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Home Health Care Services Quarterly Volume 34, 2015 - Issue 2
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Original Articles

A Hybrid Process Fidelity Assessment in a Home-Based Randomized Clinical Trial

Mary H. WildeSchool of Nursing, University of Rochester, Rochester, New York, USACorrespondence[email protected]
View further author information
, RN, PhD,
Dianne LiebelSchool of Nursing, University of Rochester, Rochester, New York, USAView further author information
, RN, PhD,
Eileen FairbanksSchool of Nursing, University of Rochester, Rochester, New York, USAView further author information
, RN, MS, PNP,
Paula WilsonVisiting Nurse Service of New York, Center for Home Care Policy and Research, New York, New York, USAView further author information
, RN, BSN, MPH,
Margaret LashSchool of Nursing, University of Rochester, Rochester, New York, USAView further author information
, RN, MS,
Shivani ShahVisiting Nurse Service of New York, Center for Home Care Policy and Research, New York, New York, USAView further author information
, MPH,
Margaret V. McDonaldVisiting Nurse Service of New York, Center for Home Care Policy and Research, New York, New York, USAView further author information
, MSW,
Judith BraschSchool of Nursing, University of Rochester, Rochester, New York, USAView further author information
, RN, MS,
Feng ZhangSchool of Nursing, University of Rochester, Rochester, New York, USAView further author information
, RN, BSN,
Eileen ScheidNeurology-Neuroimmunology, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, New York, USAView further author information
, RN, MS &
James M. McMahonSchool of Nursing, University of Rochester, Rochester, New York, USAView further author information
, PhD show all
Pages 113-136 | Published online: 04 Jun 2015
 
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Abstract

A process fidelity assessment was conducted as a nested study within a home-based randomized clinical trial teaching self-management to 101 long-term indwelling urinary catheter users in the treatment group. Our hybrid model combined external assessments (outside observations and tape recordings) with internal evaluation methods (through study nurse forms and notes) for a comprehensive process fidelity assessment. Barriers, patient-related issues, and nurse perspectives were identified demonstrating the complexity in home care intervention research. The complementary and synergistic approaches provided in-depth information about the context of the delivery and the impact of the intervention on study outcomes.

Additional information

Funding

Funding for this study was provided by the National Institute of Nursing Research, National Institutes of Health (USA) #R01 NR01553. Disclosures: Dr. Wilde has been a consultant for NovaBay Pharmaceutical since June 2013. No other authors have anything to disclose.

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