Hand Brittany N, Darragh Amy R, Persch Andrew C
Brittany N. Hand, PhD, OTR/L, is Assistant Professor, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus. At the time of the study, she was Student, Division of Occupational Therapy, The Ohio State University, Columbus;
Amy R. Darragh, PhD, OTR/L, is Division Director and Associate Professor, Division of Occupational Therapy, The Ohio State University, Columbus.
Am J Occup Ther. 2018 Sep/Oct;72(5):7205205050p1-7205205050p10. doi: 10.5014/ajot.2018.025510.
This study evaluated the thoroughness and psychometric properties of fidelity measures used by or of relevance to occupational or physical therapy.
A systematic review of the literature was completed. Assessments used to measure occupational or physical therapy intervention fidelity were evaluated for thoroughness, reliability, validity, and clinical utility.
Eight fidelity measures met inclusion criteria for this systematic review. Most of the measures had moderate levels of thoroughness in the coverage of key aspects of fidelity, reported adequate to excellent reliability and validity, and were highly variable in clinical utility.
Additional research is recommended to validate existing occupational or physical therapy fidelity measures and to develop novel measures for other occupational therapy and physical therapy interventions. Clinicians and researchers must place greater emphasis on the development and implementation of fidelity measures to ensure uniformity in intervention delivery and high-quality, evidence-based care.
本研究评估了职业治疗或物理治疗所使用的或与之相关的保真度测量方法的全面性和心理测量特性。
完成了对文献的系统综述。对用于测量职业治疗或物理治疗干预保真度的评估方法进行了全面性、可靠性、有效性和临床实用性方面的评估。
八项保真度测量方法符合本系统综述的纳入标准。大多数测量方法在保真度关键方面的覆盖上具有中等程度的全面性，报告的可靠性和有效性为充分至优秀，且临床实用性差异很大。
建议进行更多研究以验证现有的职业治疗或物理治疗保真度测量方法，并为其他职业治疗和物理治疗干预开发新的测量方法。临床医生和研究人员必须更加重视保真度测量方法的开发和实施，以确保干预实施的一致性和高质量的循证护理。
