That, he said, is, "Fidelity, fidelity, fidelity".
The principal investigator conducted monthly audits of this documentation to assess fidelity to treatment.
At one-month intervals, the principal investigator conducts audits of the study related documentation to assess fidelity to treatment.
These included: (1) monthly audits of the study documentation to assess fidelity, (2) monthly outreach visits with the intervention providers, and (3) scheduled reminders and updates[ 108].
Additionally, site monitoring is conducted by two trained research staff members from Fuwai Hospital, NCCD, every 3 6 months, assessing: (1) the completeness of the documentation and (2) fidelity to protocol for recruitment, health screening, physical examination, and sample collection and processing.
FG: Focus group; II: Individual interview; DR: Documentation review; IFC: Intervention fidelity checklist.
These evaluations, conducted midway and at the end of the project, followed a well-structured format and consisted of detailed information about fidelity, clinical documentation, patient flow and referral process.
Analysis of documentation: Several documents produced during the intervention implementation (checklist for the intervention fidelity report, summaries of team meetings, etc).
Our approach to implementation of the intervention provided for routine monitoring of program fidelity through careful documentation of milestones and weekly review of implementation challenges and successes.
Additionally, there is evidence that staffing levels associated with weekend working can affect clinical outcomes [ 30], and it is possible that documentation of the SVP and fidelity to it could have been affected by different patterns of working/staffing at weekends versus in the week.
