Media Watch 521

Of special interest in the current issue of the weekly report:

 

Strategies used in improving and assessing the level of reporting of implementation fidelity in randomized controlled trials of palliative care complex interventions: A systematic review 

PALLIATIVE MEDICINE | Online – 10 July 2017 – The effectiveness of an intervention can only be determined if there is implementation fidelity (IF) – meaning the extent an intervention is implemented as intended. Current understanding of IF and strategies to improve this have been largely derived from behaviour change interventions, but there has been no analysis of this for palliative care (PC). IF in PC is under recognised. Strategies used to improve IF in randomized controlled trials of PC can be categorised under the following elements: “treatment design,” “training providers,” “delivery of treatment,” “receipt of treatment” and “enactment of treatment skills.” Over 88 strategies have been identified to improve IF. A table ... representing the elements of fidelity, their sub-components, and showcasing the strategies identified, has been produced. The strategies identified could be used, not just in research but in clinical practice, to guide all phases of the development and evaluation of PC interventions. Substantial administrative burden in the application of the identified strategies suggests that further investigation is required to identify which strategies are more effective in improving, as well as assessing, the level of reporting of IF in PC interventions.