Development of a Fidelity Monitoring System for a Psychosocial Intervention – the Cultivating Resilience Intervention
Mentor 1
Gabriela Nagy
Start Date
28-4-2023 12:00 AM
Description
Acculturative stress (i.e., the worsening of health due to stressors related to the immigration and adaptation process) is experienced by approximately 20 million Latinx immigrants living in the US. This represents an important public health problem. To address this need, the Cultivating Resilience Intervention was developed. This intervention is a novel 8-session psychosocial group, focused on reducing sources of stress, encouraging effective coping, and promoting the use of culturally appropriate resilience. A phenomenon described in the clinical intervention literature pertains to interventions evidencing “drift” from how they were originally designed (i.e., when implemented in real-life settings facilitators make modifications to the intervention). It is imperative to have a system in place to be able to determine the degree of fidelity (i.e., adherence), to minimize the likelihood of drift and maintain the integrity of the components that make interventions effective (i.e., producing the desired outcome). The present study will report on the development of a fidelity monitoring tool in the form of a self-reported checklist that will be completed by the interventionist and an observer at the conclusion of each session and will be crossed reference to measure fidelity. Leveraging on existing theoretical frameworks, each of the items on the checklist falls into one of four domains: adherence (i.e., delivery of key components), exposure (i.e., dosage of intervention), quality (i.e., manner in which interventionist delivered the intervention), and participant responsiveness (i.e., extent to which participants engage in the intervention). This initial development of a fidelity monitoring tool (i.e., self-rated checklist) will aid in the interpretability of the results of the pilot study of the Cultivating Resilience Intervention. Additionally, this fidelity monitoring tool will facilitate subsequent implementation and adaptations of the intervention across different providers (i.e., community health workers) and settings.
Development of a Fidelity Monitoring System for a Psychosocial Intervention – the Cultivating Resilience Intervention
Acculturative stress (i.e., the worsening of health due to stressors related to the immigration and adaptation process) is experienced by approximately 20 million Latinx immigrants living in the US. This represents an important public health problem. To address this need, the Cultivating Resilience Intervention was developed. This intervention is a novel 8-session psychosocial group, focused on reducing sources of stress, encouraging effective coping, and promoting the use of culturally appropriate resilience. A phenomenon described in the clinical intervention literature pertains to interventions evidencing “drift” from how they were originally designed (i.e., when implemented in real-life settings facilitators make modifications to the intervention). It is imperative to have a system in place to be able to determine the degree of fidelity (i.e., adherence), to minimize the likelihood of drift and maintain the integrity of the components that make interventions effective (i.e., producing the desired outcome). The present study will report on the development of a fidelity monitoring tool in the form of a self-reported checklist that will be completed by the interventionist and an observer at the conclusion of each session and will be crossed reference to measure fidelity. Leveraging on existing theoretical frameworks, each of the items on the checklist falls into one of four domains: adherence (i.e., delivery of key components), exposure (i.e., dosage of intervention), quality (i.e., manner in which interventionist delivered the intervention), and participant responsiveness (i.e., extent to which participants engage in the intervention). This initial development of a fidelity monitoring tool (i.e., self-rated checklist) will aid in the interpretability of the results of the pilot study of the Cultivating Resilience Intervention. Additionally, this fidelity monitoring tool will facilitate subsequent implementation and adaptations of the intervention across different providers (i.e., community health workers) and settings.
