Intervention fidelity in Qigong randomized controlled trials: A method review.

Author: Chang PS1, Chao AM2, Jang M3, Lu YYF4
1Yale School of Nursing, 400 West Campus Drive, Orange, CT 06457; Indiana University School of Nursing, 1033 E. Third Street, Bloomington, IN 47405. Electronic address:
2University of Pennsylvania School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104; Center for Weight and Eating Disorders at the University of Pennsylvania School of Medicine, 3535 Market Street, Mezzanine Philadelphia, PA 19104.
3University of Wisconsin-Madison School of Nursing, 701 Highland Avenue, Madison, WI 53705.
4Indiana University School of Nursing, 600 Barnhill Drive, Indianapolis, IN 46202.
Conference/Journal: Geriatr Nurs.
Date published: 2018 Aug 6
Other: Pages: S0197-4572(18)30177-0 , Special Notes: doi: 10.1016/j.gerinurse.2018.07.001. [Epub ahead of print] , Word Count: 153

Intervention fidelity has important implications for the reliability and validity of a study. Despite the widely reported health benefits of Qigong exercise interventions, the quality of intervention fidelity is less clear. The purpose of this paper is to use a valid intervention fidelity assessment tool to evaluate how intervention fidelity has been addressed in five areas-design, training, delivery, receipt, and enactment-in Qigong randomized controlled studies. A total of 86 articles were drawn from CINAHL, PubMed, AMED, and Scopus, and 32 were selected for the review. The adherence to intervention fidelity strategies within the intervention design, training, delivery, receipt, and enactment was 0.66, 0.32, 0.22, 0.12, and 0.21, respectively. The findings suggest that intervention fidelity is inadequately implemented or reported in published Qigong studies. Developing a consistent intervention fidelity plan for Qigong interventions is needed. To this aim, we propose a treatment fidelity plan specific to Qigong research.

KEYWORDS: Intervention fidelity; Intervention implementation; Qigong; Treatment fidelity plans

PMID: 30093074 DOI: 10.1016/j.gerinurse.2018.07.001