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These issues rendered the planned method of fidelity assessment unfeasible.
While careful consideration should be given to the best method of fidelity assessment, an iterative approach allowing flexibility to adapt pre-planned methods is recommended within feasibility trials.
An initial exploratory phase of data input and analysis was undertaken in order to ascertain whether this method of fidelity assessment was feasible.
Through exploring the reasons why the original method of fidelity assessment was not possible it became evident that certain 'prerequisites' had to be in place in order to perform the planned analysis.
Findings from other components of the process evaluation, for example interview data, suggest that healthcare staff did not always document everything that they did [ 17], and therefore it is likely that a method of fidelity assessment based upon healthcare staff recording of activity underestimates the true level of fidelity to treatment delivery.
Similar(55)
Tape recording counseling sessions were also considered as a method of assessing fidelity.
The revised method of assessing fidelity to treatment delivery through the evaluation of clinical logs according to key quality indicators provided a feasible alternative.
Failure to understand this led participants to believe that the test was a reliable method of establishing fidelity (McCaffery et al, 2003; Kahn et al, 2007).
RNA was amplified by an efficient method of high-fidelity mRNA amplification, called TALPAT (T7 RNA polymerase promoter-attached, adaptor ligation-mediated, and PCR amplification followed by in vitro T7-transcription) [24 28].
The mRNA was amplified by an efficient method of high-fidelity mRNA amplification, called TALPAT (T7 RNA polymerase promoter-attached, adaptor ligation-mediated, and PCR amplification followed by in vitro T7-transcription) (Aoyagi et al, 2003; Kobayashi et al, 2004; Nakamura et al, 2006).
The feasibility of a proposed method for fidelity assessment has been investigated and lessons learnt from this experience will guide fidelity assessment in a future evaluation trial and may be of use to other research teams designing trials of complex interventions.
Related(20)
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