • Fidelity, Implementation, Mini-AFTERc intervention, Breast cancer, Fear of cancer recurrence

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. A controlled pilot trial of a nurse-led intervention (Mini-AFTERc) to manage fear of cancer recurrence in patients affected by breast cancer

    McHale, C. T., Cruickshank, S., Torrens, C., Armes, J., Fenlon, D., Banks, E., Kelsey, T. & Humphris, G. M., 7 May 2020, In: Pilot and Feasibility Studies. 6, 10 p., 60.

    Research output: Contribution to journalArticlepeer-review

  2. The relationship between fears of cancer recurrence and patient gender: a systematic review and meta-analysis

    Pang, C. & Humphris, G. M., 22 Feb 2021, In: Frontiers in Psychology. 12, 13 p., 640866.

    Research output: Contribution to journalReview articlepeer-review

  3. Communication strategies to encourage child participation in an oral health promotion session: an exemplar video observational study

    Yuan, S., Humphris, G. M., Macpherson, L. M. D., Ross, A. & Freeman, R., 19 Feb 2021, In: Health Expectations. Early View, 9 p.

    Research output: Contribution to journalArticlepeer-review

  4. Using Co-design with Breast Cancer Patients and Radiographers to Develop ‘KEW’ Communication Skills Training

    van Beusekom, M. M., Cameron, J., Bedi, C., Banks, E., Harris, R. & Humphris, G. M., 2021, (Accepted/In press) In: Frontiers in Psychology.

    Research output: Contribution to journalArticlepeer-review

Related by journal

  1. The relationship between fears of cancer recurrence and patient gender: a systematic review and meta-analysis

    Pang, C. & Humphris, G. M., 22 Feb 2021, In: Frontiers in Psychology. 12, 13 p., 640866.

    Research output: Contribution to journalReview articlepeer-review

  2. Using Co-design with Breast Cancer Patients and Radiographers to Develop ‘KEW’ Communication Skills Training

    van Beusekom, M. M., Cameron, J., Bedi, C., Banks, E., Harris, R. & Humphris, G. M., 2021, (Accepted/In press) In: Frontiers in Psychology.

    Research output: Contribution to journalArticlepeer-review

  3. Cultural transmission, evolution and revolution in vocal displays: insights from bird and whale song

    Garland, E. C. & McGregor, P. K., 29 Sep 2020, In: Frontiers in Psychology. 11, 544929.

    Research output: Contribution to journalReview articlepeer-review

  4. High fear of cancer recurrence in Chinese newly diagnosed cancer patients

    Luo, X., Li, W., Yang, Y., Humphris, G., Zeng, L., Zhang, Z., Garg, S., Zhang, B. & Sun, H., 9 Jun 2020, In: Frontiers in Psychology. 11, 9 p., 1287.

    Research output: Contribution to journalArticlepeer-review

Related by journal

  1. Frontiers in Psychology (Journal)

    Joanne Elizabeth Cecil (Editor)

    May 20132017

    Activity: Publication peer-review and editorial work typesEditor of research journal

ID: 271628517

Top