Wilde Mary H, Liebel Dianne, Fairbanks Eileen, Wilson Paula, Lash Margaret, Shah Shivani, McDonald Margaret V, Brasch Judith, Zhang Feng, Scheid Eileen, McMahon James M
a School of Nursing , University of Rochester , Rochester , New York , USA.
Home Health Care Serv Q. 2015 Apr-Jun;34(2):113-36. doi: 10.1080/01621424.2015.1040940.
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.
作为一项嵌套研究，在一项针对101名长期留置导尿管使用者的家庭随机临床试验中进行了过程保真度评估，该试验在治疗组中教授自我管理。我们的混合模型将外部评估（外部观察和录音）与内部评估方法（通过研究护士的表格和记录）相结合，以进行全面的过程保真度评估。识别出了障碍、患者相关问题和护士的观点，这表明了家庭护理干预研究的复杂性。所提供的互补和协同方法提供了关于干预实施背景以及干预对研究结果影响的深入信息。
