Intervention fidelity monitoring of multi-component complementary therapy: Urban Zen Integrative Therapy (UZIT) for persons with pulmonary hypertension
Tania Von Visger, Ph.D., APRN, CNS, CCNS, PCCN
- Sigma Affiliation
- Epsilon Epsilon
- Contributor Affiliation(s)
- The State University of New York at Buffalo, Buffalo, New York, USA
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Background: Systematic and consistent dose delivery is critical in intervention research. Few studies testing complementary health approach (CHA) interventions describe intervention fidelity monitoring (IFM) and measurement. Objective: To describe methodological processes in establishing and measuring consistent dose, delivery, and duration of a multi-component CHA intervention. Methods: Adults with pulmonary hypertension (n = 12) received six weekly, 1-hour Urban Zen Integrative Therapy (UZIT) sessions. Intervention dose (time allocated to each component), intervention consistency (protocol adherence audits), and intervention delivery (performance and sequence of components) were captured using remote video observation and review of recorded video. IFM audits were performed at the beginning (n=16), middle (n=5), and end (n=5) of the study. Results: UZIT interventionists adhered to the intervention protocol (99.3%) throughout the study period. Interventionists delivered UZIT components within the prescribed timeframe: 1) Beginning: gentle body movement (18.9 ±5.8 mins), restorative pose with guided body awareness meditation (21.3 ±2.7 mins), and Reiki (22.8 ±3.1 mins); 2) Middle: gentle body movement (15.9 ±1.5 mins), pose/body awareness meditation (30.1 ±6.5 mins), and Reiki (30.1 ±7.0 mins); 3) End: gentle body movement (18.1 ±3.6 mins), pose/body awareness meditation (35.3 ±6.4 mins), and Reiki (34.5 ±7.0 mins). Essential oil inhalation was delivered during UZIT sessions 100% of the time. Interventionists adhered to treatment delivery behaviors throughout the study period: beginning (98.86%), middle (100%), and end (100%). Discussion: In this pilot mixed-method study, we have demonstrated that the dose, consistency, and delivery of multi-component CHA therapy can be standardized and monitored to ensure intervention fidelity.
Tania Von Visger is a 2016-2017 Sigma Theta Tau International Small Grant Recipient
Repository Posting Date
The Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the Sigma grant. No further peer-review has taken place upon the completion of the Sigma grant final report and its appearance in this repository.
|Review Type||None: Sigma Grant Recipient Report|
|Research Approach||Mixed/Multi Method Research|
|Keywords||Intervention Fidelity Monitoring;
Urban Zen Integrative Therapy;
Complementary Health Approach;
Original Publication Info
|Citation||Von Visger, T. T., Thrane, S. E., Klatt, M. D., Dabbs, A. D., Chlan, L. L., & Happ, M. B. (2019). Intervention fidelity monitoring of Urban Zen Integrative Therapy (UZIT) for persons with pulmonary hypertension. Complementary Therapies in Medicine, 45, 45–49. https://doi.org/10.1016/j.ctim.2019.03.008|
|Other||PMID: 31331581 NLM UID: 9308777;
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