Observational studyBMC geriatrics2019
Measuring fidelity of delivery of the Community Occupational Therapy in Dementia-UK intervention.
Observational study in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measures of fidelity of delivery and engagement in self-management interventions: A systematic review of measures.Clinical trials (London, England) · 2022Pooled it
- Assessing fidelity of a community based psychosocial intervention for people with mild dementia within a large randomised controlled trial.BMC geriatrics · 2021Trial
- Trial
- Promoting and Measuring Fidelity of Occupational Therapy Interventions: A Scoping Review.OTJR : occupation, participation and health · 2026Article
- A rehabilitation intervention to improve recovery after delirium in older people: mixed methods process evaluation of the RecoverED multi-site feasibility study.BMC geriatrics · 2026Article
- Pilot optimization trial of a sexual and reproductive health program for Latina teens and their female caregivers: A study protocol.Contemporary clinical trials communications · 2025Article
- Real-world occupational therapy interventions for early-stage dementia: Characteristics and contextual barriers.Dementia (London, England) · 2025Article
- Occupational Therapists' Perspectives on Community Implementation of Interventions Unfamiliar to Older Adults.The Gerontologist · 2024Article
- Implementing Dementia Caregiver Programs in Real-World Settings: Fidelity Considerations.Journal of the American Medical Directors Association · 2024Review
- The Development and Pilot Testing of a Fidelity Checklist for a Family-Centered Telehealth Intervention for Parents of Children with Motor Delay.International journal of telerehabilitation · 2024Article
- Developing an implementation fidelity checklist for a vocational rehabilitation intervention.Pilot and feasibility studies · 2022Article
- Randomised controlled trials of occupational therapy interventions for adults with a mental health condition or dementia: A systematic review of study methods and outcome measurement.The British journal of occupational therapy · 2022Review
- Developing a method to assess fidelity to a complex vocational rehabilitation intervention in the FRESH trial: a feasibility study.Pilot and feasibility studies · 2022Article
- Fidelity is not easy! Challenges and guidelines for assessing fidelity in complex interventions.Trials · 2021Article
- Developing quality fidelity and engagement measures for complex health interventions.British journal of health psychology · 2020Article
- Virtual individual cognitive stimulation therapy (V-iCST): Mixed methods feasibility randomised controlled trial.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundInterpreting data about intervention effectiveness requires an understanding of which intervention components were delivered and whether they were delivered as planned (fidelity of delivery). These studies aimed to develop a reliable measure for assessing fidelity of delivery of the Community Occupational Therapy in Dementia-UK intervention (COTiD-UK) (Study 1) and measure fidelity of delivery of COTiD-UK across sessions, sites and occupational therapists (Study 2).
methodsThe studies used a longitudinal observational design nested within a multi-site randomised controlled trial. Where practicable, all intervention sessions were audio-recorded. Fidelity checklists and coding guidelines were developed, piloted and refined until good agreement was achieved between two coders. Ten percent of sessions were purposively sampled from 12 sites and 31 occupational therapists. Transcripts were coded using checklists developed in Study 1; 10% of sets of intervention session transcripts were double coded to ensure that agreement was maintained. Percentages of components that were delivered were calculated for each session, site and occupational therapist.
resultsA reliable measure of fidelity of delivery for COTiD-UK was developed after several rounds of piloting and amendments. COTiD-UK was delivered with moderate fidelity across all six sessions (range: 52.4-75.5%). The mean range of fidelity varied across sites (26.7-91.2%) and occupational therapists (26.7-94.1%).
conclusionsA reliable, systematic method for measuring fidelity of delivery of COTiD-UK was developed and applied, and can be adapted for use in similar interventions. As COTiD-UK was delivered with moderate fidelity, there is a reasonable degree of confidence that intervention effects were attributable to COTiD-UK.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.