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January 1, 2011Journal of Public Health DentistryOpen Access

The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials

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Authors

BBBelinda Borrelli

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Overview

Methodological analysis demonstrates the necessity of treatment fidelity in public health trials, highlighting that implementation costs are outweighed by scientific and economic benefits.

Key Points

  • To examine the scientific and economic importance of assessing, monitoring, and enhancing treatment fidelity while maintaining flexible adaptation in public health clinical trials.
  • Evaluated the scientific, methodological, and economic trade-offs between the costs of treatment fidelity implementation and the consequences of fidelity omission.
  • Analyzed framework requirements for balancing standardized intervention delivery with flexible adaptation across diverse settings, providers, and patient populations.
  • Failing to monitor and maintain treatment fidelity incurs substantially greater scientific and economic costs than the resource investments required to execute a fidelity plan.
  • Optimal public health trial execution requires sustained high levels of treatment fidelity combined with pragmatic adaptations tailored to local settings, providers, and patients.

Cite This Study

Belinda Borrelli (2011) studied this question.

synapsesocial.com/papers/69d685e65bddf9749b31afcdhttps://doi.org/10.1111/j.1752-7325.2011.00233.x
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