Santacroce Sheila Judge, Maccarelli Lisa M, Grey Margaret
School of Nursing, Yale University, New Haven, Connecticut 06536-0740, USA.
Nurs Res. 2004 Jan-Feb;53(1):63-6. doi: 10.1097/00006199-200401000-00010.
Although an assumption of consistency in intervention delivery is key to the conclusion that the findings are valid, attention to both interventionist adherence and competence has not become a standard in nursing intervention research.
The purpose of this article is to describe the technology model of intervention fidelity as it applies to psychosocial interventions, and to propose its application in nursing intervention research as a way to support accurate conclusions about validity.
The features and methods of the Technology Model of intervention fidelity were reviewed. The review included development of a manual, training and supervision of interventionists, measurement of intervention fidelity, and inclusion of intervention fidelity as an independent variable in the analysis.
The Technology Model and the associated methodologies that have been used to monitor psychosocial intervention fidelity in psychiatry can be adapted and applied by nursing. Monitoring costs can be managed through use of a general system that can be applied across programmatic or related studies.
Application of the Technology Model of intervention fidelity could advance the maturation of nursing intervention research and evidence-based clinical practice.
尽管假设干预实施的一致性是研究结果有效的关键结论，但关注干预者的依从性和能力尚未成为护理干预研究的标准。
本文旨在描述适用于心理社会干预的干预保真度技术模型，并提出将其应用于护理干预研究，作为支持关于有效性的准确结论的一种方式。
回顾了干预保真度技术模型的特征和方法。该回顾包括手册的制定、干预者的培训和监督、干预保真度的测量，以及在分析中将干预保真度作为一个自变量纳入。
用于监测精神病学中心理社会干预保真度的技术模型和相关方法可以被护理领域采用和应用。通过使用一个可应用于跨项目或相关研究的通用系统，可以控制监测成本。
干预保真度技术模型的应用可以推动护理干预研究和循证临床实践的成熟。
