J Am Med Inform Assoc - mHealth interventions for weight loss: a guide for achieving treatment fidelity.

Tópicos

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Resumo

LABELLED: mHealth interventions have shown promise for helping people sustain healthy behaviors such as weight loss. However, few have assessed treatment fidelity, that is, the accurate delivery, receipt, and enactment of the intervention. Treatment fidelity is critical because the valid interpretation and translation of intervention studies depend on treatment fidelity assessments. We describe strategies used to assess treatment fidelity in mobile health (mHealth) interventions aimed at sustaining healthy behaviors in weight loss. We reviewed treatment fidelity recommendations for mHealth-based behavioral interventions and described how these recommendations were applied in three recent weight loss studies. We illustrate how treatment fidelity can be supported during study design, training of providers, treatment delivery, receipt of treatment, and enactment of treatment skills. Pre-planned strategies to ensure the treatment fidelity of mHealth interventions will help counter doubts concerning valid conclusions about their effectiveness and allow investigators and clinicians to implement robustly efficacious mobile health programs.TRIAL REGISTRATION NUMBER: 1F31 NR012599.

Resumo Limpo

label mhealth intervent shown promis help peopl sustain healthi behavior weight loss howev assess treatment fidel accur deliveri receipt enact intervent treatment fidel critic valid interpret translat intervent studi depend treatment fidel assess describ strategi use assess treatment fidel mobil health mhealth intervent aim sustain healthi behavior weight loss review treatment fidel recommend mhealthbas behavior intervent describ recommend appli three recent weight loss studi illustr treatment fidel can support studi design train provid treatment deliveri receipt treatment enact treatment skill preplan strategi ensur treatment fidel mhealth intervent will help counter doubt concern valid conclus effect allow investig clinician implement robust efficaci mobil health programstri registr number f nr

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