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 |
| 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 |
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