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Implementation Fidelity of a Voluntary Sector-Led Diabetes Education Programme

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Title: Implementation Fidelity of a Voluntary Sector-Led Diabetes Education Programme
Language: English
Authors: Kok, Michele S. Y. (ORCID 0000-0001-7213-9755), Jones, Mat, Solomon-Moore, Emma, Smith, Jane R.
Source: Health Education. 2018 118(1):62-81.
Availability: Emerald Group Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emeraldinsight.com
Peer Reviewed: Y
Page Count: 20
Publication Date: 2018
Document Type: Journal Articles
Reports - Research
Descriptors: Fidelity, Program Implementation, Diabetes, Health Promotion, Health Programs, Community Education, Community Health Services, Check Lists, Life Style, Delivery Systems, Participant Satisfaction, Intervention, Volunteers, Competence, Group Dynamics, Foreign Countries, Statistical Analysis
Geographic Terms: United Kingdom (England)
DOI: 10.1108/HE-04-2017-0019
ISSN: 0965-4283
Abstract: Purpose: The quality of voluntary sector-led community health programmes is an important concern for service users, providers and commissioners. Research on the fidelity of programme implementation offers a basis for assessing and further enhancing practice. The purpose of this paper is to report on the fidelity assessment of Living Well Taking Control (LWTC)--a voluntary sector-led, community-based education programme in England focussing on the prevention and management of type 2 diabetes. Design/methodology/approach: This fidelity of implementation (FoI) study was conducted with the Devon-based LWTC programme. A fidelity checklist was developed to analyse audio records of group-based lifestyle education sessions--implementation was rated in terms of adherence to protocol and competence in delivery; the influence of wider contextual factors was also assessed. Kappa statistics (?) were used to test for inter-rater agreement. Course satisfaction data were used as a supplementary indicator of facilitator competence. Findings: Analysis of 28 sessions, from five diabetes prevention and two diabetes management groups (total participants, n = 49), yielded an overall implementation fidelity score of 77.3 per cent for adherence (moderate inter-rater agreement, ? = 0.60) and 95.1 per cent for competence (good inter-rater agreement, ? = 0.71). The diabetes prevention groups consistently achieved higher adherence scores than the diabetes management groups. Facilitator competence was supported by high participant satisfaction ratings. Originality/value: An appropriate level of implementation fidelity was delivered for the LWTC group-based education programme, which provides some confidence that outcomes from the programme reflected intervention effectiveness. This study demonstrates the viability of assessing the FoI in a voluntary sector-led public health initiative and the potential of this method for assuring quality and informing service development.
Abstractor: As Provided
Number of References: 34
Entry Date: 2017
Accession Number: EJ1163360
Database: ERIC
FullText Text:
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  Data: Implementation Fidelity of a Voluntary Sector-Led Diabetes Education Programme
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Kok%2C+Michele+S%2E+Y%2E%22">Kok, Michele S. Y.</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0001-7213-9755">0000-0001-7213-9755</externalLink>)<br /><searchLink fieldCode="AR" term="%22Jones%2C+Mat%22">Jones, Mat</searchLink><br /><searchLink fieldCode="AR" term="%22Solomon-Moore%2C+Emma%22">Solomon-Moore, Emma</searchLink><br /><searchLink fieldCode="AR" term="%22Smith%2C+Jane+R%2E%22">Smith, Jane R.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education%22"><i>Health Education</i></searchLink>. 2018 118(1):62-81.
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  Data: Emerald Group Publishing Limited. Howard House, Wagon Lane, Bingley, West Yorkshire, BD16 1WA, UK. Tel: +44-1274-777700; Fax: +44-1274-785201; e-mail: emerald@emeraldinsight.com; Web site: http://www.emeraldinsight.com
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  Label: Peer Reviewed
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  Data: Y
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  Data: 20
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  Data: 2018
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Fidelity%22">Fidelity</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Implementation%22">Program Implementation</searchLink><br /><searchLink fieldCode="DE" term="%22Diabetes%22">Diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Promotion%22">Health Promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Programs%22">Health Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Community+Education%22">Community Education</searchLink><br /><searchLink fieldCode="DE" term="%22Community+Health+Services%22">Community Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Check+Lists%22">Check Lists</searchLink><br /><searchLink fieldCode="DE" term="%22Life+Style%22">Life Style</searchLink><br /><searchLink fieldCode="DE" term="%22Delivery+Systems%22">Delivery Systems</searchLink><br /><searchLink fieldCode="DE" term="%22Participant+Satisfaction%22">Participant Satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Volunteers%22">Volunteers</searchLink><br /><searchLink fieldCode="DE" term="%22Competence%22">Competence</searchLink><br /><searchLink fieldCode="DE" term="%22Group+Dynamics%22">Group Dynamics</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+Analysis%22">Statistical Analysis</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom+%28England%29%22">United Kingdom (England)</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1108/HE-04-2017-0019
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0965-4283
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The quality of voluntary sector-led community health programmes is an important concern for service users, providers and commissioners. Research on the fidelity of programme implementation offers a basis for assessing and further enhancing practice. The purpose of this paper is to report on the fidelity assessment of Living Well Taking Control (LWTC)--a voluntary sector-led, community-based education programme in England focussing on the prevention and management of type 2 diabetes. Design/methodology/approach: This fidelity of implementation (FoI) study was conducted with the Devon-based LWTC programme. A fidelity checklist was developed to analyse audio records of group-based lifestyle education sessions--implementation was rated in terms of adherence to protocol and competence in delivery; the influence of wider contextual factors was also assessed. Kappa statistics (?) were used to test for inter-rater agreement. Course satisfaction data were used as a supplementary indicator of facilitator competence. Findings: Analysis of 28 sessions, from five diabetes prevention and two diabetes management groups (total participants, n = 49), yielded an overall implementation fidelity score of 77.3 per cent for adherence (moderate inter-rater agreement, ? = 0.60) and 95.1 per cent for competence (good inter-rater agreement, ? = 0.71). The diabetes prevention groups consistently achieved higher adherence scores than the diabetes management groups. Facilitator competence was supported by high participant satisfaction ratings. Originality/value: An appropriate level of implementation fidelity was delivered for the LWTC group-based education programme, which provides some confidence that outcomes from the programme reflected intervention effectiveness. This study demonstrates the viability of assessing the FoI in a voluntary sector-led public health initiative and the potential of this method for assuring quality and informing service development.
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  Label: Abstractor
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  Data: As Provided
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  Data: 34
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  Label: Entry Date
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  Data: 2017
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  Data: EJ1163360
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        Value: 10.1108/HE-04-2017-0019
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      – Text: English
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        PageCount: 20
        StartPage: 62
    Subjects:
      – SubjectFull: Fidelity
        Type: general
      – SubjectFull: Program Implementation
        Type: general
      – SubjectFull: Diabetes
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      – SubjectFull: Foreign Countries
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      – SubjectFull: Statistical Analysis
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      – SubjectFull: United Kingdom (England)
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      – TitleFull: Implementation Fidelity of a Voluntary Sector-Led Diabetes Education Programme
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