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Methodological analysis demonstrates the necessity of treatment fidelity in public health trials, highlighting that implementation costs are outweighed by scientific and economic benefits.
Implementation of a treatment fidelity plan may require extra staff time and costs. However, the economic and scientific costs of lack of attention to treatment fidelity are far greater than the costs of treatment fidelity implementation. Maintaining high levels of treatment fidelity with flexible adaptation according to setting, provider, and patient is the goal for public health trials.
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Belinda Borrelli (2011) studied this question.
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