Chang Pei-Shiun, Chao Ariana M, Jang Myoungock, Lu Yvonne Y F
Yale School of Nursing, 400 West Campus Drive, Orange, CT 06457; Indiana University School of Nursing, 1033 E. Third Street, Bloomington, IN 47405.
University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104; Center for Weight and Eating Disorders at the University of Pennsylvania School of Medicine, 3535 Market Street, Mezzanine Philadelphia, PA 19104.
Geriatr Nurs. 2019 Jan-Feb;40(1):84-90. doi: 10.1016/j.gerinurse.2018.07.001. Epub 2018 Aug 6.
Intervention fidelity has important implications for the reliability and validity of a study. Despite the widely reported health benefits of Qigong exercise interventions, the quality of intervention fidelity is less clear. The purpose of this paper is to use a valid intervention fidelity assessment tool to evaluate how intervention fidelity has been addressed in five areas-design, training, delivery, receipt, and enactment-in Qigong randomized controlled studies. A total of 86 articles were drawn from CINAHL, PubMed, AMED, and Scopus, and 32 were selected for the review. The adherence to intervention fidelity strategies within the intervention design, training, delivery, receipt, and enactment was 0.66, 0.32, 0.22, 0.12, and 0.21, respectively. The findings suggest that intervention fidelity is inadequately implemented or reported in published Qigong studies. Developing a consistent intervention fidelity plan for Qigong interventions is needed. To this aim, we propose a treatment fidelity plan specific to Qigong research.
干预保真度对研究的可靠性和有效性具有重要影响。尽管气功锻炼干预对健康的益处已被广泛报道，但干预保真度的质量尚不清楚。本文的目的是使用一种有效的干预保真度评估工具，来评估在气功随机对照研究的设计、培训、实施、接受和执行这五个方面，干预保真度是如何得到处理的。总共从护理学与健康领域数据库（CINAHL）、医学期刊数据库（PubMed）、联合和补充医学数据库（AMED）以及文摘和引文数据库（Scopus）中提取了86篇文章，并选择了32篇进行综述。在干预设计、培训、实施、接受和执行过程中，对干预保真度策略的遵循率分别为0.66、0.32、0.22、0.12和0.21。研究结果表明，已发表的气功研究中干预保真度的实施或报告不足。需要为气功干预制定一个一致的干预保真度计划。为此，我们提出了一个专门针对气功研究的治疗保真度计划。
