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Reporting of treatment fidelity in behavioural paediatric obesity intervention trials: a systematic review.


ABSTRACT: Behavioural interventions for paediatric obesity are promising, but detailed information on treatment fidelity (i.e. design, training, delivery, receipt and enactment) is needed to optimize the implementation of more effective interventions. Little is known about current practices for reporting treatment fidelity in paediatric obesity studies. This systematic review, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, describes the methods used to report treatment fidelity in randomized controlled trials. Treatment fidelity was double-coded using the National Institutes of Health Fidelity Framework checklist. Three hundred articles (N?=?193 studies) were included. Mean inter-coder reliability across items was 0.83 (SD?=?0.09). Reporting of treatment design elements within the field was high (e.g. 77% of studies reported designed length of treatment session), but reporting of other domains was low (e.g. only 7% of studies reported length of treatment sessions delivered). Few reported gold standard methods to evaluate treatment fidelity (e.g. coding treatment content delivered). General study quality was associated with reporting of treatment fidelity (p?

SUBMITTER: JaKa MM 

PROVIDER: S-EPMC5193220 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature

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Reporting of treatment fidelity in behavioural paediatric obesity intervention trials: a systematic review.

JaKa M M MM   Haapala J L JL   Trapl E S ES   Kunin-Batson A S AS   Olson-Bullis B A BA   Heerman W J WJ   Berge J M JM   Moore S M SM   Matheson D D   Sherwood N E NE  

Obesity reviews : an official journal of the International Association for the Study of Obesity 20160909 12


Behavioural interventions for paediatric obesity are promising, but detailed information on treatment fidelity (i.e. design, training, delivery, receipt and enactment) is needed to optimize the implementation of more effective interventions. Little is known about current practices for reporting treatment fidelity in paediatric obesity studies. This systematic review, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, describes the methods used to re  ...[more]

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