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Table 4 Treatment fidelity scores of included studies

From: How should long-term free-living physical activity be targeted after stroke? A systematic review and narrative synthesis

 

Very promising

Quite promising

Non-promising

 

Olney et al. [31]

Damush et al. [32]

Ludwig et al [33]

Morén et al. [34]

Severinsen et al. [35]

Wan et al. [36]

Katz-Laurer et al [37]

Mudge et al [38]

Sit et al. [39]

Total (%)

1) Treatment fidelity strategies for design of study

Ensure same treatment dose within conditions

Y

Y

Y

Y

Y

Y

Y

Y

Y

9 (100%)

Ensure equivalent dose across conditions

Y

Y

Y

Y

Y

Y

Y

Y

N

8 (89%)

Plan for implementation setbacks

N

N

N

N

N

N

N

N

N

0 (0%)

2) Treatment fidelity strategies for monitoring and improving provider training

Standardise training

N

Y

N

Y

N

Y

N

Y

N

4 (44%)

Ensure provider skill acquisition

N

N

N

N

N

Y

N

Y

N

2 (22%)

Minimise “drift” in provider skills

N

N

N

N

N

N

N

Y

N

1 (11%)

Accommodate provider differences

N

N

Y

N

N

N

N

Y

N

2 (22%)

3) Treatment fidelity strategies for monitoring and improving delivery of treatment

Control for provider differences

N

N

Y

N

N

Y

N

Y

N

3 (33%)

Reduce differences within treatment

N

Y

Y

N

N

Y

N

Y

Y

5 (56%)

Ensure adherence to treatment protocol

N

Y

Y

N

N

N

Y

Y

Y

5 (56%)

Minimise contamination between conditions

N

Y

Y

Y

Y

N

Y

Y

Y

7 (78%)

4) Treatment fidelity strategies for monitoring and improving receipt of treatment

Ensure participant comprehension

N

N

Y

Y

N

N

N

N

Y

3 (33%)

Ensure participant ability to use cognitive skills

N

N

N

Y

N

N

N

N

Y

2 (22%)

Ensure participant ability to perform behavioural skills

Y

N

Y

Y

Y

N

Y

Y

Y

7 (78%)

5) Treatment fidelity strategies for monitoring and improving enactment of treatment skills

Ensure participant use of cognitive Skills

N

N

N

N

N

N

N

N

Y

1 (11%)

Ensure participant use of behavioural skills

N

N

N

N

Y

N

N

Y

Y

3 (33%)

Total (out of 16)

3

6

9

7

5

6

5

12

9

 

Percentage

19%

38%

56%

44%

31%

38%

31%

75%

56%